Centro Universitário Barão de Mauá, Departamento de Enfermagem, Ribeirão Preto, SP, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Programa de Enfermagem Fundamental, Ribeirão Preto, SP, Brazil.
Rev Esc Enferm USP. 2023 Jun 19;57:e20220112. doi: 10.1590/1980-220X-REEUSP-2022-0112en. eCollection 2023.
To analyze the implications of COVID-19 in the monitoring of health and cardiovascular diseases in health services.
This is a descriptive, cross-sectional, survey-type study with 798 adults, selected by snowball on social networks, between June and July 2020. Data were collected in an electronic form validated for this study.
There was a negative impact on monitoring health and cardiovascular diseases with missed appointments and elective exams. Symptoms such as chest pain and hypertensive crisis were neglected due to fear of contagion, lack of knowledge or structural lack of services, in addition to impaired monitoring of chronic conditions.
The severity of results is noted considering the COVID-19 progression and the risk of complications. It is necessary to organize flows and structures compatible with each care profile, in health services, to guarantee care and promote diagnosis and control of chronic conditions in the set of actions to contain pandemics. It is crucial to prioritize primary care in health follow-ups during pandemic periods, as this has a direct impact on the progression of critical conditions at other levels of care.
分析 COVID-19 对卫生服务中健康和心血管疾病监测的影响。
这是一项描述性、横断面、基于调查的研究，共有 798 名成年人参与，通过社交网络的雪球抽样法于 2020 年 6 月至 7 月间选取。数据通过电子表格形式收集，且已通过该研究验证。
由于担心感染、缺乏知识或服务结构缺失，错过了预约和选择性检查，对健康和心血管疾病监测产生了负面影响。胸痛和高血压危象等症状也被忽视，此外，慢性疾病的监测也受到影响。
考虑到 COVID-19 的进展和并发症的风险，结果的严重程度值得关注。有必要在卫生服务中组织与每个护理特征相匹配的流程和结构，以保证护理，并促进慢性病的诊断和控制，从而在遏制大流行的行动中发挥作用。在大流行期间，优先考虑初级保健对卫生随访至关重要，因为这对其他护理水平的危急情况的进展有直接影响。
