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Arterial hypertension in the elderly accompanied in primary care: profile and associated factorsa a This article is an excerpt of the End-of-Graduation-Course Paper entitled “Risk factors associated with the blood pressure control in elderly hypertensive patients” presented in November 2017 at the undergraduate course in Nursing, Faculty of Ceilândia (FCE), University of Brasilia (UNB).

Hipertensión arterial en ancianos acompañados en la atención primaria: perfil y factores asociados

Abstract

Objective:

to analyze blood pressure control in elderly hypertensives accompanied by a Basic Health Unit of the Federal District, determining the sociodemographic profile and the associated risk factors.

Method:

this is a cross-sectional study with 133 elderly hypertensive patients. Variables related to sociodemographic factors, life habits, clinical factors and adherence to drug therapy were evaluated through the application of semistructured instruments and validated scales. Results with p <0.05 were considered significant.

Results:

the elderly presented controlled blood pressure (56.4%) predominantly. The majority of the participants were female and women also had a higher rate of uncontrolled blood pressure (86.2%). Older age was associated with higher blood pressure values (p = 0.031). Alcoholism (p = 0.020) and mean body mass index of 33.0 (p <0.000) were factors associated with hypertension adherence to therapy had more controlled values ​​of systolic and diastolic blood pressure.

Conclusion and implications for the practice:

it was verified that there is a strong association between the risk factors discussed and the lack of control of the blood pressure of elderly hypertensive, especially with regard to advanced age, alcoholism, obesity and overweight, and it is necessary to reorient the planning and strategies of promotion of health and prevention of diseases directed at the elderly hypertensive in the scope of primary health care.

Keywords:
High Blood Pressure; Risk Factors; Health Promotion; Primary Health Care; Public Health Nursing

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