Proposal of a Scale with Predictive Factors of Complications Arising from Systemic Arterial Hypertension and Actions for Management of CareJournal: Athens Journal of Health (Vol.3, No. 3)
Publication Date: 2016-09-01
Authors : Elis Martins Ulbrich; Maria de F;
Page : 255-264
Keywords : Adult; Case Management; Chronic Disease; Hypertension; Nursing;
The aim of the research is to identify the factors that predict complications of hypertension and to propose a scale of assessment and continuous care. A descriptive, quantitative research held on 18 public health units in the city of Curitiba, Parana, Brazil. In the study 387 adults with hypertension participated. Data were collected through semi-structured interviews and anxiety scales, depression, quality of life, medication adherence and social support. Descriptive and inferential statistics for analysis were used. The statistically significant variables selected for prediction of complications were age, gender, smoking, time of diagnosis, risk classification in the health service, use of medications and depression. In the proposal of the scale after the multivariate analysis and odds ratio, set itself values 0-100, and the severity of risk was defined arbitrarily. There were proposed care management actions according to the correspondence between the number of points and the risk assessed on the scale. Thus, the risk factors were identified and a predictive scale with actions for management of care based on Brazilian guidelines was proposed.
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