Vancini-Campanharo Cássia Regina, Oliveira Gabriella Novelli, Andrade Thaisa Fernanda Landim, Okuno Meiry Fernanda Pinto, Lopes Maria Carolina Barbosa Teixeira, Batista Ruth Ester Assayag
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2015 Nov-Dec;23(6):1149-56. doi: 10.1590/0104-1169.0513.2660.
To identify the epidemiological profile of hypertension patients, how much they understand about the disease and the rate of adherence to treatment by these patients who had been hospitalized in the Brazilian emergency service.
This cross-sectional study was performed with 116 patients, both male and female and aged over 18 years, who had been hospitalized in the Emergency Service of a University Hospital between March and June, 2013. The studied variables were data referring to socio-demographics, comorbidities, physical activity and knowledge regarding the disease. Patient adherence to treatment and the identification of the barriers were respectively evaluated using the Morisky test and the Brief Medication Questionnaire.
Most of the patients involved in this study were women (55%), with white skin color (55%), married (51%), retirees or pensioners (64%) and with a low educational level (58%). Adherence to treatment, in most cases (55%), was moderate and the most prevalent adherence barrier was recall (67%). When medication was acquired at no cost to the patient, there was greater adherence to treatment.
This study's patients had a moderate understanding about the disease. The high correlation between the number of drugs used and the recall barrier suggests that monotherapy is an option that can facilitate treatment adherence and reduce how often the patients forget to take their medication.
确定高血压患者的流行病学特征、他们对该疾病的了解程度以及在巴西急诊服务机构住院的这些患者的治疗依从率。
本横断面研究对2013年3月至6月期间在一家大学医院急诊服务机构住院的116名患者进行，患者年龄均在18岁以上，男女不限。研究变量包括社会人口统计学、合并症、身体活动以及对疾病的了解情况等数据。分别使用Morisky测试和简明药物问卷对患者的治疗依从性和障碍进行评估。
参与本研究的大多数患者为女性（55%），肤色为白色（55%），已婚（51%），退休人员或领取养老金者（64%），教育水平较低（58%）。在大多数情况下（55%），治疗依从性为中等，最普遍的依从障碍是遗忘（67%）。当患者免费获得药物时，治疗依从性更高。
本研究中的患者对疾病有一定程度的了解。所用药物数量与遗忘障碍之间的高度相关性表明，单一疗法是一种可以促进治疗依从性并减少患者忘记服药频率的选择。
