Abstract
Low adherence to pharmacological treatment in patients diagnosed with hypertension is related to poor blood pressure control and an increased incidence of cardiovascular complications and deaths. A cross-sectional study was performed to determine conditioning factors towards adherence. Questionnaires and clinical evaluations were applied to 187 patients attending three first-level health units; in 130 of them laboratory tests were carried out. Diagnostic criteria were based on the European Clinical Practice Guidelines; adherence was based on the Morinsky test. 57.1% of patients had blood pressure values above the controlled threshold, and 71.1% reported non-adherence to pharmacological prescription. Factors associated whit low adherence were coexisting moderate to severe depression (OR = 2,054; CI 1,064 - 3,964), low educational level (3.75 ± 3.05 years), poor understanding of medical prescriptions (OR = 2.3 CI 1.188 - 4.477), irregular supply and limited economic access to prescribed drugs ((OR = 1.97 CI 1.08 - 3.817), and low satisfaction with the care offered at health services (OR = 2.45; CI 1.202-5.00).
Highlights
Introduction deathImpaired adherence constitutes a critical barrier for the reduction of blood pressure (Gosmanova &Hypertension (HTN) constitutes a public health problem and represents the core risk factor for premature death worldwide (Chow & Gupta, 2019; GBD 2017 Risk Factor Collaborators, 2018)
The criteria for evaluating the clinical status of University of Ecuador (PUCE) and the Central University the patient were established based on the European of Ecuador (Universidad Central del Ecuador) approved HTN Clinical Practice Guide (CPG) (ESH / ESC, 2013), the study protocol
This study shows that the presence of factor for uncontrolled blood pressure (Burnier & Egan, moderate/severe depression constitutes a risk factor for 2019; van der Laan et al, 2017); non-adherence non-adherence; these results are similar to those increases significantly in uncontrolled patients
Summary
Impaired adherence constitutes a critical barrier for the reduction of blood pressure Hypertension (HTN) constitutes a public health problem and represents the core risk factor for premature death worldwide (Chow & Gupta, 2019; GBD 2017 Risk Factor Collaborators, 2018). Its control depends directly on the quality and timeliness of the medical diagnosis, treatment, and follow-up of the individual patient and effective health systems (Marrugat et al, 2003). Given that cheap and effective antihypertensive treatments are available, hypertension control and prevention of the morbidity and mortality that. The rates of adherence to medical prescriptions by patients with chronic conditions are very low. In the case of HTN, evidence shows that it affects 30 to 65% of patients and that 87.3% of uncontrolled patients presented failures in adherence to medical prescription (Abegaz et al, 2017)
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