Factors associated with adherence to antihypertensive treatment in a primary care unit

Demoner, Márcia Simonia; Ramos, Edivan Rodrigo de Paula; Pereira, Eliane Ramos

doi:10.1590/s0103-21002012000800005

Cited by 22 publications

(19 citation statements)

References 7 publications

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“…Non-medication adherence was associated with working-aged victims who were young, working, and presented with overweight or obesity as found in a study in Brazil (Demoner, de Paula Ramos, & Pereira, 2012). The reasons for drug nonadherence may be due to normalization of blood pressure, side effects of the medications, forgetting to use the medication, cost of medication, fear of mixing alcohol and medication, ignoring the need for continuing the treatment, use of an alternative treatment, fear of intoxication, fear of hypotension, and fear of mixing the medication with other drugs (Andrade, Vilas-Boas, Chagas, & Andrade, 2002).…”

Section: Discussionmentioning

confidence: 57%

Predicting risk factors of working aged hemorrhagic stroke patients in a tertiary teaching hospital in Chiang Mai

Triamvisit¹,

Chongruksut²,

Watcharasaksilp³

et al. 2018

Asian/Pacific Island Nursing Journal

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Stroke is the third leading cause of morbidity and mortality in Thailand accounting for a significant and increasing share of hospital costs. The purpose of this project is to study the epidemiology of the prevalence and its predicting factors of working aged hemorrhagic stroke (HS) patients admitted at a tertiary teaching hospital in Chiang Mai, Thailand.We conducted a five-year retrospective descriptive study. The subjects in this study were patients diagnosed with HS, between 15-59 years of age, and admitted to a tertiary teaching hospital in Chiang Mai, Thailand from January 2009 to December 2013. A total of 404 working aged adults who had HS were admitted to the hospital during this review period; 60.9% males and 39.1% females. Nearly 70% of patients were between 46-59 years of age (M = 47.5, SD = 9.8). Of the patients admitted to the hospital, 76.7% were transferred there from other hospitals. Intracerebral hemorrhage was present in 59.7% of patients. Severe HS occurred in 35.9% of the patients with a Glasgow Coma Score from 3-8. Approximately 69% of the working aged HS patients required surgery. The top five identified risk factors for HS were hypertension (83.4%), hyperlipidemia (38.9%), alcohol consumption (21.5%), smoking (15.3 %), and drug non-adherence (14.9%).We found significantly associated risk factors in working-aged HS by multivariate analysis among male gender (p < .001), drug non-adherence (p = .047), and hypertension (p = .048). Raising awareness to reduce risk behavior and health promotion in the community are the keynotes for health care providers in working-aged HS prevention.

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Section: Discussionmentioning

confidence: 57%

Predicting risk factors of working aged hemorrhagic stroke patients in a tertiary teaching hospital in Chiang Mai

Triamvisit¹,

Chongruksut²,

Watcharasaksilp³

et al. 2018

Asian/Pacific Island Nursing Journal

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“…Contudo, é importante ressaltar que os pacientes com resistência orgânica ao tratamento farmacológico podem apresentar alterações na Mapa mesmo utilizando adequadamente os medicamentos, o que sugere cautela na interpretação de seus resultados (RUZICKA; HIREMATH, 2015). No que se refere aos estudos de natureza epidemiológica como este, o TMG e o THS são os medicamentos mais utilizados por serem de fácil aplicação, baixo custo e boa especificidade ((VARLETA; AKEL; ACEVEDO, 2015;DEMONER;RAMOS;PEREIRA, 2012;PUCCI;PEREIRA;VINHOLES, 2012;SANTOS et al, 2011;GONÇALVES, 2010;STRELEC;PIERIN;MION-JR, 2008).…”

Section: Discussionunclassified

“…No Brasil, a maioria dos estudos que abordam esta temática mostra, como resultados mais encontrados, baixa prevalência de adesão ao tratamento anti-hipertensivo (BASTOS-BARBOSA et al, 2012;BUENDIA, 2012;BEM;NEUMANN;MENGUE, 2012;DEMONER;RAMOS;PEREIRA, 2012;GUIRADO;RIBEIRA;HUERGO;BORRAS, 2011;LEÃO E SILVA, et al, 2013;SANTOS et al, 2010).…”

Section: Discussionunclassified

“…A maior parte dos trabalhos vem demonstrando ausência de relação entre a idade e os níveis de adesão (EIDI, 2015;BARRETO, 2015;PUCCI, 2012;CARVALHO et al, 2010;LIMA, et al, 2010). Contudo, melhores níveis de adesão também têm sido relatados em pacientes com maior faixa etária (GIROTTO, 2013;DEMONER;RAMOS;PEREIRA, 2012). Se por um lado hipertensos com idade superior a 60 anos têm maior preocupação com sua saúde em função, muitas vezes, de já terem apresentado as complicações da HAS, por outro, os déficits de memória, comuns com o processo de senescência, somados ao fato de morarem sozinhos podem prejudicar o seguimento do tratamento.…”

