Relação entre a assiduidade às consultas ambulatoriais e o controle da pressão arterial em pacientes hipertensos

Coelho, Eduardo Barbosa; Neto, Miguel Moysés; Palhares, Raquel; Cardoso, Maria Camila de Miranda; Geleilete, Tufik José Magalhães; Nobre, Fernando

doi:10.1590/s0066-782x2005001600002

Cited by 31 publications

(24 citation statements)

References 13 publications

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“…The relationship between the health care professional and the patient can influence the acceptance of a therapy and the adherence to it (Tremlett et al, 2008). Coelho et al (2005) corroborate higher rates of adherence among people who do not miss consultations. Missing medical appointments may reflect people's difficulty to recognize the importance of the consultation for their health care, leading to the non-adherence to treatment.…”

Section: Discussionmentioning

confidence: 85%

Factors associated with adherence to immunomodulator treatment in people with multiple sclerosis

Câmara

Gondim

2017

Braz. J. Pharm. Sci.

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To determine the association between factors and adherence to immunomodulator treatment in people with multiple sclerosis treated in reference centers. Cross-sectional study conducted with 188 people who used immunomodulators in three reference centers in Ceará from March to July 2012. Adherence was assessed using the Moriskscale and factors were assessed using a questionnaire addressing socioeconomic and personal characteristics, the disease, the use of immunomodulator and educational activities. The determination of the association was expressed in crude and adjusted odds ratio with a 95% confidence interval. Adherence rate was 46% and after the logistic regression model the adherence to immunomodulator treatment was positively associated with the following factors: age 18-38 years, time of diagnosis and treatment between 6 and 24 months, 0-3.5 score in the Expanded Disability Status Scale, perception of treatment benefits, intrinsic and extrinsic motivation, phone contact with the doctor and not missing the return visit. This study is important because it allowed to determine the association between factors and adherence to immunomodulator treatment in multiple sclerosis, contributing to prevention and control actions.

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Section: Discussionmentioning

confidence: 85%

Factors associated with adherence to immunomodulator treatment in people with multiple sclerosis

Câmara

Gondim

2017

Braz. J. Pharm. Sci.

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“…Arterial hypertension (AH) is a chronic disease in charge of the increasing risk of fatal and non-fatal cardiovascular events, which contributes to the high demand in urgency and emergency sectors and primary health care services [1][2][3] . Since it is characterized as a multifactorial clinical condition, the disease requires special attention in the identification of associated comorbidities or risk factors.…”

Section: Introductionmentioning

confidence: 99%

Physical activity, adiposity and hypertension among patients of public healthcare system

Turi

Codogno

Fernandes

et al. 2014

Rev. bras. epidemiol.

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ABSTRACT:Introduction: Hypertension is a chronic disease that requires special attention in identifying comorbidities or risk factors including inactivity and obesity. Considering that a large proportion of the Brazilian population is hypertensive, obese, and sedentary, the relationship among these variables in the context of the public health system is unclear. Objective: To assess the association among physical activity, markers of adiposity, and hypertension in adult users of the public healthcare system in the city of Bauru, São Paulo, Brazil. Methods: The study was conducted in five Basic Health Units in Bauru, São Paulo, and consisted of 963 patients. Data were collected from habitual physical activity and previous (childhood and adolescence), education, purchasing power and anthropometric markers of overall and abdominal obesity. Results: The incidence of hypertension was 76.8%. Significant associations were found among sedentarism, presence of total and abdominal obesity, with the higher incidence of hypertension. It was also observed that the magnitude of association between hypertension and adiposity increased with decreased involvement in physical activity. Conclusion: Further investigations are needed to analyze the occurrence of overweight and obesity in people suffering from chronic diseases in order to prevent future complications.

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“…cutting down intake of salt, saturated fats and sugars, since hypertensive patients are also dyslipidemic and diabetic), besides abandoning smoking and drinking habits (Farinatti et al, 2005;Gravina, Grespan, Borges, 2008). In relation to health services, aspects such as access, availability of a multi-disciplinary team of healthcare professionals as well as medications, frequency of consultations, health team-patient relationship, satisfaction of the individual with service, including guidance, respect, and joint decision-making are deemed pre-requisites to achieving satisfactory adherence (Coelho et al, 2005;Qureshi et al, 2007;Giorgi, 2008).…”

Section: Discussionmentioning

confidence: 99%

Blood pressure levels and adherence to treatment of hypertensive patients, users of a school pharmacy

Santos

Teixeira

Gonçalves

et al. 2010

Braz. J. Pharm. Sci.

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Adherence to pharmacological treatment for hypertension is considered a key factor in guaranteeing successful therapy outcomes. Knowledge of the disease, its complications, as well as the need for changes in lifestyle, call for patient motivation and continuous interactive education. The evidence regarding the beneficial effects of changes in life style by hypertensive individuals in reducing the complications of the disease, as well as in its prevention are indisputable. However, the challenges posed by patient adherence to treatment prescribed by doctors remain. The aim of this study was to assess blood pressure levels together with degree of adherence to pharmacological treatment with Enalapril Maleate by means of the Morisky-Green Test, in hypertensive patients who were users of a School Pharmacy. Of the 102 patients interviewed, 65.7% had controlled blood pressure, but only 36.3% indicated total compliance with the pharmacological treatment. The Morisky-Green test proved ineffective in associating controlled blood pressure levels and positive attitudes toward taking antihypertensive medicines.Uniterms: Adherence. Hypertension. Health Promotion.A adesão ao tratamento farmacológico da hipertensão arterial sistêmica é considerada uma das etapas essenciais para a garantia do seu sucesso. Para tanto, o conhecimento da doença, suas complicações e necessidade de mudanças em relação ao estilo de vida, requer do paciente, além da motivação, a educação contínua e de modo compartilhado. A evidência quanto aos efeitos benéficos da mudança do estilo de vida pelo portador de hipertensão na redução das complicações desta doença, bem como em sua prevenção, já não são mais questionados, porém o desafio continua residindo na adesão do indivíduo ao padrão de tratamento prescrito pelo médico. Este estudo teve como objetivo avaliar os níveis de pressão arterial, assim como o nível de adesão ao tratamento farmacológico com maleato de enalapril de pacientes portadores de hipertensão arterial, usuários de uma Farmácia Escola, através do Teste de Morisky e Green. Dos 102 pacientes entrevistados, 65,7% apresentaram níveis pressóricos controlados, porém apenas 36,3% indicaram níveis de adesão total à terapêutica farmacológica. O teste de Morisky e Green não foi eficiente para relacionar níveis de pressão arterial controlado e atitude positiva frente à tomada do medicamento anti-hipertensivo fornecido.Unitermos: Adesão. Hipertensão arterial sistêmica. Promoção da saúde.

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Relação entre a assiduidade às consultas ambulatoriais e o controle da pressão arterial em pacientes hipertensos

Abstract: OBJECTIVEOur objective was to determine the rate of hypertensive patients with controlled BP (BP <140X90 mmHg) and to study its r elationship with r egular attendance to ambulator y appointments. METHODS

Cited by 31 publications

References 13 publications

Factors associated with adherence to immunomodulator treatment in people with multiple sclerosis

Factors associated with adherence to immunomodulator treatment in people with multiple sclerosis

Physical activity, adiposity and hypertension among patients of public healthcare system

Blood pressure levels and adherence to treatment of hypertensive patients, users of a school pharmacy

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