Perception of people with arterial hypertension about aspects that influence treatment adherence
DOI:
https://doi.org/10.5902/2179769242403Keywords:
Nursing, Hypertension, Patient Compliance, Treatment Adherence and Compliance, Medication AdherenceAbstract
Objective: to describe the perception of people with arterial hypertension of the aspects that facilitate and hinder treatment adherence. Method: descriptive qualitative study developed with 16 people met in Nursing consultations. Interviews were conducted with a semi-structured guide and the content analysis technique was used. Data were collected between January and August 2017. Results: having willpower, family and multidisciplinary support, knowledge about the pathology and forms of prevention and fear of death facilitated adherence; on the other hand, little knowledge, laziness, lack of urban infrastructure and climatic conditions, habit of consuming unhealthy foods, alcoholic beverages and tobacco, cost of treatment and forgetfulness of taking the medication hindered adherence. Conclusion: the treatment of hypertension causes changes in the dynamics of life, being essential to have willpower, family and professional support, in addition to overcoming unhealthy habits.Downloads
References
Sociedade Brasileira de Cardiologia. 7ª Diretrizes Brasileiras de Hipertensão Arterial. Arq Bras Cardiol [Internet]. 2016 [acesso em 2019 mar 18];107(3):Supl. 3. Disponível em: http://publicacoes.cardiol.br/2014/diretrizes/2016/05_HIPERTENSAO_ARTERIAL.pdf
Forouzanfar MH, Liu P, Roth GA, Ng M, Biryukov S, Marczak L, et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990-2015. JAMA Netw Open. 2017;317(2):165-82. doi: https://doi.org/10.1001/jama.2016.19043
Malta DC, Gonçalves RPF, Machado IE, Freitas MIF, Azeredo C, Szwarcwald CL, et al. Prevalence of arterial hypertension according to different diagnostic criteria. Rev Bras Epidemiol. 2018;21(Suppl 1):e180021. doi: https://doi.org/10.1590/1980-549720180021.supl.1
Oparil S, Acelajado MC, Bakris GL, Berlowitz DR, Cífková R, Dominiczak AF, et al. Hypertension. Nat Rev Dis Primers. 2018;4:18014. https://doi.org/10.1038/nrdp.2018.14
Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: a systematic review and meta-analysis. Medicine (Baltimore). 2017;96(4):1-9. https://doi.org/10.1097/MD.0000000000005641
World Health Organization (WHO). Adherence to long term therapies: evidence for action [Internet]. Geneva: WHO; 2003 [cited 2019 Mar 18]. Available from: https://www.who.int/chp/knowledge/publications/adherence_full_report.pdf?ua=1
Santos RZ, Bonin CDB, Martins ETC, Pereira Junior M, Ghisi GLM, Macedo KRP, et al. Development and psychometric validation of HIPER-Q to assess knowledge of hypertensive patients in cardiac rehabilitation. Arq Bras Cardiol. 2017;110(1):60-8. doi: https://doi.org/10.5935/abc.20170183
World Health Organization (WHO). Global status report on noncommunicable diseases 2014 [Internet]. Geneva: WHO; 2014 [cited 2018 Jan 08]. Available from: https://www.who.int/nmh/publications/ncd-status-report-2014/en/
Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;1(24):67-74. doi: http://doi.org/10.1097/00005650-198601000-00007
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2011.
Machado JC, Cotta RMM, Moreira TR, Silva LS. Análise de três estratégias de educação em saúde para portadores de hipertensão arterial. Ciênc Saúde Colet. 2016;21(2):611-20. doi: https://doi.org/10.1590/1413-81232015212.20112014
Liu X, Zhang D, Liu Y, Sun X, Han C, Wang B, et al. Dose-response association between physical activity and incident hypertension. Hypertension. 2017;69(5):813-20. doi: https://doi.org/10.1161/HYPERTENSIONAHA.116.08994
Ribeiro AQ, Salgado SML, Gomes IS, Fogal AS, Martinho KO, Almeida LFF, et. al. Prevalence and factors associated with physical inactivity among the elderly: a population-based study. Rev Bras Geriatr Gerontol. 2016;19(3):483-93. doi: https://doi.org/10.1590/1809-98232016019.150047
Smith GL, Banting L, Eime R, O’Sullivan G, Van Uffelen JGZ. The association between social support and physical activity in older adults: a systematic review. Int J Behav Nutr Phys Act. 2017; 14(1):44-9. doi: https://doi.org/10.1186/s12966-017-0509-8
Paula TP, Viana LV, TZ Neto A, Leitão CB, Gross JL, Azevedo MJ. Effects of the DASH diet and walking on blood pressure in patients with type 2 diabetes and uncontrolled hypertension: a randomized controlled trial. J Clin Hypertens. 2015;17(11):895-901. doi: https://doi.org/10.1111/jch.12597.
Vendrame S, Klimis-Zacas D. Potential factors influencing the effects of anthocyanins on blood pressure regulation in humans: a review. Nutrients. 2019;11(6):1431-42. https://doi.org/10.3390/nu11061431
Bahari G, Scafide K, Krall J, Mallinson RK, Weinstein AA. Mediating role of self-efficacy in the relationship between family social support and hypertension self-care behaviours: a cross-sectional study of Saudi men with hypertension. Int J Nurs Pract. 2019;25(6):e12785. doi: https://doi.org/10.1111/ijn.12785
Mahdavi R, Asl AB, Abadi MAJ, Namazi N. Perceived barriers to following dietary recommendations in hypertensive patients. J Am Coll Nutr. 2017;36(3):193-9. doi: https://doi.org/10.1080/07315724.2014.966176
Rosa LFA, Nascimento ARA. Representações sociais de bebida alcoólica para homens universitários. Arq Bras Psicol. 2015 [acesso em 2017 nov 20];67(1):3-19. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-52672015000100002&lng=pt&nrm=iso
Jesus MCP, Silva MH, Cordeiro SM, Kortchmar E, Zampier VSB, Merighi MAB. Understanding unsuccessful attempts to quit smoking: a social phenomenology approach. Rev Esc Enferm USP. 2016;50(1):71-8. doi: http://dx.doi.org/10.1590/S0080-623420160000100010
Kazemzadeh Z, Manzari ZS, Pouresmail Z. Nursing interventions for smoking cessation in hospitalized patients: a systematic review. Int Nurs Rev. 2016;64(2):263-75. doi: https://doi.org/10.1111/inr.12320
Gewehr DM, Bandeira VAC, Gelatti GT, Colet CF, Oliveira KR. Adesão ao tratamento farmacológico da hipertensão arterial na Atenção Primária à Saúde. Saúde Debate. 2018;42(116):179-90. doi: https://doi.org/10.1590/0103-1104201811614
Franco MR, Tong A, Howard K, Sherrington C, Ferreira PH, Pinto RZ, et al. Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. Br J Sports Med. 2015;49(19):1268-76. doi: http://dx.doi.org/10.1136/bjsports-2014-094015
Teixeira JF, Goulart MR, Busnello FM, Pellanda LC. Hypertensives' knowledge about high-sodium foods and their behavior. Arq Bras Cardiol. 2016;106(5):404-10. doi: https://doi.org/10.5935/abc.20160049.
Mendonça RD, Lopes ACS, Pimenta AM, Gea A, Martinez-Gonzalez MA, Bes-Rastrollo M. Ultra-processed food consumption and the incidence of hypertension in a Mediterranean cohort: the Seguimiento Universidad de Navarra Project. Am J Hypertens. 2016;30(4):358-66. https://doi.org/10.1093/ajh/hpw137
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