OBJECTIVE: to evaluate the indexes and the main factors associated with non-adherence to
medication treatment for systemic arterial hypertension between urban and rural
areas. METHOD: analytical study based on an epidemiological survey with a sample of 247
hypertensive residents of rural and urban areas, with application of a
socio-demographic and economic questionnaire, and treatment adherence assessment.
The Pearson's Chi-square test was used and the odds ratio (OD) was calculated to
analyze the factors related to non-adherence. RESULTS: the prevalence of non-adherence was 61.9% and it was higher in urban areas
(63.4%). Factors significantly associated with non-adherence were: male gender
(OR=1.95; 95% CI 1.08-3.50), age 20-59 years old (OR=2.51; 95% CI 1.44-4.39), low
economic status (OR=1.95; 95% CI 1.09-3.47), alcohol consumption (OR=5.92, 95% CI
1.73-20.21), short time of hypertension diagnosis (OR=3.07; 95% CI 1.35-6.96) and
not attending the health service for routine consultations (OR=2.45; 1.35-4.42).
CONCLUSION: the socio-demographic/economic characteristics, lifestyle habits and how to
relate to health services were the factors that presented association with
non-adherence regardless of the place of residence.
Fatores relacionados à adesão ao tratamento da hipertensão arterial sistêmica Factores relacionados a la adhesión al tratamiento de la hipertensión arterial sistémica
Objective: To verify the frequency of physical restraint in patients and the factors associated with its use in the intensive care unit. Method: An observational and prospective study on the use of restraint in patients observed over two days, considering the variables: age and gender, personal and clinical characteristics, devices, adverse event and restraint use. The frequency was verified in three groups of patients with different conditions by applying the Chi-Squared, Likelihood Ratio or Kruskal-Wallis tests. The association of the variables was verified with the Multinomial Logistic Regression. Results: Eighty-four (84) patients participated. Restraint was observed in 77.4% of the 84 analyzed patients, and was more frequent in the presence of sedation, agitation and invasive devices. The chance of being restrained was at least five times higher in sedation conditions, whether in weaning or daily awakening, mechanical ventilation weaning, agitation or the presence of invasive devices. Conclusion: Restraint use was high and was associated with female gender, sedation, agitation and invasive airway. It is emphasized and important to apply policies to reduce restraint use in intensive care.
Objetivo: avaliar o impacto e a qualidade de vida em pessoas acometidas por acidente vascular cerebral em seguimento ambulatorial. Método: estudo transversal e quantitativo, de janeiro a abril de 2019, utilizou-se um questionário com variáveis pessoais, sociodemográficos e clínicas; o Stroke Impact Scale 3.0 e a Escala de Qualidade de Vida Específica para Acidente Vascular Encefálico. Resultados: 34 participantes, idade média de 50,3 anos, maioria mulheres (55,8%), cor da pele branca (52,9%), ensino fundamental incompleto (38,2%), casados (47%), tipo isquêmico (73,5%) e no hemisfério esquerdo (44,1%). Em 79,4% foi o primeiro evento de AVC. As comorbidades mais prevalentes foram hipertensão arterial sistêmica (73,5%) e dislipidemia (61,7%). O instrumento Stroke Impact Scale obteve média de 57,75 e a escala de qualidade de vida de 156. Conclusão: o impacto da doença, a qualidade de vida e a percepção da recuperação foram classificados como moderados.
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