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Adesão ao tratamento da hipertensão arterial na população negra do maior quilombo urbano da América Latina

Fri, 23 Jan 2026 00:00:00 GMT

Título: Adesão ao tratamento da hipertensão arterial na população negra do maior quilombo urbano da América Latina Autor: BOGÉA, Rômulo Luiz Neves Primeiro orientador: SARDINHA, Ana Hélia de Lima Abstract: Hypertension imposes a heavy burden in Brazil and disproportionately affects the black population, especially when social determinants and primary health care arrangements limit therapeutic continuity and blood pressure control. In this context, urban quilombo communities deserve attention because they combine geographical proximity to services with organizational microbarriers that impact the effectiveness of care. This study aimed to evaluate adherence to antihypertensive treatment in black people living in an urban quilombo. This is a cross-sectional, analytical study with a quantitative approach, conducted at a health center in an urban quilombo in São Luís, Maranhão, Brazil; the sample consisted of 288 registered users diagnosed with hypertension who self-identified as black. Two instruments were used for data collection: the first on sociodemographic profile, lifestyle, and health, and the second related to adherence to hypertension treatment. Descriptive analyses and multivariate models were used to estimate associations between adherence scores and blood pressure control. The results of the survey showed that the majority were women (69.4%) and elderly (51%), with low education (46%) and income (87.1%); overweight was frequent (63.3%). A very high proportion of adherence was observed according to the instrument applied (98.6%), but a substantial portion maintained blood pressure above the recommended clinical target (52.4%); in addition, higher adherence scores were associated with lower diastolic blood pressure levels, while the effect on systolic blood pressure was less consistent. These findings suggest that medication use alone are not sufficient to ensure optimal blood pressure control when other conditions that impact blood pressure levels persist. Self-reported adherence may be high and still coexist with suboptimal blood pressure control; continued access and care bonding showed potential to increase adherence; however, social determinants and lifestyle also continue to significantly influence the clinical response, thereby primary care professionals, when considering strategies to improve adherence, need to combine these aspects with care arrangements for the effective control of hypertension. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação

