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[参与居家医疗项目的高血压患者的药物依从性]

[Adherence to medication among hypertensive patients participating in the Medicine at Home Program].

作者信息

Mansour Samir Nicola, Monteiro Camila Nascimento, Luiz Olinda do Carmo

机构信息

Universidade de São Paulo, Faculdade de Medicina, São Paulo-SP, Brasil.

出版信息

Epidemiol Serv Saude. 2016 Jul-Sep;25(3):647-654. doi: 10.5123/S1679-49742016000300021.

Abstract

OBJECTIVE

to analyze adherence to medication and associated among factors hypertensive individuals taking part in the Medicine at Home Programme.

METHODS

this was a cross-sectional study using a questionnaire administered to patients with full access to medication participating in the São Paulo City Health Department's Medicine at Home Programme; treatment adherence was analyzed according to sociodemographic and behavioral characteristics using Poisson regression.

RESULTS

106 patients with arterial hypertension and with full access to medication were interviewed and 80.2% had high adherence; there were no significant differences (p>0.05) between adhering and non-adhering participants with regard to sociodemographic, behavioral or clinical characteristics.

CONCLUSION

with adequate provision of health care and full access to medicine, sociodemographic, behavioral and clinical factors did not influence adherence to medicine indicating that health service organization and health policies play a fundamental role in controlling hypertension.

摘要

目的

分析参与“居家用药计划”的高血压患者的用药依从性及其相关因素。

方法

这是一项横断面研究,采用问卷调查法,对完全能够获取药物的参与圣保罗市卫生局“居家用药计划”的患者进行调查;使用泊松回归分析根据社会人口学和行为特征得出的治疗依从性。

结果

对106例患有动脉高血压且能完全获取药物的患者进行了访谈,80.2%的患者依从性高;在社会人口学、行为或临床特征方面,依从和不依从的参与者之间无显著差异(p>0.05)。

结论

在提供充分医疗保健和完全获取药物的情况下,社会人口学、行为和临床因素不会影响用药依从性,这表明卫生服务组织和卫生政策在控制高血压方面发挥着根本性作用。

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