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

Revista da Escola de Enfermagem da USP

Ana Carolina Nascimento Raymundo¹  Angela Maria Geraldo Pierin¹ 

关键词: Hypertension;    Medication adherence;    Nursing care;    Chronic disease;    Treatment outcome;    Hipertensión;    Cumplimiento de la medicación;    Atención de enfermería;    Enfermedad crónica;    Resultado del tratamiento;    Hipertensão;    Adesão à medicação;    Cuidados de enfermagem;    Doença crônica;    Resultado do tratamento;   

DOI  :  10.1590/S0080-6234201400005000006

来源: SciELO

【 摘 要 】

Objective This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables. Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients. Results A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05). Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension.

【 授权许可】

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