Fatores que interferem na adesão terapêutica de indígenas com hipertensão e diabetes em uma aldeia do nordeste brasileiro.

Abstract

Hypertension and diabetes are chronic diseases that constitute a serious public health problem in Brazil and worldwide, responsible for a large number of deaths and disabilities. Indigenous populations also suffer from the impacts resulting from the transformations of the modern world that modify their health profile making them more vulnerable to chronic non-communicable diseases. In this context, in the selected village, there is a large number of people with diabetes and hypertension and in some cases with low adherence to treatment. The low adherence to treatment leads to complications such as kidney diseases, eye and neuropathic problems among others. Given the above, the aim of this work is to develop an intervention project to improve treatment adherence of this population. The concepts related to Situational Strategic Planning were used to prioritize the problem and define the critical nodes. The "Low therapeutic adherence of hypertensive and diabetic patients living in the village" was prioritized and the following critical nodes were established: habits and lifestyle, nonperception of the risk of uncontrolled treatment of these diseases and low education/understanding of the treatment. In this proposal, the operations to address the critical nodes were outlined in order to improve therapeutic adherence and consequently the quality of life of these patients, avoiding complications arising from diabetes and hypertension.