Section: Discussionunclassified

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Perfil Farmacoterapêutico e Nível de Adesão à Terapia de Pacientes Assistidos pelo Hiperdia, Lagarto-SE

Oliveira

Almeida

Oliveira

et al. 2016

Iniciac cient Cesumar

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RESUMO:O sucesso da terapia anti-hipertensiva depende dos fármacos utilizados e da adesão do paciente ao tratamento. Por isso, este trabalho objetivou a determinação do perfil farmacoterapêutico e o nível de adesão ao tratamento medicamentoso de hipertensos atendidos pelo Hiperdia de Lagarto-SE. Foram entrevistados 228 pacientes com o auxílio de um questionário para a coleta de variáveis sociodemográficas, econômicas, relacionadas ao estilo de vida, às patologias e às farmacoterapêuticas. A adesão à terapia farmacológica foi determinada pelos testes de Morisky-Green (TMG) e Haynes-Sackett (THS). Os resultados foram analisados pelo teste do Qui-quadrado e exato de Fisher (p<0,05*). A maioria dos pacientes foi do gênero feminino (70,6%), com baixo grau de escolaridade, pertencentes à classe socioeconômica E (49,1%), autodeclarados brancos (44,7%) e com faixa etária entre 51 e 60 anos (37,7%). A prevalência de sobrepeso/obesidade foi de 89,1%. Contudo, um estilo de vida favorável ao controle da pressão arterial foi relatado pela maioria dos entrevistados. A adesão à terapia farmacológica foi encontrada em apenas 31,2% (THS) e 27,2% (TMG) dos hipertensos. O perfil farmacoterapêutico se caracterizou pela monoterapia sendo a losartana (50%) e os inibidores da ECA (18,4%) os mais citados. Maior adesão à terapia foi encontrada nos hipertensos em monoterapia (p=0,016*), que utilizam medicamentos de outras classes terapêuticas (p<0,0001*), que esclarecem suas dúvidas sobre a medicação com farmacêuticos (p=0,016*) e que não realizam consultas médicas para avaliação do anti-hipertensivo usado (p=0,001*). Estes resultados mostram baixa adesão à terapia farmacológica que pode estar associada ao baixo nível socioeconômico e baixo grau de escolaridade. PALAVRAS-CHAVE:Hipertensão Arterial Sistêmica; Teste de Morisky-Green; Teste de Haynes-Sackett; Medicamentos Anti-hipertensivos. FARMACO-THERAPEUTIC PROFILE AND ADHESION LEVEL TO THERAPY BY PATIENTS ATTENDED BY HIPERDIA IN LAGARTO, BRAZILABSTRACT: The success of anti-hypertension therapy depends on the drugs used and on patient´s adhesion to treatment. Current study determines the pharmaco-therapy profile and the adhesion level of treatment of hypertensive patients by HIPERDIA in Lagarto SE Brazil. Two hundred and twenty-eight patients were interviewed by means of a questionnaire to collect socio-demographic and economic variables on life style, pathologies and pharmaco-therapies. Adhesion to pharmacological therapy was determined by the Morisky-Green (TMG) and Haynes-Sackett (THS) tests. Result were analyzed by Chi-square test and Fisher Exact test (p<0.05*). Most patients were female (70.6%), with low schooling and belonged to socio-economic class E (49.1%), white (44.7%) within the 51 -60 year old bracket (37.7%). Prevalence of overweight/obesity was 89.1%. A life-style favorable to arterial pressure control was reported by most interviewees. Adhesion to pharmacotherapy reached only 31.2% (THS) and 27.2% (TMG) of hypertensive people. The pharmaco-therapeutic profile was charac...

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“…Other study suggested women tend to be more adherent to therapy than men (Ambaw et al, 2012). Respondents with BMI ≥30 and respondents who did not have other chronic diseases tend to be disobedient compared to those with BMI <30 and have other chronic diseases (Demoner et al, 2012). Another study stated, dietary regulation and smoking activity determine therapy adherence.…”

Section: Introductionmentioning

confidence: 98%

Therapy Adherence of 40-75 Y.O. Hypertension Respondents Using Morisky Instrument in Ngemplak, Sleman, Diy (Study on Age, Demography, Social, and Life-Style Factors)

Jasmine

Oktawati

Damasari

et al. 2017

J.Pharm.Sci.Community

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Factors associated with adherence to antihypertensive treatment in a primary care unit

Cited by 22 publications

References 7 publications

Predicting risk factors of working aged hemorrhagic stroke patients in a tertiary teaching hospital in Chiang Mai

Predicting risk factors of working aged hemorrhagic stroke patients in a tertiary teaching hospital in Chiang Mai

Perfil Farmacoterapêutico e Nível de Adesão à Terapia de Pacientes Assistidos pelo Hiperdia, Lagarto-SE

Therapy Adherence of 40-75 Y.O. Hypertension Respondents Using Morisky Instrument in Ngemplak, Sleman, Diy (Study on Age, Demography, Social, and Life-Style Factors)

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