dos Santos Jênifa Cavalcante, Moreira Thereza Maria Magalhães
Universidade Estadual do Ceará, Fortaleza, CE, Brasil.
Rev Esc Enferm USP. 2012 Oct;46(5):1125-32. doi: 10.1590/s0080-62342012000500013.
The objective of this study was to identify the risk factors and associated complications present in clients with hypertension/diabetes, enrolled in the HIPERDIA of the Executive Regional Health Department VI in Fortaleza, CE. This analytical documental study included 2,691 people. Of this total, 73.6% were women; 44.6% were between 60-79 years of age (mean age of 60.8 years); 87.4% were Caucasian, Asian or Pardo; 63.7% had eight or fewer years of education; 79.7% were non-smokers; 56.6% were considered sedentary; 59.6% were overweight/obese; and 48.4% had a family history of cardiovascular disease. An association was observed between having a sedentary lifestyle and being overweight/obese among patients with diabetes, and those with both diabetes and hypertension; family history of cardiovascular disease in patients with hypertension and those with both diabetes and hypertension; stroke, coronary artery disease and chronic renal failure in patients with hypertension and those with both diabetes and hypertension; and infarction and stroke in patients with diabetes. A family history of cardiovascular disease was associated with coronary artery disease and infarction. A relevant presence of risk factors and complications was found, highlighting the need for health education among clients.
本研究的目的是确定在塞阿拉州福塔莱萨市第六行政区卫生部门的HIPERDIA登记的高血压/糖尿病患者中存在的风险因素及相关并发症。这项分析性文献研究纳入了2691人。其中，73.6%为女性；44.6%年龄在60 - 79岁之间（平均年龄60.8岁）；87.4%为高加索人、亚洲人或帕尔多混血；63.7%接受教育年限为八年或更少；79.7%不吸烟；56.6%被认为久坐不动；59.6%超重/肥胖；48.4%有心血管疾病家族史。在糖尿病患者以及同时患有糖尿病和高血压的患者中，观察到久坐生活方式与超重/肥胖之间存在关联；在高血压患者以及同时患有糖尿病和高血压的患者中，观察到心血管疾病家族史与中风、冠状动脉疾病和慢性肾衰竭之间存在关联；在糖尿病患者中，观察到梗死和中风之间存在关联。心血管疾病家族史与冠状动脉疾病和梗死有关。发现存在大量风险因素和并发症，凸显了对患者进行健康教育的必要性。
