Controle da pressão arterial em pacientes sob tratamento anti-hipertensivo no Brasil: Controlar Brasil

Nobre, Fernando; Ribeiro, Artur Beltrame; Mion, Décio

doi:10.1590/s0066-782x2010005000035

Cited by 28 publications

(20 citation statements)

References 16 publications

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“…Low control rates are related with an inappropriate approach of the clients, ineffective treatment, low treatment adherence, difficulty to access the services and purchase the drugs. (3,15) In this study, no statistically significant association was found between lack of blood pressure control and sociodemographic characteristics. The results are in accordance with the literature, which appoints a higher prevalence of uncontrolled blood pressure among younger people, (16) with a higher education level, (4,13,17) lower income, (4,13) and without a partner.…”

Section: Discussioncontrasting

confidence: 53%

Fatores associados ao descontrole da pressão arterial em homens

et al. 2016

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Conflicts of interest: no conflicts of interest to declare. ResumoObjetivo: Verificar os fatores associados ao descontrole da pressão arterial em homens. Métodos: Estudo exploratório, de corte transversal, realizado em centro de referência para doenças cardiovasculares, em Salvador-BA, lócus para o núcleo de referência do programa de saúde do homem do Ministério da Saúde. Amostra foi selecionada por conveniência totalizando 130 homens atendidos em centro de saúde, submetidos a entrevista, avaliação clínica e antropométrica. Na análise bivariada empregou-se o Qui-quadrado de Pearson ou Exato de Fisher realizando-se posteriormente análise de regressão logística múltipla sendo a OR corrigida pelo modelo de Poisson. Adotou-se significância estatística de 5%. Resultados: Constatou-se alta prevalência de descontrole da pressão arterial (65,4%), de hábitos de vida inadequados e de excesso de peso. Não houve associação estatisticamente significante entre descontrole dos níveis pressóricos e variáveis sociodemográficas, hábitos de vida e medidas antropométricas. Na regressão, o descontrole da pressão arterial associou-se ao uso inadequado da medicação (RP: 1,35, IC 95%: 1,03; 1,76). Conclusão: O uso inadequado da medicação foi reforçado como importante fator associado ao descontrole. Medidas efetivas para mudança deste panorama são emergenciais e desafiam profissionais e autoridades públicas. ResumoObjective: Verify the factors associated with lack of blood pressure control in men. Methods: Exploratory and cross-sectional study undertaken at a referral center for cardiovascular diseases in Salvador-BA, where the referral center of the Ministry of Health's male health program is located. A convenience sample was selected, totaling 130 men attended at a health center, submitted to interview, clinical and anthropometric assessment. In the bivariate analysis, Pearson's Chi-squared or Fisher's Exact test was employed, followed by multiple logistic regression analysis. The OR was corrected by means of Poisson's model. Statistical significance was set at 5%. Results: The high prevalence of lack of blood pressure control (65.4%), inappropriate living habits and overweight was verified. No statistically significant association was found between lack of pressure control and sociodemographic variables, living habits and anthropometric measures. In the regression, the lack of blood pressure control was associated with inappropriate medication use (PR: 1.35, 95% CI: 1.03; 1.76). Conclusion: Inappropriate medication use was emphasized as an important factor associated with lack of control. Effective measures to change this situation are urgent and challenge professionals and public authorities.

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Section: Discussioncontrasting

confidence: 53%

Fatores associados ao descontrole da pressão arterial em homens

et al. 2016

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“…The intervention performed increased significantly adherence rates among patients when assessed by both the self-reported adherence and the Morisky-Green test. These findings were in agreement with studies (Skowron, Polak, Brandys, 2011;Nobre, Ribeiro, Mion, 2010;Sociedade Brasileira de Cardiologia, 2010;Prado, Kupek, Mion, 2007;Lyra et al, 2007) showing that pharmaceutical interventions intended to increase motivation and adherence to treatment help improve medication adherence.…”

