Determining factors for aterial hypertension program desertion. Chiclayo Almanzor Aguinaga Asenjo National Hospital, ESSALUD 2000

Objetives: To determine the main factors for desertion from the Arterial Hypertension Program. Setting: Chiclayo Almanzor Aguinaga National Hospital. Design: Analytical case-control study. Material and methods: Cases were 126 patients who deserted for over 6 months and controls the 252 patients who...

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Detalles Bibliográficos
Autores: Soto, Víctor, Zavaleta, Segundo, Bernilla, José
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2002
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/1498
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1498
Access Level:acceso abierto
Palabra clave:Hipertensión
programas nacionales de salud
educación del paciente
negativa del paciente al tratamiento
Hypertension
national health programs
patient education
treatment refusal
Descripción
Sumario:Objetives: To determine the main factors for desertion from the Arterial Hypertension Program. Setting: Chiclayo Almanzor Aguinaga National Hospital. Design: Analytical case-control study. Material and methods: Cases were 126 patients who deserted for over 6 months and controls the 252 patients who continued in the program, paired for sex, age, place of referral and hypertension level; patients with complications or adscription changes were excluded. A domiciliary survey was applied. Results: Low knowledge about hypertension was the main factor (OR: 15.31), including desinterest in monthly control (OR: 14,6), treatment negligence when both arterial blood pressure returned to normality (OR: 13,8) or when asymptomatic (OR: 13,2), all meaning inappropiate illness consciousness. Other factors found were: No change in life style (OR: 4,5), and colateral drug effects (OR: 1,9); there was no association with professional mistreatment, overcrowding, discomfort, inadequate schedule or patient’s economical or translation problems. Conclusion: Inadequate knowledge on arterial hypertension was de determinant factor for Arterial Hypertension Program desertion at EsSalud Almanzor Aguinaga Asenjo National Hospital.