Keywords
Self-care
Prevention
Health education
Primary health care
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Abstract
Objective: To describe the scientific evidence on the importance of self-care in the prevention and control of arterial hypertension in primary health care. Methods: This is an integrative literature review, carried out in the BDENF, PUBMED and LILACS databases. Results: Based on the search strategy and after selection and analysis of the eligibility criteria, approximately 10 studies met all the criteria and were incorporated into this integrative review. The reviewed studies highlighted that self-care is essential for the effective management of hypertension, but its implementation faces significant challenges, such as socioeconomic barriers, lack of motivation and difficulties in accessing specialized guidance. Age negatively influences self-care, with a significant inverse correlation in the health management domain, and found that it is urgent to increase knowledge about hypertension and its complications, in addition to strengthening the support of health services to overcome socioeconomic barriers. Final considerations: Self-care is crucial for controlling hypertension, but its effectiveness depends on multifaceted approaches that consider socioeconomic, educational, and behavioral factors. Strategies such as educational interventions, technological support, and continuous monitoring are essential to promote adherence to self-care and improve clinical outcomes.
References
AVEGNO KS, et al. Evaluating a Telephone and Home Blood Pressure Monitoring Intervention to Improve Blood Pressure Control and Self-Care Behaviors in Adults with Low-Socioeconomic Status. Int J Environ Res Public Health. 2023 Mar 28;20(7):5287.
BARROSO WKS, et al. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arq Bras Cardiol. 2021 Sep;116(12):516-658.
CHAPPELL LC, et al. BUMP 2 Investigators. Effect of Self-monitoring of Blood Pressure on Blood Pressure Control in Pregnant Individuals With Chronic or Gestational Hypertension: The BUMP 2 Randomized Clinical Trial. JAMA. 2022 May 3;327(17):1666-1678.
DANTAS RCO, RONCALLI AG. Protocolo para indivíduos hipertensos assistidos na Atenção Básica em Saúde. Ciênc. Saúde Coletiva. 2019 Jan;24(1):12-21.
GOPAR-NIETO R, et al. How to treat hypertension? Current management strategies. Arch Cardiol Mex. 2021;91(4):493-9.
JULIÃO NA, et al. Tendências na prevalência de hipertensão arterial sistêmica e na utilização de serviços de saúde no Brasil ao longo de uma década (2008-2019). Ciênc Saúde Coletiva. 2021 Sep;26(9):1-12.
LIU F, et al. Efficacy of an mHealth App to Support Patients' Self-Management of Hypertension: Randomized Controlled Trial. J Med Internet Res. 2023 Dec 19;25:e43809.
MACINKO J, MENDONÇA CS. Estratégia Saúde da Família, um forte modelo de Atenção Primária à Saúde que traz resultados. Saúde Debate. 2020 May;42(12):18-37.
MAGRI S, et al. Programa de educação em saúde melhora indicadores de autocuidado em diabetes e hipertensão. Rev Eletron Comun Inf Inov Saúde. 2020 Apr-Jun;14(2):386-400.
MALTA DC, et al. Hipertensão arterial autorreferida, uso de serviços de saúde e orientações para o cuidado na população brasileira: Pesquisa Nacional de Saúde, 2019. Epidemiol Serv Saude. 2022;31(spe1):369.
MILLS KT, et al. The global epidemiology of hypertension. Nat Rev Nephrol. 2020 May;16(4):223-37.
MORAES FM, et al. Feocromocitoma: uma causa rara de hipertensão arterial sistêmica a partir de uma revisão integrativa. Braz J Health Rev. 2020 May;3(6):16242-6259.
OR CK, et al. Improving Self-Care in Patients With Coexisting Type 2 Diabetes and Hypertension by Technological Surrogate Nursing: Randomized Controlled Trial. J Med Internet Res. 2020 Mar 27;22(3):e16769.
PARDIM MMS, et al. Educação em saúde no controle da hipertensão arterial sistêmica: relato de experiência. Rev Extensão. 2023 Sep;7(3):1-12.
ROSA GS, et al. Adesão ao tratamento medicamentoso e qualidade de vida entre hipertensos. Rev Enferm UFPI. 2020 Mar-Dec;9:8223-45.
SERGIO CCM, et al. Autocuidado e risco cardiometabólico em pessoas com hipertensão arterial em seguimento na atenção primária. Saude Pesq. 2022;15(1):1-14.
SOCIEDADE BRASILEIRA DE CARDIOLOGIA, Sociedade Brasileira de Hipertensão, Sociedade Brasileira de Nefrologia. VII Diretrizes Brasileiras de Hipertensão Arterial. Rev Bras Hipertens. 2016;17(1):1-65.
STOPA SR, et al. Pesquisa Nacional de Saúde 2019: histórico, métodos e perspectivas. Epidemiol Serv Saude. 2020 Aug;29(5):1-15.
THOMAS J, et al. Determining the scope of the review and the questions it will address. In: Higgins JPT, et al. Cochrane Handbook for Systematic Reviews of Interventions version 6.1. London: Cochrane; 2020. Available from: www.training.cochrane.org/handbook. Acesso em: 18 fev. 2025.
VIEIRA MP, et al. Autocuidado na hipertensão arterial segundo o nível de orientação para a dieta e acompanhamento médico na atenção primária à saúde. Rev. Aten. Saúde. 2021; 19(70): 67-81.
WORLD HEALTH ORGANIZATION (WHO). Improving hypertension control in 3 million people: country experiences of programme development and implementation. Geneva: WHO; 2023 [cited 2022 Jun 21]. Available from: https://apps.who.int/iris/handle/336019. Acesso em: 18 fev. 2025.
ZAREBAN I, et al. High blood pressure self-care among hypertensive patients in Iran: a theory-driven study. J Hum Hypertens. 2022 May;36(5):445-452.