Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program

Detalhes bibliográficos
Autor(a) principal: Araújo, Yuri Barbosa
Data de Publicação: 2022
Outros Autores: Teixeira, Jadyelle dos Santos, Oliveira, Emanuel Cardoso de, Sobral, Glebson Santos, Meneguz-Moreno, Rafael Alexandre, Amaral, Ricardo Guimarães, Santos, Sandra Lauton, Andrade, Luciana Nalone
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Ciências em Saúde
Texto Completo: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1270
Resumo: Objective: To assess adherence to antihypertensive treatment in patients at a Family Health Strategy (FHS) unit. Methods: quantitative, transversal, and observational study with 131 hypertensive patients registered in the HIPERDIA program of an FHS located in the city of Lagarto, Sergipe, Brazil, through the analysis of medical records and the application of structured questionnaires. The assessment of the degree of adherence was carried out through the Brief Medication Questionnaire. Results: Factors related to poor adherence were illiteracy (PR: 0.61; 95%CI: 0.42 - 0.89), per capita family income < 1 minimum wage (PR: 0.51; 95%CI : 0.33 - 0.78) and high pharmacological complexity (PR: 0.66; 95%CI: 0.45 - 0.97), while only regular physical activity (PR: 2.64; 95%CI: 1.28 - 5.46) and a good quality of life (PR: 1.44; 95%CI: 1.02 - 2.04) remained positively associated with adherence. Conclusion: As these are modifiable factors, the simplification of the therapeutic scheme and the regular practice of physical activity are key points for increasing adherence to the treatment of systemic arterial hypertension in Primary Care.
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spelling Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA programFatores associados a adesão ao tratamento farmacológico em hipertensos cadastrados no programa HIPERDIAMedication AdherenceHypertensionRisk factorsAdesão à MedicaçãoHipertensãoFatores de RiscoObjective: To assess adherence to antihypertensive treatment in patients at a Family Health Strategy (FHS) unit. Methods: quantitative, transversal, and observational study with 131 hypertensive patients registered in the HIPERDIA program of an FHS located in the city of Lagarto, Sergipe, Brazil, through the analysis of medical records and the application of structured questionnaires. The assessment of the degree of adherence was carried out through the Brief Medication Questionnaire. Results: Factors related to poor adherence were illiteracy (PR: 0.61; 95%CI: 0.42 - 0.89), per capita family income < 1 minimum wage (PR: 0.51; 95%CI : 0.33 - 0.78) and high pharmacological complexity (PR: 0.66; 95%CI: 0.45 - 0.97), while only regular physical activity (PR: 2.64; 95%CI: 1.28 - 5.46) and a good quality of life (PR: 1.44; 95%CI: 1.02 - 2.04) remained positively associated with adherence. Conclusion: As these are modifiable factors, the simplification of the therapeutic scheme and the regular practice of physical activity are key points for increasing adherence to the treatment of systemic arterial hypertension in Primary Care. Objetivo: Avaliar a adesão ao tratamento anti-hipertensivo em pacientes de uma unidade de Estratégia Saúde da Família (ESF). Métodos: estudo quantitativo, transversal e observacional com 131 hipertensos cadastrados no programa HIPERDIA de uma ESF localizada na cidade de Lagarto, Sergipe, Brasil, por meio da análise de prontuários e aplicação de questionários estruturados. A avaliação do grau de adesão foi realizada por meio do Brief Medication Questionnaire. Resultados: Os fatores relacionados à baixa adesão foram analfabetismo (RP: 0,61; IC95%: 0,42 - 0,89), renda familiar per capita < 1 salário-mínimo (RP: 0,51; IC95%: 0,33 - 0,78) e alta complexidade farmacológica (RP: 0,66; IC95%: 0,45 - 0,97), mantendo-se apenas atividade física regular (RP: 2,64; IC95%: 1,28 - 5,46) e boa qualidade de vida (RP: 1,44; IC95%: 1,02 - 2,04) positivamente associadas à adesão. Conclusão: Por se tratar de fatores modificáveis, a simplificação do esquema terapêutico e a prática regular de atividade física são pontos fundamentais para aumentar a adesão ao tratamento da hipertensão arterial sistêmica na Atenção Básica.AISI/HCI2022-06-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer reviewedAvaliado pelos parestextoinfo:eu-repo/semantics/otherapplication/pdfhttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/127010.21876/rcshci.v12i2.1270Revista Ciências em Saúde; v. 12 n. 2 (2022): Abril a Junho de 2022; 35-42Health Sciences Journal; Vol 12 No 2 (2022): April to June 2022; 35-422236-378510.21876/rcshci.v12i2reponame:Revista Ciências em Saúdeinstname:Hospital de Clínicas de Itajubáinstacron:HCIenghttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1270/808Copyright (c) 2022 Revista Ciências em Saúdehttps://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessAraújo, Yuri BarbosaTeixeira, Jadyelle dos SantosOliveira, Emanuel Cardoso deSobral, Glebson SantosMeneguz-Moreno, Rafael AlexandreAmaral, Ricardo GuimarãesSantos, Sandra LautonAndrade, Luciana Nalone2022-08-08T14:04:35Zoai:ojs.portalrcs.hcitajuba.org.br:article/1270Revistahttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zeroPUBhttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/oaircs@hcitajuba.org.br||rcsfmit@medicinaitajuba.com.br2236-37852236-3785opendoar:2022-08-08T14:04:35Revista Ciências em Saúde - Hospital de Clínicas de Itajubáfalse
