Living under treatment for Systemic Hypertension and Diabetes Mellitus: Feelings and behaviors.

Naiara Pinto Alves Pereira,Selma Maria Da Fonseca Viegas,Fernanda Moura Lanza

doi:10.1590/0034-7167-2016-0500

Abstract

To understand the feelings and behaviors of people being treated for Systemic Hypertension (SH) and Diabetes Mellitus (DM). A qualitative study based on Grounded Theory and Symbolic Interactionism, with 27 participants in treatment for SH and DM followed up by the Family Health Strategy team. Open, axial and selective coding was performed, giving rise to three theoretical categories and the central category. The daily life is explicit in the (lack of)care of the self with the chronic disease and feelings of sadness and anxiety are expressed as reasons for the lack of control of the disease. It points out that people take care of themselves because of fear of complications, reinforced the need for guidance on the use of medication and the empowerment of the chronic patient for self-care and care for the other. Knowing behaviors and feelings of people with SH and/or DM allows a professional performance beyond the chronic condition.

Highlights

There are many advances in public health, chronic diseases such as Systemic Hypertension (SH) and Diabetes Mellitus (DM) are among the most common, costly and preventable of all health problems
This study aims to understand the feelings and behaviors of people being treated for Systemic Hypertension (SH) and Diabetes Mellitus (DM)
The analysis paradigm consisted of the categories: “Living under Treatment for Systemic Hypertension and Diabetes Mellitus”; “Those who need care see themselves as caregivers”; “Needed to get sick to take care of themselves”

Summary

Introduction

There are many advances in public health, chronic diseases such as Systemic Hypertension (SH) and Diabetes Mellitus (DM) are among the most common, costly and preventable of all health problems. Within the basic elements to measure the quality of services is the use of the evaluation of health interventions with the highest level of scientific rigor. In relation to the quality of interventions in chronic diseases care, it can be associated with different factors and, in particular, the elements that form an essential part for comprehensive health care, which is to consider what people in chronic conditions feel, desire and suffer[4]. The more proximal determinants directly affect the health of an individual, which are behaviors and level of access to health care[1,3]. Most of the variation in health is explained at the individual level, the social environment itself should be considered as a possible relevant influence on the health of the chronic patients[4]

Methods

Results

Conclusion