Abstract
Adherence to pharmacological treatment for hypertension is considered a key factor in guaranteeing successful therapy outcomes. Knowledge of the disease, its complications, as well as the need for changes in lifestyle, call for patient motivation and continuous interactive education. The evidence regarding the beneficial effects of changes in life style by hypertensive individuals in reducing the complications of the disease, as well as in its prevention are indisputable. However, the challenges posed by patient adherence to treatment prescribed by doctors remain. The aim of this study was to assess blood pressure levels together with degree of adherence to pharmacological treatment with Enalapril Maleate by means of the Morisky-Green Test, in hypertensive patients who were users of a School Pharmacy. Of the 102 patients interviewed, 65.7% had controlled blood pressure, but only 36.3% indicated total compliance with the pharmacological treatment. The Morisky-Green test proved ineffective in associating controlled blood pressure levels and positive attitudes toward taking antihypertensive medicines.
Highlights
The change in mortality profile by groups of causes of death as a consequence of the epidemiological transition has led to the emergence of chronic-degenerativeIn Brazil, data from 2003 show that 27.4% of deaths were attributed to cardiovascular diseases, a figure attaining 37% when excluding deaths of ambiguous orB
The study sample comprised hypertensive patients who were users of the School Pharmacy of the Municipal University of São Caetano do Sul (USCS), and recruited as volunteers from among those attended at the service
Prior to collecting blood pressure measurements for the study, upper limbs of each individual were checked using the auscultation and aneroid sphygmomanometry technique, duly calibrated to rule out divergent values in blood pressure between the two upper limbs and to determine which limb was to be used for measurements throughout the study
Summary
The change in mortality profile by groups of causes of death as a consequence of the epidemiological transition has led to the emergence of chronic-degenerative. In Brazil, data from 2003 show that 27.4% of deaths were attributed to cardiovascular diseases, a figure attaining 37% when excluding deaths of ambiguous or. The leading cause of death throughout the Brazilian territory is stroke, occurring more predominantly in women (Lotufo, 2005). These diseases were the leading cause of hospitalization in the public sector, accounting for 17% of hospital admissions to state hospitals between 1996 and 1999 among patients aged between 40 and years, and for 29% of patients aged years or older (Passos, Assis, Barreto, 2006)
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