Access and rational use of hypertension medications in primary health care

Detalhes bibliográficos
Autor(a) principal: Fernandes, Patrícia Sueli Lisboa Portilho
Data de Publicação: 2020
Outros Autores: Bezerra, Italla Maria Pinheiro, Temer, Joseana Cerqueira de Carvalho, Abreu, Luiz Carlos de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/10732
Resumo: Objective: To analyze access to drugs and factors associated with their use by hypertensive users in Primary Health Care. Methods: Observational, descriptive, and cross-sectional study, using a validated questionnaire as a tool for collecting access to drugs and the factors that influence their use. The variables used were: sex, age, education, length of treatment, and quantity of antihypertensive drugs used. The use of drugs by 250 hypertensive patients, over 18 years of age, monitored by the Family Health Support Center in Manhuaçu, Minas Gerais, Brazil, were evaluated. Data collection took place in April and May 2018. The STATA program, version 15.1, was used for statistical analysis. The variables were presented in absolute and relative frequency, and the chi-square test was performed. Results: A statistical association was identified between the time of treatment and age (p=0.006), between the use of drugs on the previous day and age (p=0.030), and between forgetting the drug while traveling and sex (p=0.007). Regarding rational habits, 91.2% (n=228) of the patients did not stop taking their drugs, even though they felt the pressure was under control. 84.4% (n=211) of the participants did not feel uncomfortable for following the treatment correctly and 80.8% (n=202) did not neglect adherence to pharmacological treatment. Conclusion: Users have access to drugs and make rational use of it, following the treatment properly, with good habits. The number of drugs used did not influence the continuity of treatment and the level of education did not show a statistical association in the use of antihypertensive drugs.
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spelling Access and rational use of hypertension medications in primary health careAcceso y utilización racional de medicamentos para la hipertensión en la atención primaria de saludAcesso e uso racional de medicamentos para hipertensão na atenção primária à saúdePharmaceutical ServicesDrug UtilizationHypertensionServicios FarmacéuticosUtilización de MedicamentosHipertensiónAssistência FarmacêuticaUso de MedicamentosHipertensãoObjective: To analyze access to drugs and factors associated with their use by hypertensive users in Primary Health Care. Methods: Observational, descriptive, and cross-sectional study, using a validated questionnaire as a tool for collecting access to drugs and the factors that influence their use. The variables used were: sex, age, education, length of treatment, and quantity of antihypertensive drugs used. The use of drugs by 250 hypertensive patients, over 18 years of age, monitored by the Family Health Support Center in Manhuaçu, Minas Gerais, Brazil, were evaluated. Data collection took place in April and May 2018. The STATA program, version 15.1, was used for statistical analysis. The variables were presented in absolute and relative frequency, and the chi-square test was performed. Results: A statistical association was identified between the time of treatment and age (p=0.006), between the use of drugs on the previous day and age (p=0.030), and between forgetting the drug while traveling and sex (p=0.007). Regarding rational habits, 91.2% (n=228) of the patients did not stop taking their drugs, even though they felt the pressure was under control. 