Adherence to pharmacological treatment of arterial hypertension in Primary Health Care

ABSTRACT The objective was to verify adherence to the pharmacological treatment of arterial hypertension and factors associated with the low adhesion of hypertensive people attached to Primary Health Care. Cross-sectional study, carried out in two Family Health Strategies in a municipality in the northwest region of RS. Data collection was carried out at home during the period of January-May 2016. The Brief Medication Questionnaire was used to check adherence to treatment. The study included 145 hypertensive of both sexes. Higher blood pressure values were identified among hypertensive patients with lower adherence than among adherents. Regarding the association of antihypertensive drugs, it was found that the higher the number of medications used, the lower the adherence. The factors related to decreased adherence were: low income, use of two or more antihypertensive drugs and difficulty reading the packaging of medications.

摘要：本研究旨在验证高血压患者的药物治疗依从性，并分析已纳入基层卫生保健（Primary Health Care）服务的高血压患者治疗依从性低下的相关影响因素。本研究为横断面研究，在RS州西北部某市镇的2个家庭健康策略（Family Health Strategies）项目中开展。数据采集于2016年1月至5月期间，于受访者家中完成。本研究采用简要用药问卷（Brief Medication Questionnaire）评估患者的治疗依从性。本研究共纳入145名不同性别的高血压患者。研究结果显示，依从性较差的高血压患者的血压水平显著高于依从性良好的患者。针对降压药物使用与治疗依从性的关联分析表明，患者使用的降压药物数量越多，其治疗依从性越低。与治疗依从性降低相关的影响因素包括：低收入、使用2种及以上降压药物，以及难以辨认药物包装文字。