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Title: Desafios do Programa HIPERDIA e implicações para a enfermagem
metadata.dc.creator: FERNANDEZ, Darla Lusia Ropelato
metadata.dc.contributor.advisor1: GONÇALVES, Lucia Hisako Takase
Keywords: Enfermagem
Diabetes Mellitus
Atenção primária à saúde
Belém - PA
Pará - Estado
Amazônia brasileira
Issue Date: 27-Jun-2014
Publisher: Universidade Federal do Pará
Citation: FERNANDEZ, Darla Lusia Ropelato. Desafios do Programa HIPERDIA e implicações para a enfermagem. 2014. 97 f. Dissertação (Mestrado) - Universidade Federal do Pará, Instituto de Ciências da Saúde, Belém, 2014. Programa de Pós-Graduação em Enfermagem.
Abstract: INTRODUCTION: The HIPERDIA Program was established in 2001 in primary care because of the severity of epidemiological Hypertension (HBP) and Diabetes Mellitus (DM), conditions that can lead to serious complications instilling limitations and suffering in the lives of their patients and their families. In this context, it is worth mentioning the importance of primary prevention of these diseases and their complications. Past more than a decade of implementation, it is worth to reflect on the impact on health conditions that the program has generated among its users. OBJECTIVES: To elucidate the principles, philosophy and the guiding policy of HIPERDIA Program of the Ministry of Health (MH); describe how the patient care works, by a health team of HIPERDIA Program; explore the life and health behaviors demonstrated by users of HIPERDIA after its insertion into the program. METHODOLOGY DESCRIPTION: This is a Case Study second Yin (2010) whose object of study was a HIPERDIA Program executed in a Basic Health Unit outskirts of Belém. Data were obtained through interviews with users, staff and managers of the program, in addition to direct field observation, consultation records and official documentation of MS. The data analysis was performed by the analytical strategy "Relying on Theoretical Propositions" and the analytical technique "Standard Combination". RESULTS: The deterioration of the HIPERDIA program management illustrated by deficiencies in infrastructure, supplies, medicines and weaknesses in the reference and counter reference network, excessive spontaneous demand that overloads the health team allocated insufficient in number and the context of poverty and urban violence in users living contribute to poor adherence to treatment regimen and limit the team in its interdisciplinary and integral action. Furthermore, the current model of care is grounded in traditional, based on consultations and prescriptions and that has not proved sufficient to fully meet the needs of care to people with chronic condition requiring long-term care by adopting lifestyles more consistent and healthy. FINAL THOUGHTS: Big challenges are drawn against the data emerged from this study and it involves governmental and intersectoral actions that promote improvements in the living conditions of the population which requires political will to investing the necessary resources. Notwithstanding this, the nurse can make a contribution by promoting cultural care and self-care actions, customizing the plan of action and bringing the responsibility of the user and their families in improving their health condition.
Appears in Collections:Dissertações em Enfermagem (Mestrado) - PPGENF/ICS

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