Adherence to treatment of systemic arterial hypertension and diabetes mellitus screening in primary health care

Abstract

Introduction: cardiovascular diseases, cancer, diabetes mellitus and chronic respiratory diseases represent the main non-communicable chronic diseases (NCDs), which are responsible for approximately 70% of deaths on the planet. Considering the high risk for these individuals, face-to-face care at public health services was adapted according to risk stratification and the patient's clinical condition. Objective: to analyze adherence to systemic arterial hypertension treatment, using the QATHAS instrument - Systemic Arterial Hypertension Treatment Adherence Questionnaire, tracking and identifying knowledge about diabetes mellitus in this group of participants. Method: cross-sectional, analytical study with a quantitative approach, developed in partnership with 9 family health teams, and a sample of 128 participants. The data collection instruments were: the QATHAS and the Finnish Diabetes Risk Score (FINDRISC). The project was approved by the Research Ethics Committee. Results: it was identified with the QATHAS that 38% of the participants reached the level 90 and 36% the level 100. It was observed in the averages of body mass index and abdominal circumference of the participants overweight and accumulation of abdominal fat (mainly in women). It was possible to correlate, within the female audience, a positive adherence to antihypertensive drug treatment and the control of blood glucose levels. With the use of FINDRISC, it was possible to verify a statistically significant association between education and the risk of diabetes. Conclusion: median adherence to drug and non-drug treatment for systemic arterial hypertension was identified. And a low level of education, a predisposing factor, was associated with an increased risk of individuals with systemic arterial hypertension developing diabetes mellitus.