Banca de DEFESA: MAIRLA DOS SANTOS RODRIGUES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MAIRLA DOS SANTOS RODRIGUES
DATE: 31/03/2023
TIME: 14:00
LOCAL: Vìdeoconferência
TITLE:

Blood Pressure Control and Associated Factors among Patients with Hypertension and Associated Factors in the Context of the Covid-19 Pandemic.

KEY WORDS:

new coronavirus; covid-19, post-covid-19 sequelae, arterial hypertension, post-covid-19 syndrome; medication use;

PAGES: 57
BIG AREA: Ciências da Saúde
AREA: Farmácia
SUMMARY:

Introduction: Hypertension is one of the most prevalent chronic diseases in Brazil and in the world and has been one of the underlying comorbidities most related to death from cardiovascular causes. In the context of the Covid-19 pandemic, it has been observed that these patients are at greater risk of developing severe infections and post-covid sequelae, as well as a worse prognosis for their underlying disease. In this way, it is necessary to understand how covid-19 has impacted the health of patients with hypertension. Objective: To assess the prevalence of blood pressure control and associated factors among patients with systemic arterial hypertension (SAH) in the context of the covid-19 pandemic. Methods: Cross-sectional study nested within a retrospective cohort study carried out in outpatient cardiology services in hospitals in Maceió. A total of 110 patients with SAH undergoing drug treatment were included. In order to obtain the data, questionnaires were applied through face-to-face interviews and analysis of the medical prescription, as well as measurement of physiological measures such as blood pressure, weight and height. To verify therapeutic adherence to antihypertensive medication, the Brief Medication Questionnaire (BMQ) scale was applied. Results: The mean age was 58.2 years (SD= 11.3) with a predominance of females 68.2%. As for treatment for SAH, 43.64% were on dual therapy and the average number of medications per patient was 2.14. Only 32 (29.1%) participants had blood pressure control, contradictorily 67.3% had good adherence to the SAH treatment. Mean systolic blood pressure was 138.05 mmHg (SD=19.9) and mean diastolic blood pressure was 81.20 mmHg (SD=11.6). The prevalence of covid-19 among hypertensive patients was 37.3% (n=41) of these 39 underwent treatment for covid, however, only 25 reported remembering the medications, 69 reported drugs, with an average of 2.76 medications per respondent . On the other hand, 35.5% (n=39) of patients self-medicated as a means of preventing covid-19, a total of 50 medications were mentioned, with an average of 1.28 medications per patient. Of which ivermectin was the most prevalent 42%. Post-covid sequelae had a frequency of 58.5% (n=24) in the group that reported having covid-19 (n=41), the most related health problem after infection was fatigue with 37.5% (n=9) in this subset. Conclusion: The low prevalence of covid-19 among respondents was possibly limited due to survivor bias. For this group, having had covid-19 was not related to a worse clinical situation of the underlying disease (SAH), factors associated with non-control of SAH were BMI measurements of male abdominal circumference.

BANKING MEMBERS:
Externo(a) ao Programa - 3509820 - MARIA ALINE BARROS FIDELIS DE MOURA
Interno(a) - 1331191 - SABRINA JOANY FELIZARDO NEVES
Externo(a) ao Programa - 1653165 - VALTER ALVINO DA SILVA