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[Therapeutic adherence in users of a cardiovascular health program in primary care in Chile]
Lizet Veliz-Rojas1, Sara Mendoza-Parra2, Omar A Barriga3
1Facultad de Medicina, Universidad Católica del Norte, Coquimbo, Chile.
Insights
Therapeutic adherence to cardiovascular health programs is low, with only 1.5% always following instructions. This highlights the need for strategies addressing health equity and social determinants.
Area of Science:
- Cardiology
- Public Health
- Health Behavior
Background:
- Cardiovascular diseases are a leading cause of mortality globally.
- Effective management relies on patient adherence to treatment plans.
- Primary care plays a crucial role in managing chronic conditions like cardiovascular disease.
Purpose of the Study:
- To evaluate therapeutic adherence among participants in a cardiovascular health program.
- To identify factors influencing adherence within this specific population.
- To inform the development of targeted interventions.
Main Methods:
- Cross-sectional correlational study involving 257 adults (18-60 years).
- Utilized Miller's health behavior scale and medical record review.
- Employed SPSS for descriptive and inferential statistical analyses.
Main Results:
- Low therapeutic adherence was observed, with only 1.5% consistently following medical advice.
- Stress management monitoring showed the highest adherence.
- Adherence was significantly associated with paid employment (p=0.025) and social activity participation (p=0.005).
Conclusions:
- Cardiovascular health program users exhibit low therapeutic adherence.
- Strategies promoting adherence must consider health equity and social determinants.
- Future interventions should focus on improving adherence through a socio-ecological approach.
Objectives:
To analyze therapeutic adherence in users of a cardiovascular health program in primary care in the community of San Pedro de la Paz in the region of Bío Bío, Chile.
Materials And Methods:
Cross-sectional and correlational study with a sample of 257 people aged 18-60 years. A questionnaire that included the Miller´s health behavior scale to measure adherence, and review of medical records was performed. Descriptive univariate and bivariate analyses supported in SPSS were performed.
Results:
Of the total participants, 157 (61.1%) were women. The health behavior scale reflected non-adherence of participants, as only 4 (1.5%) indicated that they always followed the instructions provided by the health team. The subscale monitoring stress management had the highest average, indicating that in this aspect there was greater adherence of the participants. Associations between therapeutic adherence and doing paid work (p=0.025) and with participation in social activities (p=0.005) were found.
Conclusions:
Therapeutic adherence in users of the cardiovascular health program was low. It is important to develop strategies that favor therapeutic adherence from the perspective of equity and social determinants of health.
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Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...