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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

HipertensÃo arterial: aspectos da sexualidade socioepidemiolÃgicos e clÃnico / Arterial HipertenÃÃo: aspects of the sexuality, sociepidemiolÃgico and clinicos

Sonia Maria da Silva Garcia 16 December 2004 (has links)
CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / A HipertensÃo Arterial caracteriza-se como um dos principais problemas de saÃde pÃblica do mundo contemporÃneo por sua magnitude, risco e dificuldades no seu controle. A hipertensÃo arterial pode influenciar a sexualidade de maneira direta ou indireta. Este estudo do tipo descritivo teve como objetivos identificar, entre portadores de hipertensÃo arterial, de ambos os sexos, o perfil socioepidemiolÃgico e clÃnico, e a freqÃÃncia e os tipos das alteraÃÃes sexuais presentes nessa populaÃÃo. O estudo foi realizado no AmbulatÃrio de Cardiologia do Hospital UniversitÃrio Oswaldo Cruz (HUOC), considerado referÃncia em Cardiologia no RecifeâPE. Estudaram-se 114 adultos, sendo 39 homens e 75 mulheres, portadores de hipertensÃo arterial em tratamento ambulatorial, de maio a julho de 2004. Os dados foram obtidos por entrevista direta realizada pela pesquisadora, demonstram que a idade variou de 24 a 65 anos (mÃdia de 52,19 anos). Grande parcela (80,7%) eram casados. Quanto a escolaridade 64,9% informavam primeiro grau. A maioria professavam ser catÃlicos, com renda per capita variando de R$ 37,14 a R$ 1.300,00. Maior proporÃÃo encontravam-se classificados como nÃo-economicamente ativos e informavam tempo de diagnÃstico entre seis a 10 anos. Grande parcela fazia uso de drogas anti-hipertensiva entre um a cinco anos. Ao estudar interrupÃÃo do tratamento, as mulheres eram as menos aderentes. Ao analisar os hÃbitos saudÃveis de vida os hÃbitos desejÃveis compreenderam a reduÃÃo na ingestÃo de sal, reduÃÃo de peso, prÃtica de exercÃcios fÃsicos e lazer e hÃbitos nÃo desejÃveis, o consumo de cigarro de papel ou de palha e o consumo de bebidas alcoÃlicas, sendo que as mulheres informavam mais os hÃbitos saudÃveis do que os homens. JÃ, 55,7% do total dos hipertensos informavam ter apresentado alteraÃÃes na sua vida proveniente do diagnÃstico de hipertensÃo arterial. Quanto à avaliaÃÃo da existÃncia de alteraÃÃes sexuais nÃo foi observada diferenÃa estatisticamente significante entre os sexos (p = 0.3871). Entretanto, aquelas mais freqÃentes entre os homens eram a disfunÃÃo erÃtil, seguida pela inibiÃÃo do desejo, e as mulheres informavam mais a inibiÃÃo do desejo, seguida pela frigidez. Dentre as diferentes variÃveis estudadas mostraram significÃncia estatÃstica apenas as associaÃÃes: alteraÃÃo sexual versus situaÃÃo ocupacional e alteraÃÃo sexual versus existÃncia de atividade de lazer. Conclui-se, ao longo do estudo, que os hipertensos mostram caracterÃsticas semelhantes aos doentes do paÃs e apresentam alteraÃÃes na sexualidade advinda da prÃpria doenÃa ou do envelhecimento. Depreende-se que os indivÃduos que nÃo possuem lazer e nÃo trabalham, por se manterem ociosos, podem estar mais afetados pelas doenÃas, interferindo na saÃde sexual. / The arterial hypertension is characterized as one of the principal problems of public health of the contemporary world for your magnitude, risk and difficulties in your control. The arterial hypertension can influence the sexuality in way direct or indirect. This study of the descriptive type had as objectives to identify, among bearers of arterial hypertension, of both sexes, the profile partner-epidemiological and clinical, and frequency and the types of the present sexual alterations in that population. The study was accomplished at the clinic of cardiology of the Academicals Hospital Oswaldo Cruz (HUOC), considered reference in cardiology in Recife-PE 114 adults they were studied being, 39 men and 75 women, bearers of arterial hypertension in treatment ambulatory, of May to July of 2004. The data were obtained by direct interview accomplished by the researcher. The data demonstrate the age it varied from 24 to 65 years (52,19 year-old average) Great portion (80,7%) of the hypertensions they were married. With relationship to the education 64,9% informed first degree. Most professed to be Catholic, with per capita income varying from R$ 37,14 to R$ 1.300,00. Larger proportion of the hypertensions was classified as no-economically assets and they informed time of diagnosis among six to 10 years. Great portion made use of drugs anti-hypertensive among one to five years. When studying interruption of the treatment, the womem were the least adherent ones. When analyzing the healthy habits of life the desirable habits they understood the reduction in the ingestion of salt, weight reduction, practice of physical exercises and leisure and habits didnÂt want the consumption of paper cigarette or of straw and the consumption of drunk alcoholic, and the women informed more the healthy habits than the men. Already, 55,7% of the total of the hypertensions informed to have presented alterations in youÂre originating from life the diagnosis of arterial hypertension. With relationship to the evaluation of the existence of sexual alterations was not observed it differentiates significant statistically among the sexes (p= 0.3871). The more frequent sexual alterations among the men were the erectile dysfunctions, followed for the inhibition of the desire, and the women informed the inhibition of the desire, followed for the frigidity. Among the different studied variables they showed statistically significant, just to associations they will be alteration sexual versus occupacional situation and alteration sexual versus existence of leisure activity. It is concluded along the study that the hypertensions characteristics are shown similar to the patients of the country and they present alterations in the sexuality result of the own disease or of the aging. It is inferred that the individuals that donÂt possess leisure and they donÂt work, for if they maintain idle, they can be more affected by the diseases, interfering in the sexaul health.

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