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Rev. méd. Chile ; 143(5): 569-576, tab
Article Dans Espagnol | LILACS | ID: lil-751701

Résumé

Background: Lack of adherence with medications is the main cause of antihypertensive treatment failure. Aim: To assess adherence to antihypertensive drugs and its determinants. Material and Methods: The Morinsky-Green questionnaire to determine treatment adherence was applied to 310 hypertensive patients from primary care centers, aged 60 ± 10 years (65% females) in treatment for 4 ± 1 months. Socio-demographic features, use of medications and quality of life using EQ5D questionnaire were also assessed. Results: Twenty percent of patients were diabetic and 19% were smokers. Fifty four percent were adherent to therapy. A higher age and being unemployed were associated with a higher compliance. The main reasons to justify the lack of adherence were forgetting to take the pills in 67% and adverse effects in 10%. Only diastolic pressure was lower in adherent patients, compared with their non-adherent counterparts (78 ± 12 and 81 ± 17 mmHg, respectively p < 0.01). Conclusions: Only half of hypertensive patients comply with their antihypertensive therapy.


Sujets)
Sujet âgé , Femelle , Humains , Mâle , Adulte d'âge moyen , Antihypertenseurs/usage thérapeutique , Hypertension artérielle/traitement médicamenteux , Adhésion au traitement médicamenteux/statistiques et données numériques , Facteurs âges , Antihypertenseurs/administration et posologie , Études transversales , Modèles logistiques , État nutritionnel/physiologie , Soins de santé primaires , Études prospectives , Qualité de vie/psychologie , Facteurs socioéconomiques , Enquêtes et questionnaires , Chômage/psychologie
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