Hypertensive caregivers of elderly people, adherence to drug treatment, and health literacy

Cuidadores hipertensos de ancianos, adherencia al tratamiento farmacológico y alfabetización en salud

Authors

DOI:

https://doi.org/10.5902/2179769286458

Keywords:

Aged, Hypertension, Caregivers, Health Literacy, Medication adherence

Abstract

Objective: to analyze the prevalence of adherence to drug treatment among hypertensive caregivers of elderly people, its relationship with health literacy, demographic variables, and the caregivers' work and analytical variables. Method: a cross-sectional study with 68 caregivers of elderly hypertensive patients. Medication adherence and health literacy were assessed using the following scales: Morisky's Therapeutic Adherence and Health Literacy Scale. Results: The sample studied had low health literacy (34 points), and 36.8% showed low adherence to drug treatment. The greater the number of hours dedicated to care per day (p=0.0027) and the more overburdened the caregiver felt (p=0.0307) were associated with low adherence to drug treatment. Conclusion: This research contributes to a deeper understanding of the prevalence of adherence to drug treatment among hypertensive caregivers of elderly people and its relationship with health literacy, demographic, and work variables.

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Author Biographies

Luís Fernando Negrão de Souza, Federal University of São Paulo

Bachelor's Degree in Nursing from the Paulista School of Nursing- EPE, Federal University of São Paulo- UNFESP. São Paulo-SP- Brazil.

Carla Roberta Monteiro Miura, Federal University of São Paulo

Nurse. Professor at the Department of Clinical and Surgical Nursing, Paulista School of Nursing - EPE, Federal University of São Paulo - UNIFESP. São Paulo, SP, Brazil.

Karina Aparecida Lopes da Costa, Federal University of São Paulo

Nurse. Master's degree in the Department of Clinical and Surgical Nursing, Paulista School of Nursing - EPE, Federal University of São Paulo - UNIFESP. São Paulo, SP, Brazil.

Andréa Fachini da Costa, Federal University of São Paulo

Nurse Master's Degree from the Paulista School of Nursing - EPE, Federal University of São Paulo - UNIFESP. São Paulo, SP, Brazil

Angélica Gonçalves Silva Belasco, Federal University of São Paulo

Nurse. Professor and Head of the Department of Clinical and Surgical Nursing, Paulista School of Nursing - EPE, Federal University of São Paulo - UNIFESP. São Paulo, SP, Brazil.

Meiry Fernanda Pinto Okuno, Federal University of São Paulo

Nurse. Professor and Head of the Department of Public Health, Paulista School of Nursing - EPE, Federal University of São Paulo - UNIFESP. São Paulo, SP, Brazil.

References

Instituto Brasileiro de Geografia e Estatística (IBGE). Projeção da população do Brasil [Internet]. Rio de Janeiro: IBGE; 2022 [acesso em 2024 jan 18]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/populacao/9109-projecao-da-populacao.html

Figueiredo AEB, Ceccon RF, Figueiredo JHC. Doenças crônicas não transmissíveis e suas implicações na vida de idosos dependentes. Ciênc Saúde Colet. 2021;26(1):77-88. doi: 10.1590/1413-81232020261.33882020 DOI: https://doi.org/10.1590/1413-81232020261.33882020

Boonyathee S, Seangpraw K, Ong-Artborirak P, Auttama N, Tonchoy P, et al. Effects of a social support family caregiver training program on changing blood pressure and lipid levels among elderly at risk of hypertension in a northern Thai community. PLoS One. 2021;16(11):e0259697. doi: 10.1371/journal.pone.0259697 DOI: https://doi.org/10.1371/journal.pone.0259697

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde e Ambiente. Departamento de Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis. Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2023 [Internet]. Brasília (DF): Ministério da Saúde; 2023 [acesso em 2024 jan 18]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2023.pdf

Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Diretrizes brasileiras de hipertensão arterial – 2020. Arq Bras Cardiol. 2021;116(3):516-658. doi: 10.36660/abc.20201238 DOI: https://doi.org/10.36660/abc.20201238