PREVALÊNCIA DE SINAIS E SINTOMAS DO CLIMATÉRIO EM MULHERES ATENDIDAS NA ESTRATÉGIA SAÚDE DA FAMÍLIA

Tue, 31 Mar 2026 00:00:00 GMT

Título: PREVALÊNCIA DE SINAIS E SINTOMAS DO CLIMATÉRIO EM MULHERES ATENDIDAS NA ESTRATÉGIA SAÚDE DA FAMÍLIA Autor: SANTOS, Kassia Rejane dos Primeiro orientador: RABELO, Poliana Pereira Costa Abstract: The climacteric, the transition period from the reproductive to the non-reproductive phase, represents a growing public health challenge due to population aging. This study aimed to estimate climacteric signs and symptoms in women attending Primary Health Care, correlating them with sociodemographic, gynecological, obstetric, and psychological aspects. A crosssectional study was conducted with 182 users aged 40 to 64 years from the Family Health Strategy, using the Mini-Mental State Examination, a structured sociodemographic questionnaire, and the Greene Climacteric Scale for data collection. Descriptive and inferential statistical analysis (p<0.05) was employed to process the information, including Shapiro-Wilk and Kruskal-Wallis tests. The results showed climacteric symptomatology in 100% of the studied sample, with a predominance of symptoms of mild (57.1%) to moderate (32.4%) intensity. There was a statistically significant association between climacteric symptoms and a previous diagnosis of depression and anxiety. Regarding asthma or bronchitis, a condition absent in most of the sample, it was found that most participants presented mild symptoms. Among gynecological history, only the number of pregnancies showed a significant association with the intensity of symptoms. Negative self-perception of health was related to a higher frequency of moderate and intense symptoms. Identifying the intensity of climacteric symptoms in Primary Health Care is important because it allows for the early recognition of more vulnerable women and the targeting of individualized interventions. This knowledge supports the planning of educational, preventive, and continuous monitoring actions, strengthening comprehensive women's health care. Furthermore, it contributes to improving the performance of the multidisciplinary team, especially nursing, in promoting quality of life during menopause.; El climaterio, el período de transición de la fase reproductiva a la no reproductiva, representa un creciente desafío de salud pública debido al envejecimiento de la población. Este estudio tuvo como objetivo estimar los signos y síntomas del climaterio en mujeres que acuden a Atención Primaria de Salud, correlacionándolos con aspectos sociodemográficos, ginecológicos, obstétricos y psicológicos. Se realizó un estudio transversal con 182 usuarias de entre 40 y 64 años de edad de la Estrategia de Salud Familiar, utilizando el Mini-Examen del Estado Mental, un cuestionario sociodemográfico estructurado y la Escala Climatérica de Greene para la recolección de datos. Se empleó un análisis estadístico descriptivo e inferencial (p<0,05) para procesar la información, incluyendo las pruebas de Shapiro-Wilk y KruskalWallis. Los resultados mostraron sintomatología climatérica en el 100% de la muestra estudiada, con un predominio de síntomas de intensidad leve (57,1%) a moderada (32,4%). Hubo una asociación estadísticamente significativa entre los síntomas del climaterio y un diagnóstico previo de depresión y ansiedad. En cuanto al asma o la bronquitis, afecciones ausentes en la mayoría de la muestra, se observó que la mayoría de las participantes presentaban síntomas leves. Entre los antecedentes ginecológicos, solo el número de embarazos mostró una asociación significativa con la intensidad de los síntomas. La autopercepción negativa de la salud se relacionó con una mayor frecuencia de síntomas moderados e intensos. Identificar la intensidad de los síntomas climatéricos en la Atención Primaria de Salud es importante porque permite la detección temprana de mujeres más vulnerables y la aplicación de intervenciones individualizadas. Este conocimiento respalda la planificación de acciones educativas, preventivas y de seguimiento continuo, fortaleciendo la atención integral de la salud de la mujer. Además, contribuye a mejorar el desempeño del equipo multidisciplinario, especialmente el de enfermería, en la promoción de la calidad de vida durante la menopausia. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação; Trabalho sob Sigilo. Motivo: Não informado pelo Autor. Data Provável de Liberação: 29/04/2026.

DESENVOLVIMENTO DE APLICATIVO MÓVEL PARA ACOMPANHAMENTO DE COMPLICAÇÕES EM PACIENTES HIPERTENSOS E DIABÉTICOS ACOMETIDOS POR COVID-19 NA ATENÇÃO PRIMÁRIA À SAÚDE

