Factors associated with adherence to pharmacological treatment in hypertensive patients enrolled in the HIPERDIA program
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
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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Revista Ciências em Saúde |
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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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1797068963319906304 |