Prevalencia y determinantes de adherencia a terapia antihipertensiva en pacientes de la Región Metropolitana

Background: Lack of adherence with medications is the main cause of antihypertensive treatment failure. Aim: To assess adherence to antihypertensive drugs and its determinants. Material and Methods: The Morinsky-Green questionnaire to determine treatment adherence was applied to 310 hypertensive patients from primary care centers, aged 60 ± 10 years (65% females) in treatment for 4 ± 1 months. Socio-demographic features, use of medications and quality of life using EQ5D questionnaire were also assessed. Results: Twenty percent of patients were diabetic and 19% were smokers. Fifty four percent were adherent to therapy. A higher age and being unemployed were associated with a higher compliance. The main reasons to justify the lack of adherence were forgetting to take the pills in 67% and adverse effects in 10%. Only diastolic pressure was lower in adherent patients, compared with their non-adherent counterparts (78 ± 12 and 81 ± 17 mmHg, respectively p < 0.01). Conclusions: Only half of hypertensive patients comply with their antihypertensive therapy.

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Bibliographic Details
Main Authors: Varleta,Paola, Akel,Carlos, Acevedo,Mónica, Salinas,Claudia, Pino,Javier, Opazo,Viviana, García,Ana, Echegoyen,Carolina, Rodríguez,Daniel, Gramusset,Lissette, León,Sandra, Cofré,Pedro, Hernández,Hilda, Neira,Patricia, Retamal,Raquel, Petit,Gloria, Moya,Natalia
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2015
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500003
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