Adesão medicamentosa e hospitalização por eventos cardiovasculares em hipertensos no centro-oeste brasileiro
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2018-05-28
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Universidade Federal de Goiás
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Introduction: Systemic arterial hypertension is indicated as the main risk factor for cardiovascular diseases. The treatment and control are a challenge to the effective management of the hypertensive patient, even front to the vast technical and therapeutic apparatus available. In this context, a adherence is one of the main explanatory variables for the challenge of the clinical monitoring team of the hypertensive. Objective: To evaluate the relationship between hospitalization and adherence to antihypertensive therapy in patients hospitalized for cardiovascular diseases in hospital units in the city of Jataí (GO). Methods: This was a controlled, observational, cross - sectional study developed in Jataí, a small city in the state of Goiás. The study included hypertensive patients hospitalized for cardiovascular causes in hospital units (hospital network) and by hypertensive patients undergoing clinical follow up in primary care (primary care). The data were obtained between September and December of 2017, with the use of a data collection instrument and the Informed Consent Term to the eligible patients. For the evaluation of adhesion, the Morisky Levine Green Test (TMG) was applied. The analysis was performed through the SPSS IBM software version 23.0; Variables were analyzed using the Kolmogorov Smirnof test, for comparing the means with the Student's T-test for independent samples and the Mann Whitney test for comparison of medians, where it was not parametric. The categorical variables were compared with the chi-square test. All tests were true for a significance level of 5% and 95% confidence interval. Results: In the analysis between the groups there was a lower tendency in the group of patients of the hospital network, but without significance; a rate of adherence in the hospital was 38.1% and primary care 51.2%. An intentionality of non-adherence between the groups was similar. Compared with the primary care group, patients in the hospital had higher blood pressure levels. Pressure control, when analyzed between groups, had the lowest frequency (p = 0.038) among the patients in the hospital network. The mean frequency found was 76.8% with the previous diagnosis, with women recording a higher proportion; 63.4% had uncontrolled blood pressure and 74.4% of patients had multimorbidities. The frequency of previous hospitalizations among hospital patients was significantly higher. The hypertensive crisis was the main cause of hospital admission, being more prevalent among women (p = 0.016). Stroke was a third major cause of hospitalization, presenting greater importance among men. Conclusion: the study is not related to the statistically significant progression between treatment and hospitalization for cardiovascular disease. However, patients with sedentarism, previous hospitalization and multimorbity presented more risk about hospitalization for cardiovascular disease.
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PACHECO, J. A. S. Adesão medicamentosa e hospitalização por eventos cardiovasculares em hipertensos no centro-oeste brasileiro. 2018. 80 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.