2021, Number 1
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Aten Fam 2021; 28 (1)
Determination of Pharmacological Adherence in Hypertensive Elderly
Linares CLP, Linares CLB, Vitón CAA
Language: Spanish
References: 18
Page: 16-20
PDF size: 167.23 Kb.
ABSTRACT
Objective: to determine the behavior of
adherence to pharmacological treatment
in hypertensive elderly.
Methods: analytical
and cross-sectional study carried out
on hypertensive older adults assigned
to the Pedro Borras Astorga Teaching
Polyclinic, in Pinar del Río, during
2018. The study of the individual and
family health history, and the application
of instruments in the 298 individuals
that conformed the sample allowed the
collection of information related to the
studied variables, the tests χ
2 and Kruskal
Wallis were used to determine association
between them.
Results: 25.2% of the
participants belonged to the age group
65-69 years, women were the most representative
patients. The average was ten
years of disease evolution (6-14.5), 52.7%
showed polypharmacy, 89.6% attended
consultations occasionally. Age, gender,
marital status, cohabitation, schooling,
time of disease progression, presence of
polypharmacy, consultation attendance,
and level of knowledge showed a statistically
significant association (p‹0.05)
with drug adherence.
Conclusion: It was
determined the behavior of adherence,
and its association with sociodemographic
variables and others linked to the
patient’s condition was identified. This
will make possible to design new strategies
at the Primary Care level to improve
the disease control and reduce morbidity
and mortality figures in order to improve
the patient’s quality of life.
REFERENCES
Saqlain M, Riaz A, Malik MN, Khan S, Ahmed A, Kamran S, et al. Medication Adherence and Its Association with Health Literacy and Performance in Activities of Daily Livings among Elderly Hypertensive Patients in Islamabad, Pakistan. Medicina. 2019;55(5):163.
Nieto Poveda EC. Adherencia al tratamiento de enfermedades crónicas en adultos mayores con hipertensión arterial y diabetes tipo 2. REDIIS. 2018;2:44-57.
Franco Bonal A, Silva Valido JA, Soto Martínez O, Franco Bonal A. Evaluación de adherencia terapéutica antihipertensiva en el adulto mayor. Rev. inf. cient. 2018;97(6):1124-1134.
Pan J, Wu L, Wang H, Lei T, Hu B, MSa, et al. Determinants of hypertension treatment adherence among a Chinese population using the therapeutic adherence scale for hypertensive patients. Medicine. 2019;98(27):e16116.
Adeoye AM, Adebiyi AO, Adebayo OM, Owolabi MO. Medication adherence and 24-h blood pressure in apparently uncontrolled hypertensive Nigerian patients. Nigerian Postgrad Med J. 2019;26(1):18-24.
López Vázquez SA, Chávez Vega R. Adherencia al tratamiento antihipertensivo en pacientes mayores de 60 años. Rev haban cienc méd. 2016;15(1):40-50.
Tan ST, Quek RYC, Haldane V, Koh JJK, Han EKL, Ong SE, et al. The social determinants of chronic disease management: perspectives of elderly patients with hypertension from low socioeconomic background in Singapore. International Journal for Equity in Health. 2019;18:1.
Noale M, Limongi F, Maggi S. Epidemiology of Cardiovascular Diseases in the Elderly. Adv Exp Med Biol. 2020;1216:29-38.
Van Der Laan DM, Elders PJM, Boons CCLM, Beckeringh JJ, Nijpels G, Hugtenburg JG. Factors associated with antihypertensive medication nonadherence: a systematic review. J Hum Hypertens. 2017;31:687-694.
Martínez de Murga García G, Sujo Sit M, Estévez Perera A. Adherencia farmacológica en pacientes hipertensos. Rev Cubana Med Gen Integr. 2020;36(1):e982.
Alejos García ML, Marco Pinto JM. Nivel de conocimiento sobre hipertensión arterial en pacientes hipertensos [Tesis]. Lima: Universidad Peruana Cayetano Heredia; 2017. [Internet] [Citado en 2020 Oct 31] Disponible en: http://repositorio.upch.edu. pe/bitstream/handle/upch/1007/Nivel_AlejosGarcia_ Mireylle.pdf?sequence=3&isAllowed=y
Al-Ruthia YS, Hong SH, Graff C, Kocak M, Solomon D, Nolly R. Examining the relationship between antihypertensive medication satisfaction and adherence in older patients. Res. Soc. Adm. Pharm. 2017;13(3):602-613.
Zhou B, Bentham J, Di Cesare M, Bixby H, Danaei G, Cowan MJ, et al. Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19.1 million participants. Lancet. 2017;389(10064):37- 55.
Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: A systematic review and metaanalysis. Medicine. 2017;96(4):e5641.
Walsh CA, Cahir C, Bennett KE. Association between adherence to antihypertensive medications and health outcomes in middle and older aged community dwelling adults; results from the Irish longitudinal study on ageing. Eur J Clin Pharmacol. 2019;75:1283-1292.
Chudiak A, Uchmanowicz I, Mazur G. Relation between cognitive impairment and treatment adherence in elderly hypertensive patients. Clin Interv Aging. 2018;13:1409-1418.
Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: a systematic review by the ISPOR medication adherence and persistence special interest group. Value Health. 2013;16(5):863-71.
Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Arun Keepanasseril, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2014;11:CD000011.