ASSESSMENT OF ADHERENCE TO ANTIHYPERTENSIVE THERAPY

Prevalencia y determinantes de adherencia a terapia antihipertensiva en pacientes de la Región Metropolitana

Author
Varleta, Paola; Fundación Salud y Corazón, Sociedad Chilena de Cardiología y Cirugía Cardiovascular. Hospital DIPRECA

Akel, Carlos; Fundación Salud y Corazón, Sociedad Chilena de Cardiología y Cirugía Cardiovascular. Universidad de Chile

Acevedo, Mónica; Fundación Salud y Corazón, Sociedad Chilena de Cardiología y Cirugía Cardiovascular. Universidad Católica de Chile

Salinas, Claudia; Fundación Salud y Corazón, Sociedad Chilena de Cardiología y Cirugía Cardiovascular.

Pino, Javier; CIAE ( Centro de Investigación Avanzada en Educación) , Universidad de Chile

Opazo, Viviana; Fundación Salud y Corazón, Sociedad Chilena de Cardiología y Cirugía Cardiovascular. Universidad Autónoma

García, Ana; CESFAM Ossandón, Comuna de la Reina, Santiago, Chile

Echegoyen, Carolina; CESFAM Santa Amalia, Comuna de la Florida, Santiago

Rodriguez, Daniel; CESFAM Presidenta Michelle Bachelet, Comuna de Maipu

Gramusset, Lissette; CESFAM Gustavo Molina, Comuna de Pudahuel

León, Sandra; CESFAM Ignacio Domeyko, Comuna de Santiago Centro

Cofré, Pedro; CESFAM Anibal Ariztía, Comuna de Las Condes

Hernández, Hilda; CESFAM Padre Gerardo Whelan, Comuna Peñalolen

Neira, Patricia; CESFAM Dr. Agustín Cruz Melo, Comuna Independencia

Retamal, Raquel; CESFAM Santa Julia, Comuna Macul,

Petit, Gloria; CESFAM Felix de Amesti, Comuna Macul

Moya, Natalia; CESFAM Santiago Occidente de Carabineros de Chile, Comuna Estación Central

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http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3877
Abstract
Background: Lack of adherence with medications is the main cause of antihypertensive treatment failure. Aim: To assess adherence to antihypertensive drugs and its determinants. Material and methods: The Morinsky-Green questionnaire to determine treatment adherence was applied to 310 hypertensive patients from primary care centers, aged 60 ± 10 years (65% females) in treatment for 4 ± 1 months. Socio-demographic features, use of medications and quality of life using EQ5D questionnaire were also assessed. Results: Twenty percent of patients were diabetic and 19% were smokers. Fifty four percent were adherent to therapy. A higher age and being unemployed were associated with a higher compliance. The main reasons to justify the lack of adherence were forgetting to take the pills in 67% and adverse effects in 10%. Only diastolic pressure was lower in adherent patients, compared with their non-adherent counterparts (78±12 and 81±17 mmHg, respectively p
 
Background: Lack of adherence with medications is the main cause of antihypertensive treatment failure. Aim: To assess adherence to antihypertensive drugs and its determinants. Material and methods: The Morinsky-Green questionnaire to determine treatment adherence was applied to 310 hypertensive patients from primary care centers, aged 60 ± 10 years (65% females) in treatment for 4 ± 1 months. Socio-demographic features, use of medications and quality of life using EQ5D questionnaire were also assessed. Results: Twenty percent of patients were diabetic and 19% were smokers. Fifty four percent were adherent to therapy. A higher age and being unemployed were associated with a higher compliance. The main reasons to justify the lack of adherence were forgetting to take the pills in 67% and adverse effects in 10%. Only diastolic pressure was lower in adherent patients, compared with their non-adherent counterparts (78±12 and 81±17 mmHg, respectively p
 
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