Cuidado de enfermagem aos adultos com hipertensão: um plano de ação fundamentado no modelo de promoção da saúde de Nola Pender

Abstract

The Hypertension is one of the most frequent chronic diseases and is considered as a serious public health problem worldwide. Its therapeutic monitoring is done through drug treatment or not, being able to create action plans to improve the health of people living with this disease. So this study aimed to: analyze the applicability of a reasoned plan of action in Nola Pender's Health Promotion Model in nursing care to adults with hypertension in treatment. This is a cross-sectional study with a qualitative approach with the participants 14 adults with hypertension, accompanied by the Family Health Strategy and the Health Promotion Service, located in Satuba, Alagoas, Brazil. For the production of data was used semi-structured interview technique, using five forms prepared as suggested by the theoretical model of Pender. The data produced were analyzed according to the diagram components of that model construction of a plane. The results showed that this plan may be used in nursing care perspective, since there was good proposal plan adhesion by both adults with hypertension and health professionals. From the approximation of reality of the participants, we identified characteristics and experiences in their lifestyle, which in turn, contributed to the adoption of health-promoting behaviors. Therefore, this plan implementation promoted bond and commitment, breaking with the biomedical logic, leveraged the trading between health professional and patient, encouraged autonomy and empowerment and provided the longitudinality care. This study may provide support for nurses regarding a proposal for the use of Pender model promoting a proper knowledge of the profession as a science.