Universidade Federal de Goiás Regional Catalão/Universidade Federal de Catalão em implantação, Departamento de Enfermagem, Catalão, GO, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Rev Esc Enferm USP. 2020 Sep 21;54:e03590. doi: 10.1590/S1980-220X2018048903590. eCollection 2020.
To analyze the association between adherence to antihypertensive treatment and frailty syndrome in hypertensive older adults.
A descriptive, cross-sectional study with a quantitative approach with older adults. The data collection took place between November 2017 and March 2018, evaluating sociodemographic information, adherence to antihypertensive treatment, lifestyle and frailty through the Edmonton Frail Scale. The Kruskal-Wallis test and the Chi-squared test were used for data analysis, considering a 95% confidence interval and a significance level of p<0.05.
There were 193 older adults who participated in the study. The average age was 80.94 (sd ± 7.17) years, with a predominance of females (72%) and widows (43.5%). The factors which were associated with adherence to treatment were diastolic blood pressure, education and the time that the older adult had smoked (p<0.05). Frailty was not associated with treatment adherence levels (p=0.095).
There was no association between frailty scores and control of arterial hypertension; however, adequate monitoring and nursing care are essential in assessing adherence to treatment in order to reduce the aggravations of the disease and frailty syndrome development.
分析高血压老年患者的抗高血压治疗依从性与虚弱综合征之间的关系。
这是一项描述性、横断面研究，采用定量方法对老年人进行研究。数据收集于 2017 年 11 月至 2018 年 3 月进行，评估社会人口统计学信息、抗高血压治疗的依从性、生活方式和通过埃德蒙顿虚弱量表进行的虚弱情况。采用 Kruskal-Wallis 检验和卡方检验进行数据分析，置信区间为 95%，显著性水平为 p<0.05。
共有 193 名老年人参与了研究。平均年龄为 80.94（标准差±7.17）岁，女性（72%）和寡妇（43.5%）居多。与治疗依从性相关的因素有舒张压、教育程度和老年人吸烟的时间（p<0.05）。虚弱与治疗依从性水平无关（p=0.095）。
虚弱评分与动脉高血压的控制之间没有关联；然而，充分的监测和护理对于评估治疗依从性以减少疾病加重和虚弱综合征的发展至关重要。