84.4% (n=211) of the participants did not feel uncomfortable for following the treatment correctly and 80.8% (n=202) did not neglect adherence to pharmacological treatment. Conclusion: Users have access to drugs and make rational use of it, following the treatment properly, with good habits. The number of drugs used did not influence the continuity of treatment and the level of education did not show a statistical association in the use of antihypertensive drugs.Objetivo: Analizar el acceso de medicamentos y los factores asociados con su utilización por usuarios de la Atención Primaria de Salud con hipertensión. Métodos: Estudio observacional, descriptivo y de corte transversal. El instrumento de recogida de datos ha sido un cuestionario validado sobre el acceso de medicamentos y los factores que influyen en su utilización. Se ha utilizado las variables sexo, edad, escolaridad, tempo de tratamiento y cantidad de medicamentos utilizados para la hipertensión. Se evaluó la utilización de los medicamentos a través de 250 pacientes con hipertensión, mayores de 18 años en seguimiento en el Núcleo de Apoyo para la Salud de la Familia de Manhuaçu, Minas Gerais, Brasil. La recogida de datos se dio entre abril y mayo de 2018. Para el análisis estadístico se utilizó la versión 15.1 del programa STATA. Las variables han sido presentadas en frecuencia absoluta y relativa y se ha utilizado la prueba chi-cuadrado. Resultados: Se ha identificado asociación estadística entre el tiempo de tratamiento y la edad (p=0,006), entre el uso de medicamento en el día antes y la edad (p=0,030) y entre el olvido de la medicación en viajes y el sexo (p=0,007). Respecto los hábitos racionales, el 91,2% (n=228) de los pacientes no pararon de tomar la medicación aunque sentían la tensión controlada. El 84,4% (n=211) de los participantes no han sentido incómodo por seguir correctamente el tratamiento y el 80,8% (n=202) no presentaron despreocupación para la adhesión al tratamiento farmacológico. Conclusión: Los usuarios presentaron acceso a los medicamentos y los utilizan de manera racional siguiendo el tratamiento de modo apropiado y con buenos hábitos. El número de fármacos utilizados no ha influenciado en el seguimiento del tratamiento y el nivel de escolaridad no presentó asociación estadística con la utilización de antihipertensivos.Objetivo: Analisar o acesso aos medicamentos e fatores associados ao seu uso por usuários hipertensos na Atenção Primária em Saúde. Métodos: Estudo observacional, descritivo e de corte transversal, tendo como instrumento para coleta um questionário validado que abordou o acesso aos medicamentos e os fatores que influenciam seu uso. Utilizaram-se as variáveis: sexo, idade, escolaridade, tempo de tratamento e quantidade de medicamentos anti-hipertensivos utilizada. Avaliou-se o uso dos medicamentos por 250 pacientes hipertensos, maiores de 18 anos, acompanhados pelo Núcleo de Apoio à Saúde da Família em Manhuaçu, Minas Gerais, Brasil. A coleta dos dados ocorreu em abril e maio de 2018. Utilizou-se o programa STATA, versão 15.1, para análise estatística. Apresentaram-se as variáveis em frequência absoluta e relativa, sendo realizado o teste qui-quadrado. Resultados: Identificou-se associação estatística entre o tempo de tratamento e a idade (p=0,006), entre o uso de medicamento no dia anterior e a idade (p=0,030) e entre o esquecimento do medicamento em viagens e o sexo (p=0,007). Em relação aos hábitos racionais, 91,2% (n=228) dos pacientes não pararam de tomar os medicamentos, mesmo sentindo a pressão controlada. Já 84,4% (n=211) dos participantes não sentiram incômodo por seguir corretamente o tratamento e 80,8% (n=202) não apresentaram descuidos na adesão ao tratamento farmacológico. Conclusão: Os usuários apresentaram acesso aos medicamentos e fazem o uso racional do mesmo, seguindo o tratamento apropriadamente, com bons hábitos. O número de fármacos utilizados não influenciou a continuidade do tratamento e o nível de escolaridade não apresentou associação estatística na utilização dos anti-hipertensivos.Universidade de Fortaleza2020-10-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/1073210.5020/18061230.2020.10732Brazilian Journal in Health Promotion; Vol. 33 (2020)Revista Brasileña en Promoción de la Salud; Vol. 33 (2020)Revista Brasileira em Promoção da Saúde; v. 33 (2020)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/10732/pdfhttps://ojs.unifor.br/RBPS/article/view/10732/pdf_1Copyright (c) 2020 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessFernandes, Patrícia Sueli Lisboa PortilhoBezerra, Italla Maria PinheiroTemer, Joseana Cerqueira de CarvalhoAbreu, Luiz Carlos de2020-12-09T14:40:29Zoai:ojs.ojs.unifor.br:article/10732Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2020-12-09T14:40:29Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Access and rational use of hypertension medications in primary health care
