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Systemic Arterial Hypertension in the Emergency Service: medication adherence and understanding of this disease

Cássia Regina Vancini-Campanharo1, Gabriella Novelli Oliveira1, Thaisa Fernanda Landim Andrade2

  • 1Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Revista Latino-Americana De Enfermagem
|December 3, 2015
PubMed

Insights

Hypertension patients in Brazil showed moderate understanding and treatment adherence, with medication cost and recall as key barriers. Monotherapy may improve adherence by reducing forgetfulness.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Hypertension is a significant public health concern, particularly among hospitalized patients.
  • Understanding patient profiles and treatment adherence is crucial for effective management.

Purpose of the Study:

  • To determine the epidemiological characteristics of hypertension patients.
  • To assess patient comprehension of hypertension.
  • To evaluate treatment adherence rates and identify barriers in a Brazilian emergency service population.

Main Methods:

  • Cross-sectional study involving 116 adult patients hospitalized in a university hospital's emergency service.
  • Data collected included socio-demographics, comorbidities, physical activity, and disease knowledge.
  • Treatment adherence and barriers were assessed using the Morisky test and Brief Medication Questionnaire.

Main Results:

  • The majority of patients were women (55%), white (55%), married (51%), retired (64%), and had a low educational level (58%).
  • Moderate treatment adherence was observed in 55% of patients, with 'recall' being the most common barrier (67%).
  • Free medication acquisition correlated with higher treatment adherence.

Conclusions:

  • Hypertension patients exhibited a moderate level of disease understanding.
  • A strong link between polypharmacy and the recall barrier was identified.
  • Monotherapy could be a viable strategy to enhance treatment adherence and mitigate medication forgetfulness.
Abstract

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