dc.title.none.fl_str_mv Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
Fatores associados a adesão ao tratamento farmacológico em hipertensos cadastrados no programa HIPERDIA
title Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
spellingShingle Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
Araújo, Yuri Barbosa
Medication Adherence
Hypertension
Risk factors
Adesão à Medicação
Hipertensão
Fatores de Risco
title_short Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
title_full Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
title_fullStr Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
title_full_unstemmed Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
title_sort Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
author Araújo, Yuri Barbosa
author_facet Araújo, Yuri Barbosa
Teixeira, Jadyelle dos Santos
Oliveira, Emanuel Cardoso de
Sobral, Glebson Santos
Meneguz-Moreno, Rafael Alexandre
Amaral, Ricardo Guimarães
Santos, Sandra Lauton
Andrade, Luciana Nalone
author_role author
author2 Teixeira, Jadyelle dos Santos
Oliveira, Emanuel Cardoso de
Sobral, Glebson Santos
Meneguz-Moreno, Rafael Alexandre
Amaral, Ricardo Guimarães
Santos, Sandra Lauton
Andrade, Luciana Nalone
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Araújo, Yuri Barbosa
Teixeira, Jadyelle dos Santos
Oliveira, Emanuel Cardoso de
Sobral, Glebson Santos
Meneguz-Moreno, Rafael Alexandre
Amaral, Ricardo Guimarães
Santos, Sandra Lauton
Andrade, Luciana Nalone
dc.subject.por.fl_str_mv Medication Adherence
Hypertension
Risk factors
Adesão à Medicação
Hipertensão
Fatores de Risco
topic Medication Adherence
Hypertension
Risk factors
Adesão à Medicação
Hipertensão
Fatores de Risco
description Objective: To assess adherence to antihypertensive treatment in patients at a Family Health Strategy (FHS) unit. Methods: quantitative, transversal, and observational study with 131 hypertensive patients registered in the HIPERDIA program of an FHS located in the city of Lagarto, Sergipe, Brazil, through the analysis of medical records and the application of structured questionnaires. The assessment of the degree of adherence was carried out through the Brief Medication Questionnaire. Results: Factors related to poor adherence were illiteracy (PR: 0.61; 95%CI: 0.42 - 0.89), per capita family income < 1 minimum wage (PR: 0.51; 95%CI : 0.33 - 0.78) and high pharmacological complexity (PR: 0.66; 95%CI: 0.45 - 0.97), while only regular physical activity (PR: 2.64; 95%CI: 1.28 - 5.46) and a good quality of life (PR: 1.44; 95%CI: 1.02 - 2.04) remained positively associated with adherence. Conclusion: As these are modifiable factors, the simplification of the therapeutic scheme and the regular practice of physical activity are key points for increasing adherence to the treatment of systemic arterial hypertension in Primary Care.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer reviewed
Avaliado pelos pares
texto
info:eu-repo/semantics/other
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1270
10.21876/rcshci.v12i2.1270
url https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1270
identifier_str_mv 10.21876/rcshci.v12i2.1270
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1270/808
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista Ciências em Saúde
https://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista Ciências em Saúde
https://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv AISI/HCI
publisher.none.fl_str_mv AISI/HCI
dc.source.none.fl_str_mv Revista Ciências em Saúde; v. 12 n. 2 (2022): Abril a Junho de 2022; 35-42
Health Sciences Journal; Vol 12 No 2 (2022): April to June 2022; 35-42
2236-3785
10.21876/rcshci.v12i2
reponame:Revista Ciências em Saúde
instname:Hospital de Clínicas de Itajubá
instacron:HCI
instname_str Hospital de Clínicas de Itajubá
instacron_str HCI
institution HCI
reponame_str Revista Ciências em Saúde
collection Revista Ciências em Saúde
repository.name.fl_str_mv Revista Ciências em Saúde - Hospital de Clínicas de Itajubá
repository.mail.fl_str_mv rcs@hcitajuba.org.br||rcsfmit@medicinaitajuba.com.br
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