Factores que influyen sobre la adherencia al tratamiento de pacientes hipertensos atendidos establecimientos públicos

This research aimed to determine the level of adherence on medication as well as the determinant factors of no adherence in hypertensive patients attended in public health centers. Two hundred four patients attended in public centers in Trujillo and Chimbote cities were interviewed between November...

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Bibliographic Details
Main Author: Ocampo Rujel, Percy Alberto
Format: Article
Language:Spanish
Published: 2014
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Online Access:https://dialnet.unirioja.es/servlet/oaiart?codigo=5127648
Source:In Crescendo, ISSN 2222-3061, Vol. 5, Nº. 2, 2014, pags. 181-192
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Summary: This research aimed to determine the level of adherence on medication as well as the determinant factors of no adherence in hypertensive patients attended in public health centers. Two hundred four patients attended in public centers in Trujillo and Chimbote cities were interviewed between November 2010 and January 2011 under a pharmacotherapy follow up program. The level of adherence was diagnosed by three test: Heiness - Sackett, Moriski Green Lavine and Counting tablets test. All of them were normalized test. The determinants of non-adherence were identified by a 20 questions test based on those factors proposed by the World Health Organization as mayor components of unaccomplished. Results shows high level of coincidence among these three tests used to measure non adherence was detected in Trujillo as well as in Chimbote (60.83 and 79.76% respectively). Social environment (27.47% and 22.72%) and health personnel performance (20.7% and 20.53%) were the dimension that most influenced negatively. Individual factors that most negatively influenced were self-medication (13.53% and 8.61%) and the appointment non attendance (12.88 and 7.59%). It is concluded that hypertensive patients of Trujillo and Chimbote cities are nonadherents to medical treatment and most negative contributors are patient social environment and the patient perception of health personnel.