Evaluation of antihypertensive therapeutic adherence in the elderly
Keywords:
therapeutic adherence, hypertension, chemotherapy, elderlyAbstract
Introduction: in the year 2006 there were around 690 million people over 60 years old in the world. In developed countries, more than 20% of the population was elderly, as a result of an increase in life expectancy and declining birth rates. Objective: to characterize the therapeutic antihypertensive adherence in patients older than 60 years. Method: a cross-sectional descriptive study on antihypertensive therapeutic adherence in the elderly was carried out in the "Omar Ranedo Pubillones" polyclinic during 2007. Forty-three patients were chosen from a sample of 344. Results: the prescription of hypotensive drugs was adequate in 86.6% of the patients studied. The main prescription errors are due to lower therapeutic intervals, as well as higher than recommended doses. One third of patients had deficient knowledge about hypertension and 48.3% did not comply with the treatment indicated by the physician. Conclusions: in most of the patients included in the research there is an inadequate adherence to antihypertensive treatment, which will determine in the short, medium and long term an increase in morbidity and mortality due to cardiovascular and cerebrovascular diseases, and its consequent social impact.
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References
2. Cuba. Ministerio de Salud Pública. Comisión nacional técnica asesora del programa de HTA. Hipertensión Arterial. Guía para la prevención, diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2008.
3. Martín Alfonso L. Repercusiones para la salud pública de la adherencia terapéutica deficiente. Rev Cubana Salud Púb [en línea]. 2006 [citado 16 Jun 2008]; 32(3): [aprox. 10 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662006000300013
4. Sabaté E. Adherencia a los tratamientos a largo plazo: Pruebas para la acción. Ginebra: Organización Mundial de la Salud/OMS; 2004.
5. Rosa Matos Y, Martín Alfonso L, Bayarre Vea H. Adherencia terapéutica y factores psicosociales en pacientes hipertensos. Rev Cubana Med Gen Integr [en línea]. 2007 [citado 16 Jun 2008]; 23(1):[aprox. 9 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252007000100005
6. Gómez Ayala AE. Paciente anciano. Tratamiento farmacoterapéutico a este segmento de la población. OFFARMA [en línea]. 2007 [citado 16 Jun 2008]; 26(11): 70-76. Disponible en: http://www.elsevier.es/index.php?p=revista&pRevista=pdf-simple&pii=13114085&r=4
7. Cinza Sanjurjo S, Cabarcos Ortiz de Barrón A, Nieto Pol E, Torre Carballada JA. Prevalencia de hipertensión arterial en población mayor de 65 años ingresada en un Servicio de Medicina Interna. An Med Interna (Madrid) [en línea]. 2006 [citado 16 Jun 2008]; 23(12): 577-581. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0212-71992006001200005
8. Sierra Benito C, Coca Payeras A. La hipertensión arterial en el anciano. Med Integ [en línea]. 2002 [citado 16 Jun 2008]; 40(10): 423-484. Disponible en: http://www.elsevier.es/es-revista-medicina-integral-63-articulo-la-hipertension-arterial-el-anciano-13041793
9. Schroeder K, Fahey T, Ebrahim S. Intervenciones para mejorar el cumplimiento con la medicación. Cochrane Database of Systematic Reviews. 2004; 3(CD004804). DOI: 10.1002/14651858.CD004804.
10.Ong KL, Cheung BMY, Man YB, Lam KSL. Prevalence, awareness, treatment and control of hypertension among United Status adults 1999-2004. Hypertension. 2007; 49:69-75.