Diagnóstico de enfermagem disposição para controle da saúde melhorado em pacientes com hipertensão arterial e/ou Diabetes Mellitus

Abstract

The purpose of this study was to analyze the nursing diagnosis Improved health control disposition in patients with hypertension and/or diabetes mellitus, who are followed up at the Unidades de Atenção Primária à Saúde of Aracoiaba-CE. The nursing diagnosis stands out as a clinical judgment that nurses make in the care of individuals, family and community. One of the big challenges facing some patients concerns chronic diseases such as high blood pressure and diabetes mellitus. The Equipe de Saúde da Família has a significant role in the control of these two chronic diseases, the identification of the nursing diagnosis can help nurses to understand who wants to control their health aspects more, thus providing care that meets the needs of individuals with hypertension and diabetes. This study aimed to identify the nursing Improved health control disposition in patients with hypertension and/or diabetes mellitus in the county of Aracoiaba. This is a transversal, descriptive, with a quantitative approach study, which was developed with hypertensive and diabetic patients, attended at the Unidades de Atenção Primária à Saúde of the county of Aracoiaba. Data collection occurred from May to August 2019 and it was performed using an instrument with 359 patients who comprised the study sample. Most of the patients investigated were female, aged up to 60 years, married, with more than 2 children, between 5 and 10 years of study, personal income up to R $ 1000.00 and no active occupation. There was a prevalence of 93.9% of the nursing diagnosis Improved health control disposition; the most prevalent defining features were: expressed desire to improve symptom control, expressed desire to improve daily life choices to achieve goals, and expressed desire to improve risk factor control. In addition, the defining features that best predict the diagnosis for sensitivity and specificity were: expressing desire to improve symptom control, expressing desire to improve risk factor control and expressing desire to improve daily life choices to achieve goals. In associations of the diagnosis with the defining features all presented statistical significance. In relation to the diagnosis with the health conditions and risk factors, the statistical association for disease, blood pressure classification, blood glucose classification, sedentary lifestyle and alcoholism were identified. Associating the defining features with the sociodemographic profile, health condition and risk factors, the most prevalent were age, gender, marital status, years of schooling, disease, blood pressure classification and sedentary lifestyle. It is concluded that the nursing diagnosis Improved health control disposition is prevalent in hypertensive and/or diabetic patients. Moreover, its defining features accurately predict its occurrence in this clientele.