Treatment adherence and frailty syndrome in hypertensive older adults

Abstract

Objective: To analyze the association between adherence to antihypertensive treatment and frailty syndrome in hypertensive older adults. Method: A descriptive, cross-sectional study with a quantitative approach with older adults. The data collection took place between November 2017 and March 2018, evaluating sociodemographic information, adherence to antihypertensive treatment, lifestyle and frailty through the Edmonton Frail Scale. The Kruskal-Wallis test and the Chi-squared test were used for data analysis, considering a 95% confidence interval and a significance level of p<0.05. Results: There were 193 older adults who participated in the study. The average age was 80.94 (sd ± 7.17) years, with a predominance of females (72%) and widows (43.5%). The factors which were associated with adherence to treatment were diastolic blood pressure, education and the time that the older adult had smoked (p<0.05). Frailty was not associated with treatment adherence levels (p=0.095). Conclusion: There was no association between frailty scores and control of arterial hypertension; however, adequate monitoring and nursing care are essential in assessing adherence to treatment in order to reduce the aggravations of the disease and frailty syndrome development.

Evaluation of Frailty Syndrome and Adherence to Recommendations in Elderly Patients with Hypertension

“…The purpose of this work was to assess the relationship between frailty and compliance with therapeutic recommendations and cooperation in elderly patients with hypertension; only a few studies have attempted to analyze this dependence so far, and their results are inconclusive. A Brazilian study of hypertensive older adults [38] demonstrated no association between frailty and adherence to antihypertensive treatment. In contrast, the study of Jankowska-Polańska et al [39] showed that frailty negatively affected adherence in elderly hypertensive patients, and lower adherence to the recommendations was diagnosed more often in frail patients than in nonfrail patients [40].…”

Fatores que influenciam na adesão dos idosos à terapia anti-hipertensiva

“…A boa adesão dos idosos à terapia anti-hipertensiva. Fazendo a análise entre escolaridade e o tempo de uso do tabaco, Silva et al, (2020) concluiu que a escolaridade surge como um fator de grande relevância, pois quanto mais anos de estudo o idoso tem, melhor é o grau de adesão ao tratamento anti-hipertensivo. No que se refere ao hábito de fumar, foi observado que…”

“…De acordo com Silva et al, (2020), apesar dos dados encontrados mostrarem resultados satisfatórios no que diz respeito ao processo de aceitação da medicação anti-hipertensiva, alguns fatores ainda prevalecem no processo de não adesão ao tratamento medicamentoso. Como visto em outros estudos sobre o tema, a baixa renda e o aumento de doenças relacionadas ao processo de envelhecimento contribuem para que a adesão não ocorra conforme o esperado.…”