Influencia de factores psicosociales en la adherencia al tratamiento farmacológico antihipertensivo: Resultados de una cohorte del Programa de Salud Cardiovascular de la Región Metropolitana, Chile / Influence of psychosocial factors on adherence to antihypertensive drug therapy: Results from a Cardiovascular Health Program cohort followed in the Metropolitan Region of Santiago, Chile
Rev. méd. Chile
; 142(10): 1245-1252, oct. 2014. tab
Article
en Es
| LILACS
| ID: lil-731655
Biblioteca responsable:
CL1.1
ABSTRACT
Background:
Inadequate blood pressure control in hypertensive patients remains a persistent health problem in Chile and worldwide. Poor adherence to antihypertensive drug therapy is one of the frequently cited factors.Objectives:
To determine the influence of psychosocial factors in the adherence to drug therapy in hypertensive patients followed through a Cardiovascular Health Program (CHP) that provides free access to primary care centers located in the Metropolitan Region of Santiago, Chile.Methods:
Cross sectional study. A randomized sample of 513 hypertensive patients (30 to 68 years) was obtained from a universe of 1.484 patients. Adherence to treatment was determined by the Morisky-Green-Levine test. Demographic, socioeconomic and average values of blood pressure were recorded. Validated questionnaires were utilized to assess the patient-physician relationship, awareness of being hypertensive, patient perception of social support, family cohesion, patient self-health assessment and symptoms of emotional stress and depression.Results:
The drug therapy adherence was 36.6%, higher in women (38.4% vs 28.9%; p < 0.001). After multivariate analysis, absence of adherence was associated with male gender (OR 1.76 [95% CI 1.21-2.56]), low education (OR 1.72 [95% CI 1.18 to 2.53]), inadequate patient-physician relationship (OR 1.56 [95% CI 1.13 to 2.27]), and high level of emotional stress and depression (OR 1.93 [95% CI 1.27 to 2.94]).Conclusions:
Our study highlights the influence of inadequate patient-physician relation, high level of emotional stress and depression, low education level and income and male gender in the lack of adherence to antihypertensive drug therapy in hypertensive patients followed throughout the CHP.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
LILACS
Asunto principal:
Cumplimiento de la Medicación
/
Hipertensión
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
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Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
País/Región como asunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2014
Tipo del documento:
Article
/
Project document
País de afiliación:
Chile