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2015, Number 3

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Rev Cubana Med Gen Integr 2015; 31 (3)

Action system to strengthen the therapeutic approach to cardiovascular diseases

Mora MGR, Molina LI, Carvajal HA, Valdez RE, Milian MMJ

Language: Spanish
References: 12
Page: 270-285
PDF size: 197.71 Kb.


ABSTRACT

Introduction: cardiovascular diseases still have a growing rate in Cuba, but due to the possibilities the family medicine has of changing people´s life styles, and the role of doctors as promotors of a sanitary culture, it is possible to act upon risk factors, avoiding the emergence of cardiovascular diseases.
Objective: to propose a system of actions to strengthen the management of cardiovascular diseases in the Primary Health Care.
Methods: it was used a retrospective longitudinal descriptive method in "Octavio de la Concepcion y la Pedraja" Policlinic in Camajuani, from September 2013 to September 2014. The target population for this research consisted in 79 physicians, specialists in Integral General Medicine, and 12 nurses linked to ambulatoty and emergency health care, in addition to 760 patients suffering from cardiovascular conditions. The variables were level of knowledge about the topic, performance and risk factors. The information was gathered through the patients´medical records, the records of patients who had been admitted to the intensive care unit of the municipal policlinic, the records of death certificates, observation guides, surveys applied to professionals linked to Primary Health Care, interview to experts.
Results: there was a difference among the age groups (p › 0.005), prevailing the male sex (p ‹ 0.01), the highest percentage was above percentile 90 (p ‹ 0.001), sedentarism and antecedents of the disease in the family history were predominant (p ‹ 0.001). A qualification of GOOD was prevalent among the health professionals with a highly significant value of probability (p ‹ 0.001) when evaluating knowledge about the topic, the performance in both groups of professionals was graded predominantly as GOOD with a signification to the test (p= 0.000).
Conclusions: the ambulatory and emergency health care to decompensated patients suffering from cardiovascular diseases was satisfactry, the patients at risk continue suffering decompensations and they do not develop an appropriate process of communitary rehabilitation.


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