Revista Ciências em Saúde (Jun 2022)

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

  • Yuri Barbosa Araújo,
  • Jadyelle dos Santos Teixeira,
  • Emanuel Cardoso de Oliveira,
  • Glebson Santos Sobral,
  • Rafael Alexandre Meneguz-Moreno,
  • Ricardo Guimarães Amaral,
  • Sandra Lauton Santos,
  • Luciana Nalone Andrade

DOI
https://doi.org/10.21876/rcshci.v12i2.1270
Journal volume & issue
Vol. 12, no. 2

Abstract

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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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