Girão Ana Lívia Araújo, Freitas Consuelo Helena Aires de
Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, Ceará, Brasil.
Rev Gaucha Enferm. 2016 Jun;37(2):e60015. doi: 10.1590/1983-1447.2016.02.60015. Epub 2016 May 31.
Objective To assess the impacts of inclusion of care for spontaneous demands in the treatment of hypertensive patients in primary health care. Methods Third generation qualitative assessment survey conducted with 16 workers in a Primary Care Health Unit (PHCU) of the city of Fortaleza, state of Ceara, in the period between July and September of 2015. To collect data, systematic field observation and semi-structured interviews were used, and the stages of thematic content analysis were adopted for data analysis. Results Participants revealed that access, connection and care are fundamental to the treatment of hypertension. However, they said that the introduction of free access for spontaneous demands compromised the flow of care in the hypertension programs. Conclusion A dichotomy between the practice of care recommended by health policies and the one existing in the reality of PHCUs was shown, causing evident losses to the care of hypertensive patients in primary care.
目的 评估在初级卫生保健中纳入对自发需求的护理对高血压患者治疗的影响。方法 2015年7月至9月期间，在塞阿拉州福塔莱萨市的一个初级保健卫生单位（PHCU）对16名工作人员进行了第三代定性评估调查。为收集数据，采用了系统的实地观察和半结构化访谈，并采用主题内容分析阶段进行数据分析。结果 参与者表示，获得医疗服务、建立联系和提供护理对高血压治疗至关重要。然而，他们称引入对自发需求的免费医疗服务会影响高血压项目的护理流程。结论 卫生政策推荐的护理实践与初级保健卫生单位实际存在的护理实践之间存在二分法，这给初级保健中高血压患者的护理带来了明显损失。
