Abstract

CASTANO-CASTRILLON, José Jaime et al. Treatment adherence of hypertensive patients' being attended by Assbasalud ESE, Manizales (Colombia) 2011. rev.fac.med. [online]. 2012, vol.60, n.3, pp.179-197. ISSN 0120-0011.

Background. Difficulties regarding patient adherence when treating hypertension could be extremely serious as one is dealing with an asymptomatic hypertensive disease. Objective. Studying adherence to treatment concerning hypertensive patients being attended in Manizales, Colombia, by the state-run Assbasalud programme in 2011. Materials and Methods. This was a cross-sectional study involving a population of 200 hypertensive people (73.5% were female, average age was 63.76 years) being attended by the state-run Assbasalud ESE, Manizales, during the second half of 2011. The Martín-Bayarre-Grau (MBG) and Morisky-Green (MG) questionnaires were used for evaluating the social support network, as well as the Medical Outcomes Study (MOS) questionnaire. Results.45% of patients were totally adherent according to MG and 51% totally adherent according to MBG. Regarding the MOS questionnaire, 12.29 people on average were in a patient's social support network, 74.83% received emotional support, 80.45% material aid, 78.61% were involved in leisure and entertainment-related activities, 83.28% were receiving affective support and enalapril was the drug most used in treatment (17.9%), followed by verapamil (10.1%). According to the MBG questionnaire, adherence significantly depended on variables such as education (p=0.000), knowledge about the disease (p=0.032) and MOS social support questionnaire results (p=0.000). The MG questionnaire revealed very few significant relationships for treatment adherence. Conclusion. The study revealed low adherence levels associated with having a low educational level, poor knowledge regarding the disease and poor social support, thereby making it necessary that Assbasalud ESE take more effective action, especially through its healthcare personnel. The MBG questionnaire had greater consistency regarding a description of adherence than the MG questionnaire.

Keywords : hypertension; medication adherence; public health; chronic disease.

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