子痫前期后有心血管风险的女性：巴西统一卫生系统中有随访吗？
Women with cardiovascular risk after preeclampsia: is there follow-up within the Unified Health System in Brazil?
作者信息
Silva Maria de Lourdes Costa da, Galvão Ana Cristina Araújo de Andrade, Souza Nilba Lima de, Azevedo George Dantas de, Jerônimo Selma Maria Bezerra, Araújo Ana Cristina Pinheiro Fernandes de
机构信息
Universidade Federal do Rio Grande do Norte, Centro de Ciências da Saúde, Departamento de Enfermagem, NatalRN, Brazil, Doctoral student and Assistant Professor, Departamento de Enfermagem, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
Universidade Federal do Rio Grande do Norte, Escola de Enfermagem, NatalRN, Brazil, Doctoral student, Departamento de Enfermagem, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil. Professor, Escola de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
出版信息
Rev Lat Am Enfermagem. 2014 Jan-Feb;22(1):93-9. doi: 10.1590/0104-1169.3197.2389.
OBJECTIVES
to identify women with cardiovascular risk, five years after a pre-eclampsic episode (PE), and identify the follow-up of these women within the Unified Health System (Sistema Único de Saúde--SUS), in the city of Natal/RN.
METHODS
a quantitative and exploratory study conducted at the Januário Cicco University Maternity Ward/RN. The sample consisted of 130 women, 65 with a PE episode and 65 who were normotensive.
RESULTS
we found statistical significance with regard to body mass index, weight, family history of cardiovascular disease (CVD) and cardiovascular complications when comparing women with previous PE to normotensive women. The groups were unaware of their cardiovascular risk factors and, in addition, they reported difficulties in accessing primary health care (PHC) services.
CONCLUSIONS
women with a PE history are at increased risk of developing CVD, unaware of late PE complications, and lacked customized care when compared to normotensive patients.
目的
在子痫前期发作（PE）五年后识别有心血管风险的女性，并确定这些女性在纳塔尔市/北里奥格兰德州统一卫生系统（Sistema Único de Saúde--SUS）中的随访情况。
方法
在纳塔尔市/北里奥格兰德州贾努ário Cicco大学妇产科进行的一项定量探索性研究。样本包括130名女性，65名有子痫前期发作史，65名血压正常。
结果
在比较有子痫前期病史的女性与血压正常的女性时，我们发现体重指数、体重、心血管疾病（CVD）家族史和心血管并发症方面存在统计学意义。这些组对自身心血管危险因素并不知晓，此外，她们表示在获得初级卫生保健（PHC）服务方面存在困难。
结论
与血压正常的患者相比，有子痫前期病史的女性患心血管疾病的风险增加，对晚期子痫前期并发症并不知晓，且缺乏个性化护理。
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