Section: Discussionsupporting

confidence: 90%

“…In a study conducted by Nobre, Ribeiro and Mion on blood pressure control in Brazil (Nobre, Ribeiro, Mion, 2010), the number of patients with controlled blood pressure was similar to that found in this study before the intervention. Analysis of blood pressure readings before and after the intervention revealed that pharmaceutical intervention improved control of blood pressure, which is in agreement with the 6 th Brazilian Guidelines on Hypertension (Sociedade Brasileira de Cardiologia, 2010), meaning that adherence to treatment changes the disease control (Skowron, Polak, Brandys, 2011;Vrijens et al, 2008;Silva et al, 2008).…”

Section: Discussionsupporting

confidence: 87%

Pharmacotherapy review: a proposal to improve medication adherence among hypertensive patients

Rigoni

Brito

Alano

et al. 2015

Braz. J. Pharm. Sci.

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Pharmacotherapy review is a structured assessment of medicines, which aims to obtain a partnership with patients to achieve drug treatment goals and agreement about drug dosage, as well as when and how the drugs should be administered. The objective was to analyze the influence of pharmacotherapy review, by scheduling drug administration to improve medication adherence among antihypertensive patients. This study was an uncontrolled intervention developed in three distinct stages. The first stage included data collection on the profile of patients and their medications, and a preliminary assessment of medication adherence. In the second stage, the review report was delivered to patients. In the third stage, the results of blood pressure and medication adherence were assessed. The influence of the revision was measured through statistical tests (p<0.05). The study included 40 patients with a mean age of 58.0 (SD:11.3) years; 72.5% were women. Thirty-three (82.5 %) patients required some intervention, after when there was a significant increase in the number of daily doses (p=0.039) and drug intakes (p=0.025). There was a significant increase in the adherence rate, according to both the Morisky-Green test (p<0.001) and self-reported assessment (p=0.004). There was also an improvement in the levels of systolic (p<0.001) and diastolic (p=0.002) blood pressure and in the number of patients with controlled hypertension (p=0.006). The pharmaceutical service enhanced medication adherence and control of systemic blood pressure; however, it increased the complexity of treatment.Uniterms: Pharmacotherapy review. Drugs/administration schedule. Hypertension/medication adherence. Medication adherence. Pharmaceutical assistance.A revisão da farmacoterapia é uma avaliação estruturada dos medicamentos com o objetivo de proporcionar aos pacientes o alcance dos objetivos terapêuticos por meio da forma adequada de administração dos medicamentos. O objetivo foi analisar a influência da revisão da farmacoterapia, por meio do aprazamento dos medicamentos, na adesão à medicação e no controle da hipertensão arterial sistêmica. Trata-se de um estudo de intervenção não controlado desenvolvido em três momentos distintos. No primeiro, realizou-se a coleta de dados sobre o perfil dos pacientes e de suas medicações e a avaliação da adesão; no segundo momento, realizou-se a entrega do relatório da revisão aos pacientes e na terceira etapa avaliou-se o resultado da adesão e pressão arterial. A influência da revisão foi medida por meio de testes estatísticos (p<0,05). Participaram deste estudo 40 pacientes, com média de idade de 58,0 anos (SD:11,3), sendo 72,5% mulheres. Dos pacientes, 33 (82,5%) necessitaram intervenções. Após estas se verificou aumento significativo no número de doses (p=0,039) e no número de tomadas (p=0,025). Houve aumento significativo no número de aderentes tanto pelo teste de Morisky-Green (p<0,001) quanto na avaliação autorreferida (p=0,004). Também, houve melhora nos níveis de pressão sistólica (p<0,001) e diastólica (p=...

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“…Only Sousa et al 13 found a similar rate (40.9%) in a study carried out in a small municipality in the South of Brazil. Nobre et al 23 found a slightly higher proportion of patients with wellcontrolled hypertension (46.5%) ; however, this study was conducted in specialized cardiological centers. The proportion of diabetics with blood pressure below the recommended threshold for type 2 diabetes was 25.8%, showing that blood pressure control was much less satisfactory in diabetic subjects.…”

Section: Discussionmentioning

confidence: 68%