Acceso y utilización racional de medicamentos para la hipertensión en la atención primaria de salud
Acesso e uso racional de medicamentos para hipertensão na atenção primária à saúde
title Access and rational use of hypertension medications in primary health care
spellingShingle Access and rational use of hypertension medications in primary health care
Fernandes, Patrícia Sueli Lisboa Portilho
Pharmaceutical Services
Drug Utilization
Hypertension
Servicios Farmacéuticos
Utilización de Medicamentos
Hipertensión
Assistência Farmacêutica
Uso de Medicamentos
Hipertensão
title_short Access and rational use of hypertension medications in primary health care
title_full Access and rational use of hypertension medications in primary health care
title_fullStr Access and rational use of hypertension medications in primary health care
title_full_unstemmed Access and rational use of hypertension medications in primary health care
title_sort Access and rational use of hypertension medications in primary health care
author Fernandes, Patrícia Sueli Lisboa Portilho
author_facet Fernandes, Patrícia Sueli Lisboa Portilho
Bezerra, Italla Maria Pinheiro
Temer, Joseana Cerqueira de Carvalho
Abreu, Luiz Carlos de
author_role author
author2 Bezerra, Italla Maria Pinheiro
Temer, Joseana Cerqueira de Carvalho
Abreu, Luiz Carlos de
author2_role author
author
author
dc.contributor.author.fl_str_mv Fernandes, Patrícia Sueli Lisboa Portilho
Bezerra, Italla Maria Pinheiro
Temer, Joseana Cerqueira de Carvalho
Abreu, Luiz Carlos de
dc.subject.por.fl_str_mv Pharmaceutical Services
Drug Utilization
Hypertension
Servicios Farmacéuticos
Utilización de Medicamentos
Hipertensión
Assistência Farmacêutica
Uso de Medicamentos
Hipertensão
topic Pharmaceutical Services
Drug Utilization
Hypertension
Servicios Farmacéuticos
Utilización de Medicamentos
Hipertensión
Assistência Farmacêutica
Uso de Medicamentos
Hipertensão
description Objective: To analyze access to drugs and factors associated with their use by hypertensive users in Primary Health Care. Methods: Observational, descriptive, and cross-sectional study, using a validated questionnaire as a tool for collecting access to drugs and the factors that influence their use. The variables used were: sex, age, education, length of treatment, and quantity of antihypertensive drugs used. The use of drugs by 250 hypertensive patients, over 18 years of age, monitored by the Family Health Support Center in Manhuaçu, Minas Gerais, Brazil, were evaluated. Data collection took place in April and May 2018. The STATA program, version 15.1, was used for statistical analysis. The variables were presented in absolute and relative frequency, and the chi-square test was performed. Results: A statistical association was identified between the time of treatment and age (p=0.006), between the use of drugs on the previous day and age (p=0.030), and between forgetting the drug while traveling and sex (p=0.007). Regarding rational habits, 91.2% (n=228) of the patients did not stop taking their drugs, even though they felt the pressure was under control. 84.4% (n=211) of the participants did not feel uncomfortable for following the treatment correctly and 80.8% (n=202) did not neglect adherence to pharmacological treatment. Conclusion: Users have access to drugs and make rational use of it, following the treatment properly, with good habits. The number of drugs used did not influence the continuity of treatment and the level of education did not show a statistical association in the use of antihypertensive drugs.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/10732
10.5020/18061230.2020.10732
url https://ojs.unifor.br/RBPS/article/view/10732
identifier_str_mv 10.5020/18061230.2020.10732
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/10732/pdf
https://ojs.unifor.br/RBPS/article/view/10732/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 33 (2020)
Revista Brasileña en Promoción de la Salud; Vol. 33 (2020)
Revista Brasileira em Promoção da Saúde; v. 33 (2020)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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