Adherence to antihypertensive therapy in patients over 60 years old

<p style="margin-bottom: .0001pt; line-height: 150%;"><span style="font-family: verdana; font-size: small;"><strong>Introduction</strong>: although the treatment of Hypertension reduces complications and mortality from this disease, about 30% of hypertensi...

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Bibliographic Details
Main Authors: Santiago A. López Vázquez (Author), Raúl Chávez Vega (Author)
Format: Book
Published: Universidad de Ciencias Médicas de La Habana, 2015-12-01T00:00:00Z.
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Summary:<p style="margin-bottom: .0001pt; line-height: 150%;"><span style="font-family: verdana; font-size: small;"><strong>Introduction</strong>: although the treatment of Hypertension reduces complications and mortality from this disease, about 30% of hypertensive patients are not well controlled. Failure of treatment is considered the responsible and main factor for the poor control of the disease. <strong>Objective</strong>: to characterize adherence to antihypertensive treatment of patients over 60 years at Consulting room 16, in "26 de Julio" Polyclinic, Havana. <strong><br /> Material and Method</strong>: a descriptive cross-sectional research, in 245 hypertensive patients over 60 years with drug treatment was performed. The variables studied were: age, biological sex, educational level, prescribed treatment, and treatment adherence and non-adherence reason. <strong><br /> Results</strong>: adherence to treatment was 58.3%. Patients with university level of education had 74% adherence. The daily treatment regimen of one drug had greater adherence to 73.8%. The increased adhesion was found in patients taking drugs with one daily dose: Atenolol (92.3%), Amlodipino (88.9%) or Enalapril (88.1%). Among the most frequent reasons for non-adherence to treatment were found to miss the doses (40%) and feeling good(38.2%). <strong><br /> Conclusions</strong>: adherence to therapy of hypertensive patients over 60 years is low. This problem is caused by several factors, mainly forgetting medication intakes, the dosing with a great number of medicines and poor perceptions of health risk which means inadequate control of the disease.</span></p><p style="margin-bottom: .0001pt; line-height: 150%;"><span style="font-family: verdana; font-size: small;"> <strong>Keywords:</strong> hypertension, adherence to therapy, pharmacological treatment, antihypertensive</span></p>
Item Description:1729-519X