Barreto Mayckel da Silva, Cremonese Isabela Zara, Janeiro Vanderly, Matsuda Laura Misue, Marcon Sonia Silva
Programa de Pós Graduação em Enfermagem, Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brasil.
Departamento de Estatística, Centro de Ciências Exatas, Universidade Estadual de Maringá, Maringá, PR, Brasil.
Rev Bras Enferm. 2015 Jan-Feb;68(1):54-60, 60-7. doi: 10.1590/0034-7167.2015680109p.
The aim of the study was to determine the prevalence of non-adherence to antihypertensive drug treatment and its association with factors bio-socio-economic and welfare.
It was a descriptive, cross-sectional study, performed with 422 hypertensive individuals. Data were collected through home interviews, conducted between December 2011 and March 2012.
The results showed that the respondents were mostly female, married, elderly, low income and little time of diagnosis. Were considered non adherent to medication 42.65% of participants. Non-Caucasian hypertensive patients, with fewer than eight years of schooling, who did not regularly attend doctor's appointments, took more than two anti-hypertensive medications and did not have private health insurance, showed higher likelihood of not complying with the drug treatment.
These findings suggest that hypertensive patients with unfavorable socioeconomic characteristics and difficulty of access to the service require different interventions in order to encourage them to adhere to medication treatment.
本研究旨在确定抗高血压药物治疗不依从的患病率及其与生物社会经济和福利因素的关联。
这是一项描述性横断面研究，对422名高血压患者进行。数据通过2011年12月至2012年3月期间进行的家庭访谈收集。
结果显示，受访者大多为女性、已婚、老年人、低收入且诊断时间短。42.65%的参与者被认为不依从药物治疗。非白种人高血压患者、受教育年限少于八年、不定期看医生、服用两种以上抗高血压药物且没有私人健康保险的患者，不遵守药物治疗的可能性更高。
这些发现表明，具有不利社会经济特征且难以获得医疗服务的高血压患者需要不同的干预措施，以鼓励他们坚持药物治疗。
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