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关于高血压以及与药物治疗依从性不佳相关因素的知识。

Knowledge about hypertension and factors associated with the non-adherence to drug therapy.

作者信息

Barreto Mayckel da Silva, Reiners Annelita Almeida Oliveira, Marcon Sonia Silva

机构信息

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Faculdade de Filosofia Ciências e Letras de Mandaguari, Cuiabá, MT, Brazil.

出版信息

Rev Lat Am Enfermagem. 2014 May-Jun;22(3):491-8. doi: 10.1590/0104-1169.3447.2442.

Abstract

OBJECTIVES

to identify the degree of knowledge of people with hypertension concerning the disease and to verify the factors associated with the non-adherence to anti-hypertensive drug therapy.

METHOD

Cross sectional study, involving 422 people. Data collection took place at their homes, between December 2011 and March 2012, through interviews using the following instruments: Medication Adherence Questionnaire (MAQ-Q), Medication Regimen Complexity Index (MRCI) and a guide with questions related to sociodemographic profile, satisfaction with healthcare service and knowledge about the disease.

RESULTS

42.6% did not adhere to the drug therapy and 17.7% had poor knowledge about the disease. Factors associated with the non-adherence were: complex drug therapy, poor knowledge about the disease and dissatisfaction with the healthcare service.

CONCLUSION

The findings reinforce that the complex drug therapy prescriptions, little knowledge about the disease and dissatisfaction with the healthcare service have influence on the process of non-adherence to anti-hypertensive drug therapy.

摘要

目的

确定高血压患者对该疾病的了解程度,并验证与抗高血压药物治疗不依从性相关的因素。

方法

横断面研究,涉及422人。2011年12月至2012年3月期间,通过使用以下工具进行访谈在患者家中收集数据:药物治疗依从性问卷(MAQ-Q)、药物治疗方案复杂性指数(MRCI)以及一份与社会人口统计学特征、对医疗服务的满意度和对疾病的了解相关问题的指南。

结果

42.6%的患者未坚持药物治疗,17.7%的患者对疾病了解不足。与不依从性相关的因素有:复杂的药物治疗、对疾病了解不足以及对医疗服务不满意。

结论

研究结果强化了以下观点,即复杂的药物治疗处方、对疾病了解甚少以及对医疗服务不满意会影响抗高血压药物治疗的不依从过程。

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