Antihypertensive treatment adherence in workers of a General Hospital

ABSTRACT Objective: to assess antihypertensive treatment adherence and associated factors in workers from a hospital. Method: cross-sectional research, consisting of 108 workers who self-reported as being hypertensive. Associations between sociodemographic, work and health variables were assessed regarding adherence. Results: the mean age was 44.2 years, with predominance of the female sex and workers from the nursing area. Through blood pressure measurement, 25% of participants were classified as non-controlled hypertensive patients. Approximately 88% reported taking some sort of medication; however, 79.6% did not adhere to the antihypertensive treatment. In the multiple regression analysis, the independent factors for non-adherence were hypercholesterolemia (OR=8.10; p=0.024) and missing medical appointments (OR=4.06; p=0.048). Conclusion: we verified a significant percentage of non-adherence. Since hypertension and cholesterol are asymptomatic diseases that require continuous treatment, hypertensive patients have difficulties to understand the importance of adhering to the treatment, even being health professionals or working in hospitals.摘要 研究目的：评估某医院职工的降压治疗依从性及其相关影响因素。方法：本研究为横断面研究，纳入108名自我报告为高血压患者的医院职工，分析社会人口学、工作相关及健康相关变量与治疗依从性之间的关联。结果：研究对象平均年龄为44.2岁，以女性及护理岗位职工居多。经血压测量，25%的研究对象被归类为血压未控制的高血压患者。约88%的研究对象报告服用过降压药物，但其中79.6%未依从降压治疗方案。多重回归分析结果显示，治疗非依从性的独立危险因素为高胆固醇血症（OR=8.10；P=0.024）以及未按时就诊（OR=4.06；P=0.048）。结论：本研究证实存在较高比例的降压治疗非依从情况。由于高血压与高胆固醇血症均为需长期治疗的无症状性疾病，即便研究对象为医院在职的卫生专业人员，仍难以充分理解坚持治疗的重要性。