Aires M, Fuhrmann AC, Mocellin D, Dal Pizzol FLF, Sponchiado LF, Marchezan CR, et al. Burden of informal caregivers of dependent elderlies in the community in small cities. Rev Gaúcha Enferm. 2020;41(esp):e20190156. doi: 10.1590/1983-1447.2020.20190156 DOI: https://doi.org/10.1590/1983-1447.2020.20190156

Hermes GB, Lange C, Lemões MAM, Peters CW, Figueiredo LM, Gouvea SL. Adherence to pharmacological treatment in the aged: an integrative literature review. Revista Urug Enferm. 2022;17(1):e2022v17n1a8. doi: 10.33517/rue2022v17n1a8

Pavão ALB, Werneck GL. Health literacy in low-and middle-income countries: a systematic review. Ciênc Saúde Colet. 2021;260(09):4101-14. doi: 10.1590/1413-81232021269.05782020 DOI: https://doi.org/10.1590/1413-81232021269.05782020

Kimzey M, Howe CJ, Martin C, McLarty J, Baucham R. Development of health literacy in persons and caregivers living with dementia: a qualitative directed content analysis. Dementia (London). 2022;21(2):540-55. doi: 10.1177/14713012211049691 DOI: https://doi.org/10.1177/14713012211049691

Wang K, Gao X, Sun F, Bishop NJ. eHealth literacy and caregiver burden among chinese caregivers of older adults with cognitive impairment: does education matter? J Appl Gerontol. 2021 Dec;40(12):1837-45. doi: 10.1177/0733464820957151. Epub 2020 Sep 10. PMID: 32909502. DOI: https://doi.org/10.1177/0733464820957151

BRASIL. Ministério da Saúde (BR). Portaria n. 1395, de 9 de dezembro de 1999. Institui a Política Nacional de Saúde do Idoso. Diário Oficial da União: seção 1, p. 20-24. 13 dez. 1999.

Instituto Brasileiro de Geografia e Estatística (IBGE). Continuous National Household Sample Survey (PNAD). With aging, the number of family members who care for the elderly in the country grows [Internet]. Brasília (DF): IBGE; 2019 [cited 2022 Aug 26]. Available from: https://agenciadenoticias.ibge.gov.br/agencia-noticias/2012

Liu Z, Heffernan C, Tan J. Caregiver burden: a concept analysis. Int J Nurs Sci. 2020;7(4):438-45. doi: 10.1016/j.ijnss.2020.07.012 DOI: https://doi.org/10.1016/j.ijnss.2020.07.012

Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9. doi: 10.1016/j.jclinepi.2007.11.008 DOI: https://doi.org/10.1016/j.jclinepi.2007.11.008

Monteiro EA, Mazim SC, Dants RAS. Questionário de Avaliação da Sobrecarga do Cuidador Informal: validação para o Brasil. Rev Bras Enferm. 2015;68(3):421-8. doi:10.1590/0034-7167.2015680307i DOI: https://doi.org/10.1590/0034-7167.2015680307i

Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an

outpatient setting. J Clin Hypertens (Greenwich). 2008;10(5):348-54. doi: 10.1111/j.1751-7176.2008.07572.x DOI: https://doi.org/10.1111/j.1751-7176.2008.07572.x

Oliveira-Filho AD, Morisky DE, Neves SJ, Costa FA, Lyra Júnior DP. The 8-item Morisky Medication Adherence Scale: validation of a Brazilian-Portuguese version in hypertensive adults. Res Social Adm Pharm. 2014 May-Jun;10(3):554-61. doi: 10.1016/j.sapharm.2013.10.006. Epub 2013 Oct 26. PMID: 24268603 DOI: https://doi.org/10.1016/j.sapharm.2013.10.006

Batista MJ, Marques ACP, Silva Junior MF, Alencar GP, Sousa MLR. Tradução, adaptação transcultural e avaliação psicométrica da versão em português (brasileiro) do 14-item Health Literacy Scale. Ciênc Saúde Colet. 2020;25(7):2847-57 doi: 10.1590/1413-81232020257.22282018 DOI: https://doi.org/10.1590/1413-81232020257.22282018

