Adherence to non-pharmacological treatment: Analysis of the impact of three health educational and nutritional strategies in hypertensive patients

Abstract

Objective: To evaluate adherence to non-pharmacological treatment of hypertension by comparing biochemical, clinical, anthropometric, and dietary parameters before and after three health educational and nutritional strategies. Methods: This longitudinal clinical trial included 212 hypertensive individuals who met the inclusion criteria. The participants were allocated to three groups to assess the impact of monthly intervention methods over twelve months. Results: Waist circumference decreased significantly in all groups. Weight and body mass index decreased significantly in Groups 2 and 3. Blood glucose, total cholesterol, and low-density lipoprotein cholesterol decreased significantly in Groups 1 and 2. The interventions also reduced the mean per capita intakes of oil, sugar, and salt in all groups. Conclusion: Educational interventions promoted adherence to non-pharmacological treatment of treatment of hypertension evidenced by anthropometric (weight, body mass index, and waist circumference), biochemical (blood glucose, total cholesterol, and low-density lipoprotein cholesterol), and dietary (meanper capita intake of oil, sugar, and salt) parameters.

Usuários hipertensos na atenção primária à saúde: acesso, vínculo e acolhimento à demanda espontânea

“…In the case of chronic noncommunicable diseases, hypertension (HTN) especially stands out as the most prevalent disease worldwide, accounting for 13.5% of all deaths, which significantly increases cardiovascular risk, being a clinical multifactorial condition characterized by high and sustained blood pressure levels. In Brazil, the average prevalence is 32.5%, thus representing a serious public health problem (3)(4) .…”

“…Although scientific literature indicates the importance of access and care in health (4,(7)(8)(9) , it was noticeable that few productions discuss the impact of their institution in the care of people with hypertension in primary care. Thus, it becomes essential to understand the factors that influence the use of primary care in the treatment of hypertension, identifying satisfaction with the care provided to hypertensive patients and the results in disease control.…”

Stress, adherence, and blood pressure control: A baseline examination of Black women with hypertension participating in the SisterTalk II intervention

“…Treatment adherence, including pharmacological and non-pharmacological adherence, has been found to be the main factor underlying uncontrolled hypertension ( Kronish and Ye, 2013 ; Machado et al, 2016 ). Pharmacological adherence refers to the degree to which patients consume clinician-prescribed medications, such as diuretics, beta blockers, ACE inhibitors (defined as 80% or more of the medications that are consumed), while non-pharmacological adherence refers to lifestyle management (e.g.…”

Adherence to non-pharmacological treatment for hypertension: impact of two educational strategies on health and nutrition

“…Health education strategies, such as the community interventions carried out in this present study, have been implemented in several developed and developing countries as a way of coping with non-transmissible chronic diseases, from a risk-based approach 21,[31][32][33] .…”

“…The scientific evidence also points out that the attendance of patients to educational activities, the more frequent meetings with the health care team, and family support are predictor factors that are favorable to the adhesion to non-pharmacological treatment for arterial hypertension 13,21,[33][34][35] . In addition, reconciling educational activities with a greater number of home visits allows for a better application of the necessary therapeutic adjustments, and encourages more effective changes in lifestyle 13,21,34,36 .…”