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Published on: May 26, 2022
[Barriers to hypertension treatment]
Maria Vilani Cavalcante Guedes1, Thelma Leite de Araujo, Marcos Venícios de Oliveira Lopes
1Universidade Estadual do Ceará, Curso de Graduação em Enfermagem, Mestrado Acadêmico em Cuidados Clínicos em Saúde, Fortaleza-CE, Brasil. vilani_guedes@hotmail.com
Insights
Financial struggles, complex medication regimens, and physical activity pose significant barriers to hypertension treatment compliance. Addressing these factors is crucial for better blood pressure control in patients.
Area of Science:
- Cardiology
- Public Health
- Health Management
Context:
- Hypertension management in basic health units in Fortaleza-Ceará, Brazil.
- Study population: 246 patients in a hypertension control program for at least one year.
- Cross-sectional, descriptive study design.
Purpose:
- To identify barriers to treatment non-compliance in hypertensive patients.
- To explore factors affecting blood pressure control.
- To understand challenges in managing hypertension within a primary care setting.
Summary:
- 69 out of 246 patients achieved normal blood pressure levels.
- Key barriers identified: poor financial condition, polypharmacy, and challenges with physical activity.
- Treatment adherence is influenced by patient-related, environmental, and healthcare access factors.
Impact:
- Highlights the multifaceted nature of hypertension treatment barriers.
- Informs strategies for improving patient adherence and blood pressure management.
- Provides insights for healthcare providers and policymakers in primary care settings.
Abstract:
The objective was to describe the barriers faced by people with hypertension for non compliance to treatment and control the levels of blood pressure. This is a transversal and descriptive study which was carried out in 6 basic health units in Fortaleza-Ceará, Brazil. The population consisted of 246 people enrolled in the program to Control Hypertension for at least a year. Data were collected using a structured interview and electronic chart. Of them, 69 showed normal blood pressure levels. The main barriers discovered were: poor financial condition, continuous treatment with many medicines and practice physical activity. It was concluded that barriers to the anti-hypertensive treatment include the sick people, their environment and their access to health care.
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