Adherence to anti-hypertensive treatment within a chronic disease management program: A longitudinal, retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000500811 |
Resumo: | Objective This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables. Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients. Results A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05). Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension. |
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Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective studyHypertensionMedication adherenceNursing careChronic diseaseTreatment outcome Objective This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables. Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients. Results A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05). Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension. Universidade de São Paulo, Escola de Enfermagem2014-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000500811Revista da Escola de Enfermagem da USP v.48 n.5 2014reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/S0080-6234201400005000006info:eu-repo/semantics/openAccessRaymundo,Ana Carolina NascimentoPierin,Angela Maria Geraldoeng2014-12-03T00:00:00Zoai:scielo:S0080-62342014000500811Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2014-12-03T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
title |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
spellingShingle |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study Raymundo,Ana Carolina Nascimento Hypertension Medication adherence Nursing care Chronic disease Treatment outcome |
title_short |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
title_full |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
title_fullStr |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
title_full_unstemmed |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
title_sort |
Adherence to anti-hypertensive treatment within a chronic disease management
program: A longitudinal, retrospective study |
author |
Raymundo,Ana Carolina Nascimento |
author_facet |
Raymundo,Ana Carolina Nascimento Pierin,Angela Maria Geraldo |
author_role |
author |
author2 |
Pierin,Angela Maria Geraldo |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Raymundo,Ana Carolina Nascimento Pierin,Angela Maria Geraldo |
dc.subject.por.fl_str_mv |
Hypertension Medication adherence Nursing care Chronic disease Treatment outcome |
topic |
Hypertension Medication adherence Nursing care Chronic disease Treatment outcome |
description |
Objective This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables. Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients. Results A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05). Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000500811 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000500811 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0080-6234201400005000006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.48 n.5 2014 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936536953454592 |