Factors related to adherence to treatment for systemic hypertension

This study aimed to seek the evidence available in the literature regarding the factors related to adherence to treatment for systemic hypertension. It used the method of integrative review in the databases MEDLINE, CINAHL, and LILACS, using the keywords: hypertension, compliance, non-compliance, ad...

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Detalles Bibliográficos
Autores: Fava, Silvana Maria Coelho Leite, Teraoka, Eliana Cavalari, Oliveira, Amanda dos Santos, Calixto, Amanda Aparecida Teixeira Ferreira, Eid, Letícia Palota, Veiga, Eugênia Velludo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Institución:Universidade Federal do Ceará (UFC)
Repositorio:Rev Rene (Online)
Idioma:inglés
OAI Identifier:oai:periodicos.ufc:article/3168
Acceso en línea:http://periodicos.ufc.br/rene/article/view/3168
Access Level:acceso abierto
Palabra clave:Patient Compliance
Medication Adherence
Hypertension
Guideline Adherence.
Descripción
Sumario:This study aimed to seek the evidence available in the literature regarding the factors related to adherence to treatment for systemic hypertension. It used the method of integrative review in the databases MEDLINE, CINAHL, and LILACS, using the keywords: hypertension, compliance, non-compliance, adherence, non-adherence, patient compliance, in the period 2004 – 2008, and articles in Portuguese, English and Spanish, with the use of a validated instrument and content analysis. 28 studies were selected, 64.3% of which had level of evidence VI. The following were identified as factors related to adherence to treatment: treatment costs, educational activities, sex, physician-patient relationship, physiological and behavioral aspects, drug therapy, attending checkups and lifestyle. The use of combined strategies is suggested in order to increase the individuals’ adherence to the treatment. Gaps point to the valorization of dialogic relationships for integrated and more efficacious health practices