Abstract

CASAS PIEDRAHITA, María Cristina; CHAVARRO OLARTE, Liliana María  and  CARDONA RIVAS, Dora. PATIENTS ADHERENCE TO HIGH BLOOD PRESSURE TREATMENT IN TWO MUNICIPALITIES OF COLOMBIA. 2010-2011. Hacia promoc. Salud [online]. 2013, vol.18, n.1, pp.81-96. ISSN 0121-7577.

Objective: To establish the relation between patients' adherence to treatment with demographic and social-economical factors, satisfaction with health services, perception of medical personnel attention and knowledge about the Arterial Hypertension Program patients' illness in two Colombian Municipalities between 2010 and 2011. Material and Methods: A cross sectional study of 295 users was conducted in a random sample (95% confidence interval, error 5%). Morisky's Test was used for measuring oatients' adherence, whereas a survey and a recording sheet were used for registering the variables included in the study. Results: The average patients' adherence was 45% in the two municipalities. Statistically significant differences were observed between patients' andherence and non-adherence users, in knowledge about the disease. To consider that the treatments are performed if Blood Pressure figures are high is a protective factor in patients' adherence (RM 0.263, IC 0.8-0.83) in Viterbo. The relevance given to the drug prescribed treatment constitutes a risk factor for non-adherent patients (RM 3.8, CI 1.9-6.5). In La Dorada there are risks to the program such as controlling hypertension with diet, exercise and medication (RM 1.8; CI 1.56-2.11) and that treatments are only performed if Blood Pressure rates are high (RM 3.8; CI 1.02-13.83). Conclusions: Being equal in social-demographic, social-economic and related health care conditions, only the knowledge about the disease constitutes either a risk factor or a protective factor.

Keywords : Adherence; medication; high blood pressure; odds ratio.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )