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[Adherence to anti-hypertensive treatment within a chronic disease management 
program: a longitudinal, retrospective

Ana Carolina Nascimento Raymundo1, Angela Maria Geraldo Pierin2

  • 1School of Nursing, University of São Paulo, São Paulo, SP, Brazil.

Revista Da Escola De Enfermagem Da U S P
|December 11, 2014
PubMed

Insights

Nurse-led chronic disease management significantly improved medication adherence and blood pressure control in hypertension patients. This approach enhances treatment compliance and patient outcomes.

Area of Science:

  • Cardiology
  • Pharmacology
  • Public Health

Context:

  • Hypertension management requires consistent pharmacological treatment adherence.
  • Chronic disease management programs are crucial for long-term patient care.
  • Assessing adherence and identifying influencing factors is vital for effective hypertension control.

Purpose:

  • To evaluate the effectiveness of a nurse-led chronic disease management program on pharmacological treatment adherence in hypertension patients.
  • To identify variables associated with improved adherence to antihypertensive medications.
  • To assess the impact of enhanced adherence on blood pressure control.

Summary:

  • A 17-month longitudinal study of 283 hypertension patients (mean age 73.4 years, 62.5% women) utilized nurse-led interventions including telephone advice and home visits.
  • The program resulted in a significant increase in treatment adherence (25.1% to 85.5%) and a decrease in blood pressure (p<0.05).
  • Adherence was higher in patients with hypertension and chronic renal failure, and those on angiotensin-converting enzyme inhibitors, but lower with angiotensin receptor blockers (p<0.05).

Impact:

  • Nurse-performed chronic disease management strategies effectively increase adherence to antihypertensive treatments.
  • Improved adherence contributes to better blood pressure control, thereby reducing morbidity in hypertensive patients.
  • This model demonstrates a successful intervention for enhancing medication compliance and health outcomes in a chronic disease population.
Abstract

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