[Determinant factors of therapeutic compliance in elderly hypertensive patients]. / Factores determinantes de cumplimiento terapéutico en adultos mayores hipertensos.

BACKGROUND: In Chile, less than 30% of treated hypertensive patients achieve normal blood pressure values. Lack of compliance with treatment may influence the lack of success of treatments. AIM: To identify determinant treatment compliance factors, according to the Health Belief Model, in elderly hypertensive patients. MATERIAL AND METHODS: A stratified and randomized sample with 245 elderly hypertensive patients, participating in the Cardiovascular Program of the San Pedro de la Paz Health Center in Chile, was studied. Modified Miller's Health Behavior Scale to measure therapeutic compliance and Health Belief Questionnaire to measure independent factors influencing compliance, were applied. Data analysis was done with Student's, test ANOVA and linear regression. RESULTS: Eight of 23 factors were predictors of compliance: gender, occupational activity, smoking, modification of health behaviors, difficulties to take medications, perception of treatment effectiveness, knowledge and perception about hypertension. CONCLUSIONS: Knowledge about factors that influence therapeutic compliance allows to modify health care programs and improve their effectiveness.

La toma de decisiones en salud y el modelo conceptual de Ottawa / Decision-making in health and the Ottawa decision-support framework

Objetivo: Realizar un análisis del Modelo de Toma de Decisiones en Salud de Ottawa, planteado por la enfermera canadiense Annette M. O’Connors, como una estrategia para resolver conflictos decisionales en salud. Se plantea su utilidad en la intervención que hace enfermería en la comunidad y la familia. Se concluye que el conflicto decisional surge frente a la toma de decisiones y los profesionales de la salud deben adoptar un rol protagónico en él, desarrollando habilidades para apoyar a sus pacientes o usuarios en los conflictos que deben enfrentar, teniendo el Modelo de toma de decisiones de Ottawa como un referencial útil para ayudarles, especialmente a las mujeres, a asumir un rol más activo en las decisiones que afectan su propia salud...

Factores determinantes de cumplimiento terapéutico en adultos mayores hipertensos / Determinant factors of therapeutic compliance in elderly hypertensive patients

Background: In Chile, less than 30% of treated hypertensive patients achieve normal blood pressure values. Lack of compliance with treatment may influence the lack of success of treatments. Aim: To identify determinant treatment compliance factors, according to the Health Belief Model, in elderly hypertensive patients. Material and methods: A stratified and randomized sample with 245 elderly hypertensive patients, participating in the Cardiovascular Program of the San Pedro de la Paz Health Center in Chile, was studied. Modified Miller's Health Behavior Scale to measure therapeutic compliance and Health Belief Questionnaire to measure independent factors influencing compliance, were applied. Data analysis was done with Student's, test ANOVA and linear regression. Results: Eight of 23 factors were predictors of compliance: gender, occupational activity, smoking, modification of health behaviors, difficulties to take medications, perception of treatment effectiveness, knowledge and perception about hypertension. Conclusions: Knowledge about factors that influence therapeutic compliance allows to modify health care programs and improve their effectiveness.

Toma de decisiones en salud en mujeres cuidadoras informales / Health decision-making in woman's informal caretakers

Estudio descriptivo y transversal que se propuso conocer las características biosociodemográficas y los determinantes de la toma de decisiones en salud de las mujeres cuidadoras informales del sector urbano de la comuna de Hualqui, Chile. Las muestra accidental fue de 55 mujeres (62 por ciento del universo), a las cuales se les aplicaron dos instrumentos: cuestionario para recolectar antecedentes biosociodemográficos y un cuestionario de valoración de necesidades de apoyo decisional a nivel poblacional basado en el Modelo de Ottawa de O’Connors. Para la tabulación de los datos y análisis descriptivo se utilizó SPSS. Los principales resultados fueron: el cuidado informal lo realizan mujeres entre 41 y 64 años, con educación básica incompleta, que sostienen en un 43 por ciento enfermedades crónicas; sus principales conflictos decisionales respecto a salud se refieren a seguir o no conductas curativas y preventivas por la necesidad de estar bien para cuidar a otros.