Autocuidado na hipertensão arterial segundo o nível de orientação para a dieta e acompanhamento médico na atenção primária à saúde

Abstract

Objective: Assess the consumption of food markers, nutritional status and living and health conditions among hypertensive patients, according to medical and dietary guidance received. Materials and methods: Study carried out with 109 individuals (≥40 years old) diagnosed with hypertension, included in the Family Health Strategy. A questionnaire was applied on personal, socioeconomic, health information and the occurrence of medical guidance, in addition to the 24-hour recall to verify the consumption of food markers. From the body mass index, the nutritional status was classified. The association between variables and the type of guidance received was estimated by Odds Ratio (OR) and Confidence Intervals (95% CI), adopting p <0.05. Results: The sample was predominantly female, elderly, with a low level of income and education, living with a partner, who presented a reasonable / good perception of their own health, performed physical activities, did not have smoking habits and consumption of alcoholic beverages. There was at least one more disease previously diagnosed, high use of medications and overweight. There was a higher occurrence of consumption of healthy eating markers, especially beans, than unhealthy foods, where sweetened beverages predominated. 94.5% of the population received some medical or food guidance. Female gender, overweight and medication use were associated with medical and medical and dietary guidance. while consumption of vegetables was associated only with medical and dietary guidance. Conclusion: The dietary orientation associated with medical guidance was unsatisfactory, being associated with conditions of greater self-care and risk monitoring in the population.