Thu, 29 Jan 2026 00:00:00 GMT

Título: DESENVOLVIMENTO DE APLICATIVO MÓVEL PARA ACOMPANHAMENTO DE COMPLICAÇÕES EM PACIENTES HIPERTENSOS E DIABÉTICOS ACOMETIDOS POR COVID-19 NA ATENÇÃO PRIMÁRIA À SAÚDE Autor: LOPES, Ana Beatriz Alves Primeiro orientador: ANDRADE, Yara Naya Lopes de Abstract: Introduction: Systemic Arterial Hypertension and Diabetes Mellitus constitute noncommunicable chronic diseases with high prevalence and significant impact on morbidity and mortality, especially when associated with COVID-19 infection, whose interaction potentiates the risk of cardiovascular, renal, and metabolic complications. Within the Primary Health Care context, the pandemic imposed important challenges to the longitudinal follow-up of these patients, highlighting difficulties in care continuity and systematization of post-infection clinical monitoring. From this scenario, the delimitation of the research object was supported by the application of the GUT Matrix (Gravity, Urgency, and Tendency), a tool that enabled systematic analysis of problems faced within Primary Health Care. Therefore, the study sought to answer "What functionalities, content, and technical characteristics should comprise a mobile application aimed at monitoring complications in hypertensive and diabetic patients affected by COVID-19 within Primary Health Care?" Objective(s): To develop a mobile application for monitoring complications in hypertensive and diabetic patients who were affected by COVID-19. Methodological Procedures: This is a technological production study with a quantitative approach, supported by software engineering and grounded in the systems development life cycle. To achieve the proposed objectives, this research stage followed the following phases: Stage 1 – Scoping Review, entitled “Mapping mobile applications for monitoring chronic conditions in patients previously affected by COVID-19 in primary health care: a scoping review”, which was submitted and registered on the OSF platform using the OSF pre-registration model, under the identifier DOI: 10.17605/OSF.IO/29C5Q; Stage 2 – Requirements Gathering for mobile technology structuring; Stage 3 – Development of the Technological Production Life Cycle. Results: The synthesis of the ten studies included in the Scoping Review revealed that mobile technologies designed to monitor people with hypertension and diabetes mellitus predominantly present fragmented functional organization, a focus on punctual records of clinical parameters and self-management strategies, limitations in the incorporation of longitudinal care, and low integration between clinical, laboratory, and follow-up data. Based on these findings, the clinical, functional, and operational requirements considered essential for the construction of the technology were systematized, encompassing blood pressure and blood glucose monitoring, structured recording of post-COVID-19 signs and symptoms, evolutionary monitoring of tests and medications, as well as resources for risk stratification, longitudinal visualization, and organization of clinical follow-up. Thus, the Cronicov mobile application was developed, structured according to an architectural model guided by agile methodology in the context of Primary Health Care. Conclusions: The mobile application development transformed a concrete Primary Health Care need into a technological solution for monitoring people with hypertension and diabetes affected by COVID-19. Despite challenges in organizing information and care flows, it was possible to build a structured tool with potential for use in team routines. The study objective was achieved, recognizing, however, the need for validation, usability evaluation, and impact measurement. Thus, the work contributes both as a technological product and by presenting a methodological pathway applicable to the integration of research, technology, and health practice within the Unified Health System. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação; Trabalho sob Sigilo. Motivo: Não Informado pelo Autor. Data Provável de Liberação:31 de janeiro de 2028.

Distribuição espacial da cobertura vacinal contra o HPV no Maranhão

Fri, 27 Sep 2019 00:00:00 GMT

Título: Distribuição espacial da cobertura vacinal contra o HPV no Maranhão Autor: GONÇALVES, Heloisa Maria Lima Primeiro orientador: CALDAS, Arlene de Jesus Mendes Abstract: Vaccination coverage (CV) is an important indicator of population health and the quality of care provided by basic health services. It is estimated that one in ten people are infected with Human Papillomavirus (HPV) and, it is a virus known to cause cervical cancer, in addition to being related to several other types of cancer. The objective is to describe the spatial distribution of vaccination coverage against HPV in Maranhão. This is an ecological, descriptive study on vaccination coverage against HPV in the State of Maranhão between 2017 and 2018, with the municipalities as the unit of analysis, the target audience was female (9 to 14 years old) and the male (11 to 14 years old), who received the doses of the HPV vaccine during the study period, registered in the Information System of the National Immunization Program (SI-PNI) and in the database of the state department of Immunization, of the State Health Secretariat. A descriptive analysis of vaccination coverage was carried out by municipalities in Maranhão, using maps according to sex, age, followed by the study of the spatial pattern. It was observed that in the year 2017, 736,430 individuals were able to receive the HPV vaccine in the state of Maranhão; of these, only 30.99% females and 39.42% males received the vaccine; in 2018, 736,436 individuals were able to receive the HPV vaccine, with only 21.99% females and 31.79% males receiving the vaccine. The findings presented suggest low coverage and heterogeneity in the doses of the HPV vaccine in the state of Maranhão. It is concluded that vaccination coverage against HPV in the municipalities in Maranhão is low in relation to the goal advocated by the Ministry of Health and that there are significant differences in coverage by sex, age and municipalities, therefore requiring greater direction in the vaccination strategy. Instituição: Universidade Federal do Maranhão Tipo do documento: Dissertação