medigraphic.com
Órgano de Difusión de la Asociación Académica Panamericana de Medicina Familiar A.C.

2008, Number 1

<< Back Next >>

Arch Med Fam 2008; 10 (1)

Pharmacological Compliance in Patients with High Blood Pressure at a Family Medicine Unit in Obregon City, Sonora, Mexico

Castañeda-Sánchez O, López del Castillo-Sánchez D, Araujo-López A

Language: Spanish
References: 20
Page: 3-6
PDF size: 155.76 Kb.


ABSTRACT

Objective: To determine compliance with antihypertensive drugs in patients with high blood pressure at a Family Medicine Unit in Sonora, Mexico. Materials and Methods: A descriptive transversal study was carried in patients with high blood pressure aged between 30 and 50 years, first at the clinic and subsequently, 15–20 days later at their home address, with five patients selected per work day who were chosen at random. Variables included age, gender, civil state, schooling, occupation, high blood pressure evolution time, lifestyle, and compliance with antihypertensive drugs. Compliance was measured by means of pill count, good compliance considered as between 80 and 110%. Data analysis included frequencies, percentages, central tendency measurements, and variance. Results: Of the 96 patients studied, 85 % exhibited compliance with antihypertensive drugs. A total of 42 % of individuals surveyed were in 40–45-years-of-age group and 69 % of these were females, with 78 % of subjects with ‹10 years of high blood pressure evolution. Conclusions: Compliance with pharmacological drugs appeared in the 85.4% of the studied population, and compliance was considered as good when it averaged 93 %. Nevertheless, strategies must be sought for pharmacological compliance in 100% of the population in order to obtain the control of high blood pressure and to prevent its possible complications.


REFERENCES

  1. Santana-Gómez A, Castañeda–Limones R. Descontrol del paciente hipertenso e incumplimiento del tratamiento farmacológico. Rev Med IMSS 2001;39(6):523-9

  2. Anuario estadístico 2002. Casos nuevos de hipertensión en el Estado de Sonora. Disponible en: http://www.salud-sonora.gob.mx/ Acceso 5 de julio de 2003.

  3. Garduño-Espinosa J, Martínez–García M, Fajardo-Gutiérrez A, Ortega-Álvarez M, Álvarez-Espinosa A, Vega-Pérez V et al. Frecuencia y factores de riesgo asociados al incumplimiento terapéutico con Metronidazol. Rev Inv Clin 1992;44: 235-40.

  4. Cramer JA, Mattson RH, Prevey ML, Sheyer RD, QuelletteVL. How often is Medication Taken as prescribed? JAMA 1989;261(22):3273-7.

  5. Riera M, La Fuente LL, Castanyer B, Puigventos F, Villalonga C, Ribas MA et al. Adherence to antiretroviral therapy measured by pill count and drug serum concentrations. Variables associated with a bad adherence. Med Clin 2002;119(8):286-92.

  6. Reyes H, Muñoz O, Guiscafre H, Pérez-Cuevas R, Libreros V, Gutiérrez G. Cumplimiento terapéutico y desperdicio de medicamentos. Gac Med Mex 1992;128:543-548.

  7. Reto N, Kerstin S, Thomas D, Benedict M, Edourd B. Relation between insufficient response to antihypertensive treatment and poor compliance with treatment. BM J 2001;323:142-6.

  8. Urien AM, Guillén VF, Beltrán DO, Pinzotas CL, Pérez ER, Arocena MO et al. Telephonic back-up improves antibiotic compliance in acute tonsilitis/pharyngitis. Int J Antimicrob Agents 2004;23(2):138-43.

  9. Isaza CA, Moncada JC, Mesa G, Osorio FJ. Effectiveness of treatments for hypertension in a sample of Colombian patients. Biomedica 2004;24(3):273-81.

  10. Patel RP, Taylor SD. Factors affecting medication adherence in hypertensive patients. Ann Pharmacother 2002;36(1):40-45.

  11. Svenssons S, Kjellgren KI, Ahlner J, Saljo R. Reasons for adherence with antihypertensive medication. Int J Cardiol 2000;76(2-3):157-163.

  12. Feldman R, Bacher M, Campbell N, Drover A, Chockalingam A. Adherence to pharmacologic management of hypertension. Can J Public Health 1998;89(5):116-118.

  13. Krousel WM, Thomas S, Muntner P, Morisky D. Medication adherence: a key factor in achieving blood pressure control and good clinical outcomes in hypertensive patients. Curr Opin Cardiol 2004;19(4):357-362.

  14. Schroeder K, Fahey T, Ebrahim S. Interventions for improving adherence to treatment in patients with high blood pressure in ambulatory settings. Cochrane Database Syst Rev 2004;(2):CD004804. Comment in: Evid Based Nurs 2004;7(4):110.

  15. Morrell RW, Park DC, Kidder DP, Martin M. Adherence to antihypertensive medications across the life span. Gerontologist 1997;37(5):609- 619.

  16. Kirscht JP, Rosenstock IM. Patient adherence to antihypertensive medical regimens. J Community Health 1997;3(2):115-124.

  17. Johnson MJ, Williams M, Marshall ES. Adherent and nonadherent medication-taking in elderly hypertensive patients. Clin Nurs Res 1999;8(4):318-335.

  18. Marín-Reyes F, Rodríguez-Moran M. Apoyo familiar en el apego al tratamiento de la hipertensión arterial esencial. Salud Publica 2001;43(4):336-9.

  19. Johnell K, Rastam L, Lithman T, Sundquist J, Merlo J. Low adherence with antihypertensive in actual practice: the association with social participation -a multilevel analysis. BMC Public Health 2005;5(1):17.

  20. ¿Qué es PREVENIMSS? Disponible en: http://www.imss.gob.mx/IMSS/IMSS_SITIOS/IMSS_06/Institucion/DPM/.




2020     |     www.medigraphic.com