2015, Number 1
Adherence to treatment observed in hypertensive patients from health areas of three cuban provinces
Martín AL, Bayarre VH, Corugedo RMC, Vento IF, La Rosa MY, Orbay AMC
Language: Spanish
References: 11
Page: 33-45
PDF size: 161.18 Kb.
ABSTRACT
Introduction: the evaluation of the levels of adherence to treatment of hypertensive patients is of great importance to determine the scope of a problem that restricts the efficiency of the prescribed therapies.Objectives: to evaluate the levels of adherence to treatment of hypertensive individuals from primary health care areas and to describe the behaviors of its components in these areas.
Methods: health areas from municipalities located in La Habana, Cienfuegos and Gramma provinces were selected. The "Martin_Bayarre_Grau" questionnaire was applied to evaluate the levels of adherence to treatment and to describe its components: personal involvement, physician-patient relationship and compliance with treatment, by means of the scores obtained in the questionnaire item answers.
Results: total adherence to treatment prevailed in all the territories, which represented approximately 50% of patients, followed by partial adherence. The lowest values went to the non-adherence to treatment. The component called personal involvement presented high and low values whereas the physician-patient relationship showed intermediate values. The component called compliance with treatment had high, intermediate and low values as well.
Conclusions: total adherence to treatment in hypertensive patients is less than what was expected since roughly half of the participants achieved it. The patient's involvement and the compliance with the prescriptions, particularly the drug use indications were the ones that mostly supported the levels of treatment adherence found in the study. Exercise practicing showed the worst result. The relationship between the medical professional and the patients may contribute even more to the adherence to treatment process.
REFERENCES
Corugedo M del C, Martín L, Bayarre H. Adherencia terapéutica en pacientes con hipertensión arterial del Policlínico Universitario "Manuel Fajardo" en el Municipio Cruces, Cienfuegos, 2009. Rev Cubana Med Gen Integr. 2011 [citado 2 Sept 2014];27(4):504-12. Disponible en: http://www.scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21252011000400009&lng=es