2021, Number 3
Educative program to promote therapeutic adherence in patients with hypertension from Manzanillo
Language: Spanish
References: 13
Page: 1-11
PDF size: 317.35 Kb.
ABSTRACT
Introduction: various research approach conducted in Cuba have revealed all difficulties experienced by hypertensive patients related to their adherence to treatment. Objective: to assess the effectiveness of the educative program. The program was based on the Health Belief Model, aimed to promote therapeutic adherence in patients with hypertension registered at the No. 6 family doctor´s office associated to the Policlínico Universitario “Ángel Alfonso Ortiz Vázquez”, in Manzanillo, Granma. Method: a study which included a quasi-experimental and an exercise intervention was carried out from September 2018 through April 2019. The universe of study consisted of 80 middle – age adults with hypertension. The sample included 18 patients. In the research process was used the Martín Bayarre Grau questionnaire, including in addition an enquiry performed by the authors. The statistic process was performed using absolute numbers and percentages, and was used the Chi-square test for homogeneity hypothesis test. The results are summarized in tables. Results: after program applied, patients with partial adherence, a 55.6%, were predominant. The 83.3% had a high perceived susceptibility and 94.4% had a high perceived severity. The 100% perceived many benefits from both pharmacological and hygienic-dietary treatment and 77.8% noted few barriers. Conclusions: the educative program was successfully effective, increasing therapeutic adherence in hypertensive patients, increasing the perceived susceptibility and severity of hypertensive complications, and the perceived benefits concerning treatment overcame the barriers.REFERENCES
Carhuallanqui R, Diestra Cabrera G, Tang Herrera J, Málaga G. Adherencia al tratamiento farmacológico en pacientes hipertensos atendidos en un hospital general. Rev Med Hered [Internet]. 2010 [citado 21 Dic 2020]; 21(4):[aproximadamente 15 p.]. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2010000400005
Tárraga López PJ, Moreno Cano C, Serrano Selva JP, Marcos Navarro ML. Adherencia terapéutica de pacientes hipertensos en zona semi-rural de Albacete y su relación con la calidad de vida [Internet]. España: Facultad de Medicina Albacete; 2016 [citado 16 Feb 2020]. Disponible en: http://www.ehrica.org/im/pdf/11ppadherencia.pdf
Ortega Cerda JJ, Sánchez Herrera D, Rodríguez Miranda ÓA, Ortega Legaspi JM. Adherencia terapéutica: un problema de atención médica. Acta Méd Grupo Ángeles [Internet]. 2018 Sep [citado 3 Mar 2020]; 16(3):[aproximadamente 6 p.]. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1870-72032018000300226&lng=es
Macía D, Méndez FX. Líneas actuales de investigación en Psicología de la Salud. En: Simón MA. Manual de Psicología de la Salud. Fundamentos, Metodología y Aplicaciones [Internet]. Madrid: Biblioteca Nueva; 1999. p. 217-245. [citado 16 Ene 2020]. Disponible en: https://dialnet.unirioja.es/servlet/libro?codigo=452751
Azorín Ras M, Martínez Ruiz M, Sánchez López AB, Ossa Moreno M de la, Hernández Cerón I, Tello Nieves GM, et al. Adherencia a la dieta mediterránea en pacientes hipertensos en Atención Primaria. Rev Clin Med Fam [Internet]. 2018 Feb [citado 3 Mar 2020]; 11(1):[aproximadamente 8 p.]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2018000100015&lng=es
Crespo Tejero N, Rubio Franco VJ, Casado Morales MI, Sánchez Martos J, Campo Sien C. Factores moduladores de la adherencia farmacológica en hipertensión arterial: estudio exploratorio. Rev Hipert Ries Vasc [Internet]. 2000 Ene [citado 1 Jun 2020]; 17(1):[aproximadamente 5 p.]. Disponibles en: http://www.elsevier.es/es-revista-hipertension-riesgo-vascular-67-sumario-vol-17-num-1-10007065