Conceição HN, Jesus MLRS, Gomes IMN, Luz KRG, Conceição HN, Costa Filho JGD, et al. Profile and overload of informal caregivers of dependent elderly people. Res Soc Dev. 2021;10(6):e47210616061. doi: 10.33448/rsd-v10i6.16061 DOI: https://doi.org/10.33448/rsd-v10i6.16061

Alves BS, Oliveira ASO, Santana ES, Chaves RN, Marinho MS, Reis LA. Caracterização dos cuidadores informais de idosos dependentes quanto aos aspectos demográficos e de saúde. Rev Saúde Colet UEFS. 2022;9:113-8. doi: 10.13102/rscdauefs.v9i0.3684 DOI: https://doi.org/10.13102/rscdauefs.v9i0.3684

Santos PDS, Santos ZMSA, Diógenes LMMB, Caldas JMP, Rodrigues KAF, Carneiro RF. Qualification of the family caregiver to the application of the educational Technology in Health. Rev Bras Enferm. 2018;71(3):1135-43. doi: 10.1590/0034-7167-2017-0163 DOI: https://doi.org/10.1590/0034-7167-2017-0163

Six S, Musomi S, Deschepper R. Are the elderly perceived as a burden to society? The perspective of family caregivers in Belgium and Kenya: a comparative study. J Transcult Nurs. 2019;30:124-31. doi: 10.1177/1043659618784358 DOI: https://doi.org/10.1177/1043659618784358

Ferreira CR, Isaac L, Ximenes VS. Cuidar de idosos: um assunto de mulher? Estud Interdiscip Psicol. 2018;9(1):108-25. doi: 10.5433/2236- 6407.2016v9n1p108 DOI: https://doi.org/10.5433/2236-6407.2018v9n1p108

Borges LLB, Brandão IBS, Xavier LO, Costa EPSF. O cuidador do idoso no contexto familiar. 2022;(30):2-27. doi: 10.47695/hegemonia.vi30.318 DOI: https://doi.org/10.47695/hegemonia.vi30.318

Lima TMF, Costa AF, Lopes MCBT, Campanharo CRV, Batista REA, Fernandes H, et al. Fatores relacionados à sobrecarga e ao autocuidado para hipertensão em cuidadores familiares. Cogitare Enferm. 2023;28:e90260. doi: 10.1590/ce.v28i0.90260 DOI: https://doi.org/10.1590/ce.v28i0.92871

Dixe MACR, Querido AIF. Cuidador informal de pessoa dependente no autocuidado: fatores de sobrecarga. Referência. 2020;5(3):1-8. doi: 10.12707/RV20013 DOI: https://doi.org/10.12707/RV20013

Carvalho BL, Palmeira CS, Rodrigues GRS, Macedo TTS. Adherence to antihypertensive therapy: integrative review. Rev Enferm Contemp. 2021;10(1):143-57. doi: 10.17267/2317-3378rec.v10i1.2881 DOI: https://doi.org/10.17267/2317-3378rec.v10i1.2881

Lor M, Koleck TA, Bakken S, Yoon S, Navarra AMD. Association between health literacy and medication adherence among hispanics with hypertension. J Racial Ethn Health Disparities. 2019;6(3):517-24. doi: 10.1007/s40615-018-00550-z DOI: https://doi.org/10.1007/s40615-018-00550-z

Silva IC, Nogueira MRN, Cavalcante TF, Felipe GF, Morais HCC, Moreira RP, et al. Letramento em saúde e adesão ao tratamento farmacológico de pessoas com hipertensão arterial. Rev Bras Enferm. 2022;75(6):e20220008. doi: 10.1590/0034-7167-2022-0008pt DOI: https://doi.org/10.1590/0034-7167-2022-0008pt

Published

2024-09-02

How to Cite

Souza, L. F. N. de, Miura, C. R. M., Costa, K. A. L. da, Costa, A. F. da, Belasco, A. G. S., & Okuno, M. F. P. (2024). Hypertensive caregivers of elderly people, adherence to drug treatment, and health literacy : Cuidadores hipertensos de ancianos, adherencia al tratamiento farmacológico y alfabetización en salud. Revista De Enfermagem Da UFSM, 14, e16. https://doi.org/10.5902/2179769286458

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