1845/2011 - Adesão ao tratamento farmacológico e não farmacológico da hipertensão arterial e fatores associados na atenção primária Adherence to pharmacological and non pharmacological treatment and associated factors in primary care
Com o objetivo de determinar a adesão ao tratamento farmacológico e não farmacológico da hipertensão arterial na atenção primária e identificar fatores associados, realizou-se estudo transversal com 385 hipertensos de 20 a 79 anos cadastrados em uma unidade de saúde da família de Londrina, Paraná. A adesão ao tratamento farmacológico foi de 59,0%. A atividade física regular foi relatada por 68 (17,7%) hipertensos, e 266 (69,1%) referiram mudanças da alimentação. Na análise de regressão múltipla, associaram-se à adesão ao tratamento farmacológico: maior idade (50 a 79 anos), ter recebido ao menos uma consulta ao ano, não ingestão regular de bebidas alcoólicas e infarto prévio. Hipertensos do sexo masculino, com escolaridade igual ou superior à 4ª série, que receberam pelo menos uma consulta ao ano, com diabetes e sem relato de colesterol elevado mostraram-se mais aderentes à atividade física regular. A realização de dieta associou-se à escolaridade inferior à 4ª série e ao fato de ter recebido no mínimo uma consulta ao ano. Tais resultados demonstram níveis variados de adesão ao tratamento e evidenciam a importância de ações integrais na atenção ao hipertenso.
Palavras-chave:
Adesão ao Tratamento Farmacológico
Hipertensão
Atenção Primária à Saúde
Fatores de Risco
Abstract:
To determine the adherence to pharmacological and non pharmacological treatment of hypertension in the primary care level and identify associated factors, a cross-sectional study was conducted with 385 hypertensive patients aged 20-79 years enrolled in a family health unit in Londrina, Parana, Brazil. The adherence to pharmacological treatment was 59.0%. Regular physical activity was reported by 68 (17.7%) hypertensive patients and 266 (69.1%) mentioned dietary changes. In the multiple regression analysis, adherence to drug treatment was associated with: increased age (50 to 79), consulting with a physician at least once a year, no regular alcohol consumption and previous myocardial infarction. Hypertensive males, with education equal or above the 4th grade, who had at least one consultation per year, with diabetes or no history of high cholesterol were more adherent to physical activity. Dietary changes associated with education below the 4th grade and consulting with a physician at least once a year. These results show variable levels of adherence to treatment and demonstrate the importance of integral actions in the attention of hypertensive patients.
Keywords:
Medication Adherence
Hypertension
Primary Health Care
Risk Factors
Adherence to pharmacological and non pharmacological treatment and associated factors in primary care
Resumo (abstract):
To determine the adherence to pharmacological and non pharmacological treatment of hypertension in the primary care level and identify associated factors, a cross-sectional study was conducted with 385 hypertensive patients aged 20-79 years enrolled in a family health unit in Londrina, Parana, Brazil. The adherence to pharmacological treatment was 59.0%. Regular physical activity was reported by 68 (17.7%) hypertensive patients and 266 (69.1%) mentioned dietary changes. In the multiple regression analysis, adherence to drug treatment was associated with: increased age (50 to 79), consulting with a physician at least once a year, no regular alcohol consumption and previous myocardial infarction. Hypertensive males, with education equal or above the 4th grade, who had at least one consultation per year, with diabetes or no history of high cholesterol were more adherent to physical activity. Dietary changes associated with education below the 4th grade and consulting with a physician at least once a year. These results show variable levels of adherence to treatment and demonstrate the importance of integral actions in the attention of hypertensive patients.
Palavras-chave (keywords):
Medication Adherence
Hypertension
Primary Health Care
Risk Factors
Girotto, E., Andrade, S.M., Matsuo, T., Cabrera, M.A.S.. Adesão ao tratamento farmacológico e não farmacológico da hipertensão arterial e fatores associados na atenção primária. Cien Saude Colet [periódico na internet] (2011/nov). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/adesao-ao-tratamento-farmacologico-e-nao-farmacologico-da-hipertensao-arterial-e-fatores-associados-na-atencao-primaria/9164?id=9164
