Factors associated to the adherence to the non-pharmachological treatment of hypertension in primary health care

Abstract

Objectives: to evaluate the factors associated to the adherence to the non-pharmacological treatment of hypertension in primary health care. Methods: cross-sectional study with 421 participants. The adherence was evaluated using the components: weight control, abdominal circumference, physical activity, and alcohol consumption. The chi-squared and Mann-Whitney’s tests were used for analysis. Results: the adherence to the control of the abdominal circumference was associated to smoking, sex, and stress. Smoking, age, and profession were associated to weight control. The adherence to a physical activity varied between the sexes and between people who used beta blockers and those who did not. Moderate alcohol consumption was associated to sex, age, profession, income, comorbidities, time using antihypertensive drugs, and using other medication. Conclusions: socioeconomic and clinical factors were associated to the adherence to the anti-hypertensive treatment. Innovative techniques, such as the transtheoretical model of change, motivational interviews, and supported self-care can help in behavioral changes.

Dificuldades e facilidades de usuários na adesão à terapêutica anti-hipertensiva: um estudo qualitativo

“…Neste estudo relato de que a quantidade de medicamentos prescritos e o esquema terapêutico influenciando negativamente na adesão ao tratamento, coaduna com outros estudos verificando que as pessoas ao usarem um número maior de medicamentos apresentam baixa adesão em relação àqueles que usam apenas um medicamento Barreto et al, 2015;Pierin et al, 2016;Cruz, Farias, Queiroz & Almeida, 2018;Nascimento et al, 2021). A adesão é menor quando os pacientes têm que usar esquemas terapêuticos complexos, pois eles podem confundir-se e até esquecer-se de usar os medicamentos conforme a prescrição, podendo ser o anti-hipertensivo preterido (Pierin et al, 2016;Burnier & Egan, 2019;Macete & Borges, 2020).…”

Individual Characteristics, Adherence, and Barriers to Medication Adherence of Hypertensive Patients at the Indonesia - Timor Leste Border

“…Adherence is defined as a circumstance in which a person follows a rule that is related to the company's behavior and adherence to its rule (Nascimento et al, 2021). Patients receiving medication need to understand that medications are critical to achieving BP control (Tsadik et al, 2020).…”

“…Patients might have misperceptions pertaining to HTN, its severity, and the significance of its management. Socioeconomic status (poverty), low level of education, unemployment, lack of effective family/social support, and forgetfulness are also associated with adherence (Nascimento et al, 2021;Tsadik et al, 2020). The patients' illness representations also have a direct influence on adherence to treatment (Tsadik et al, 2020).…”