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2014, Number 4

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Rev Cubana Farm 2014; 48 (4)

Adherence to antihypertensive treatment among patients living in San Miguel del Padrón municipality

Díaz MM, Herrera PY, Matéu LL

Language: Spanish
References: 15
Page: 588-597
PDF size: 131.46 Kb.


ABSTRACT

Introduction: studies on the prevalence of hypertension in Cuba show figures ranging 20 to 40 % of the adult population. At present, there is a wide therapeutic arsenal for the treatment of hypertension whereas health and hygiene criteria to maintain blood pressure levels within the normal range are known. The non-adherence to the therapeutic regimen is common in chronic diseases. As to blood hypertension, the numbers of noncompliant patients is a real concern since about 40 % do not follow drug treatment and 60-90% of them do not comply with the hygiene and food requirements. Non-compliance makes the prescribed treatment ineffective leading to increased morbidity and mortality.
Objective: to evaluate the adherence to antihypertensive treatment in a sample of hypertensive patients.
Methods: observational and descriptive study of a sample of patients from a health area of San Miguel del Padrón in Havana, Cuba, for which the test Morinsky-Green- Levine test, how frequent the drug is purchased at the drugstore and the blood pressure control were used to measure adherence to treatment. The study variables were age, sex, type of therapy and adherence.
Results: female hypertensive patients aged 70 to 79 years-old and using polytherapy in the main predominated. Just 30.4 % of the studied cases adhered to their treatment and were under control.
Conclusions: there is a real need of continuous educational work aimed at the hypertensive patient at the study community, mainly on the importance of adherence to treatment in hypertension.


REFERENCES

  1. Quintana-Setién C, Fernández-Britto JE. Adherencia terapéutica farmacológica antihipertensiva en adultos de atención primaria. Rev Cubana Investig Bioméd. 2009;28(2):1-6.

  2. Ministerio de Salud Pública. Anuario Estadístico de Salud 2012. [citado 10 dic 2013]. Disponible en: http://files.sld.cu/dne/files/2013/04/anuario_2012.pdf

  3. Martín L, Grau J. La investigación de la adherencia terapéutica como un problema de la psicología de la salud. Psicol Salud Méx. 2004;14(1):89-99.

  4. Kripalani S, Yao X, Haynes B. Interventions to enhance medication adherence in chronic medical conditions. Arch Intern Med. 2007;167:540-50.

  5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560-72.

  6. Hipertensión: Manejo clínico de hipertensión primaria en adulto s. Traducción de NICE clinical guideline 127. 2011 Agos [citado 15 octubre 2013]. Disponible en: http://www.nice.org.uk/guidance/CG127

  7. European Society of Hypertension and the European Society of Cardiology. Guidelines for Management of Arterial Hypertension. The Task Force for the Management of Arterial Hypertension. J Hyperten. 2007;25:1105-87.

  8. Pérez Caballero MD, Dueñas Herrera A, Alfonso Guerra JP, Vásquez Vigoa A, Navarro Despaigne D, Hernández Cueto M, et al. Hipertensión arterial. Guía para la prevención, diagnóstico y tratamiento. Comisión Nacional Técnica Asesora del Programa de Hipertensión Arterial. La Habana: Editorial de Ciencias Médicas; 2008.

  9. Pérez M. Guías para diagnóstico y tratamiento de la hipertensión arterial en el siglo XXI. Rev Cubana Med. 2013;52(4):286-94.

  10. Ingramo R. Estudio Nacional Sobre Adherencia al Tratamiento (ENSAT). Rev Feder Arg Cardiol Córdoba. 2005;34:105-9.

  11. Caro JJ, Speckman JL, Salas M. Effect of initial drug choice on persistence with antihypertensive therapy. The importance of actual practice data. Can Med Assoc J. 1999;160:41-6.

  12. Agámez-Paternina A, Hernández-Riera R, Cervera-Estrada L, Rodríguez-García Y. Factores relacionados con la no adherencia al tratamiento. Arch Méd Camagüey. 2008;12(5):2-6.

  13. Organización Mundial de la Salud (OMS). Adherencia a los tratamientos a largo plazo: pruebas para la acción [monografía en Internet]. Washington, DC: LILACS ID; 2004 [citado 20 sep 2013]. Disponible en: http://pesquisa.bvsalud.org/regional/resources/lil-426503

  14. Franco-Bonal A, Silva-Valido JA, Soto-Martínez O. Evaluación de adherencia terapéutica antihipertensiva en el adulto mayor. Rev Info Cien Guantánamo. 2010;68(4):2-6.

  15. Burt VL, Cutler JA, Higgins M, Horan MJ, Labarthe D, Whelton P, et al. Trends in the prevalence, awareness, treatment, and control of hypertension in the adult US population. Data from the health examination surveys, 1960 to 1991. Hypertension. 1995 Jul;26(1):60-9.




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