Antihypertensive treatment adherence in workers of a General Hospital

Feriato, Kátia Tizato; Gusmão, Josiane Lima de; Silva, Arlete; Santos, Cecília Angelita dos; Pereira, Renan Sallazar Ferrera; Amendola, Fernanda

doi:10.1590/0034-7167-2016-0469

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Considerando-se, em especial, o universo das relações laborais, foco do presente estudo, ponto importante e de grande peso no decorrer do tratamento medicamentoso é o perfil da ocupação profissional do indivíduo, o qual, por inúmeras vezes, revela-se como agente complicador da adesão farmacológica. Extensa carga horária, ou ainda, intercorrências durante o trabalho podem afetar negativamente o tratamento farmacológico, ao coincidirem com períodos previamente estabelecidos para administração de medicamentos (7) . Nesse sentido, ainda que existam estudos que tratem da adesão terapêutica medicamentosa em doentes crônicos, poucos se dedicaram ao público de trabalhadores, e nenhum estudo que tratasse da mesma questão junto a trabalhadores de instituição de ensino superior foi encontrado.…”

Section: Introductionunclassified

Factors related to adherence to drug treatment in public university workers

Lima¹,

Almeida²,

Fadel³

et al. 2021

Rev Rene

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Objective: to analyze factors associated with medication adherence among public university workers who reported use of continuous medication. Methods: cross-sectional study carried out with 629 workers from a public university. Data were collected through interviews using forms adapted from the Brazilian Ministry of Health and analyzed using the chi-square test. Results: three hundred thirty-one (52.6%) participants were users of continuous medication, of these, 175 (52.9%) had a partially satisfactory adherence pattern and 156 (47.1%) a totally satisfactory pattern. Workers with chronic back problems, depression, weakness/tiredness, dyspnea, and chest pain had significantly less adherence to drug treatment (p≤0.050). Sociodemographic and labor characteristics, polypharmacy, and type of medication were not associated with medication adherence (p>0.050). Conclusion: satisfactory drug adherence was observed among the participants in relation to drug treatment, and the presence of some symptoms and specific chronic diseases was associated with partially satisfactory drug adherence.

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Section: Introductionunclassified

Factors related to adherence to drug treatment in public university workers

Lima¹,

Almeida²,

Fadel³

et al. 2021

Rev Rene

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Global Burden, Regional Differences, Trends, and Health Consequences of Medication Nonadherence for Hypertension During 2010 to 2020: A Meta‐Analysis Involving 27 Million Patients

Lee

Poon

Yip

et al. 2022

JAHA

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Background Nonadherence to antihypertensive medications is the leading cause of poor blood pressure control and thereby cardiovascular diseases and mortality worldwide. Methods and Results We investigated the global epidemiology, regional differences, and trend of antihypertensive medication nonadherence via a systematic review and meta‐analyses of data from 2010 to 2020. Multiple medical databases and clinicaltrials.gov were searched for articles. Observational studies reporting the proportion of patients with anti‐hypertensive medication nonadherence were included. The proportion of nonadherence, publication year, year of first recruitment, country, and health outcomes attributable to antihypertensive medication nonadherence were extracted. Two reviewers screened abstracts and full texts, classified countries according to levels of income and locations, and extracted data. The Joanna Briggs Institute prevalence critical appraisal tool was used to rate the included studies. Prevalence meta‐analyses were conducted using a fixed‐effects model, and trends in prevalence were analyzed using meta‐regression. The certainty of evidence concerning the effect of health consequences of nonadherence was rated according to Grading of Recommendations, Assessment, Development and Evaluations. A total of 161 studies were included. Subject to different detection methods, the global prevalence of anti‐hypertensive medication nonadherence was 27% to 40%. Nonadherence was more prevalent in low‐ to middle‐income countries than in high‐income countries, and in non‐Western countries than in Western countries. No significant trend in prevalence was detected between 2010 and 2020. Patients with antihypertensive medication nonadherence had suboptimal blood pressure control, complications from hypertension, all‐cause hospitalization, and all‐cause mortality. Conclusions While high prevalence of anti‐hypertensive medication nonadherence was detected worldwide, higher prevalence was detected in low‐ to middle‐income and non‐Western countries. Interventions are urgently required, especially in these regions. Current evidence is limited by high heterogeneity. Registration URL: www.crd.york.ac.uk/prospero/ ; Unique identifier: CRD42021259860.

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Antihypertensive Medications Adherence and Its Relationship to Blood Pressure Control Among Healthcare Workers in Jose R. Reyes Memorial Medical Center (JRRMMC): A Retrospective Analytic Study

Macalinao

Marcos²,

Francisco³

2023

Preprint

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BACKGROUND: Workers, including those in the healthcare industry, are exposed to occupational hazards that interfere with the health-disease process, negatively impacting their physical,[1] mental, and social health. [2] High blood pressure (HBP) is an important risk factor for cardiovascular disease and mortality of people in full productive capacity.[3] It is possible to assume that hypertensive patients who work in hospitals are more aware of the causes and complications related to hypertension, as well as about ways of prevention and treatment. Despite this assumption, there is a scarcity of studies looking at the level of adherence of Filipino healthcare workers in taking their antihypertensive medication OBJECTIVE: The study assessed antihypertensive treatment adherence and associated factors in healthcare workers from Jose R. Reyes Memorial Medical Center. METHODS: This is a retrospective analytic study design, consisting of 250 workers who self-reported as being hypertensive. Associations between sociodemographic, work, and health variables were assessed regarding adherence. The Morisky Medication Adherence Scale-8 (MMAS-8) was chosen for the study. RESULTS: Sixty % of participants were classified as controlled hypertensive patients, with 60% taking ARBs and 55.20% taking CCBs; from these, 84.80% of workers adhered to medication treatment. Adherence to pharmacological treatment has no significant association with BP control (p >.05). "Missing medical appointments" presented a statistically significant association with non-adherence to treatment. There was a greater chance (OR=5.85; p=0.005) of professionals who missed medical appointments not adhering to treatment, compared to those who reported not missing them. CONCLUSIONS: The main factors for non-adherence to treatment by workers were the presence of antihypertensive treatment disruption and missing medical appointments. Since hypertension and other cardiovascular diseases are asymptomatic diseases that require continuous treatment, hypertensive patients have difficulties understanding the importance of adhering to treatment.

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Antihypertensive treatment adherence in workers of a General Hospital

Cited by 3 publications

References 27 publications

Factors related to adherence to drug treatment in public university workers

Factors related to adherence to drug treatment in public university workers

Global Burden, Regional Differences, Trends, and Health Consequences of Medication Nonadherence for Hypertension During 2010 to 2020: A Meta‐Analysis Involving 27 Million Patients

Antihypertensive Medications Adherence and Its Relationship to Blood Pressure Control Among Healthcare Workers in Jose R. Reyes Memorial Medical Center (JRRMMC): A Retrospective Analytic Study

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