Diagnóstico de enfermagem em adultos portadores de hipertensão arterial: estudo em um grupo específico

Abstract

The nursing systematic consultation development and the identification of diagnosis have facilitated the nurse approach with the patient’s context, what produces a higher efficiency on the interventions. It was focused in the patienfs assistance, in the patienfs necessities and difficulties, with the disease’s comprehension, with the family and the community’s context, and not only with the disease. This study has as purpose to identify the nursing diagnosis that are being used with the arterial Hypertension patients who are being attended at a “Family’s Basic Heath Unity” in Fortaleza. The study has a quantity nature, ifs transversal and describable. This population studied was composed by the arterial hypertension patients: that are being followed the specific area into a health unity, that were registered in the “HIPERDIA” program until February 2004, that had at least one year of a doctor’s diagnosis and also a disease’s treatment and no other associated disease. A total of 67 patients were evaluated. The results showed that predominated women that were married, with an average salary below 2 minimum salaries and that had unfinished High School. Housewives with the disease diagnosed for the maximum of 5 years and a high body mass indication being overweight and obese. All the patients were taking a antihypertensive medication, 43,3% were taking just one medication, 53,7% were taking two medications and 30,0 % were taking three medications. 54 diagnoses were identified, 15 of those were above the percentage 75, and 11 out of 13 investigated dominoes were present. Statistic Association between sexual dysfunction and inefficient control of therapeutic diets, were found among the diagnosis. A Risk for fali and damage impaired physical mobility, an impaired physical mobility and a déficit walk.