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Hacia la Promoción de la Salud
Print version ISSN 0121-7577
Abstract
MENA-DIAZ, Fernanda Carolina; NAZAR, Gabriela and MENDOZA-PARRA, Sara. HISTORY OF ADHERENCE TO TREATMENT IN HYPERTENSIVE PATIENTS OF A CHILEAN HEALTH CENTER. Hacia promoc. Salud [online]. 2018, vol.23, n.2, pp.67-78. ISSN 0121-7577. https://doi.org/10.17151/hpsal.2018.23.2.5.
Objective: This research aimed to analyze the predictive role of sociodemographic and health variables, self-efficacy and stress in adherence to the treatment of patients with hypertension of a cardiovascular program at a Chilean primary care health center.
Materials and Methods:
A quantitative correlational study carried out from March to August 2017. The sample consisted of 141 hypertensive patients selected randomly and intentionally. The instruments to collect sociodemographic information and health antecedents were developed, and the Miller Health Behavior Questionnaire, SEMCD-S from the Stanford Patient Education Research Center and Lovibond and Lovibond DASS-21 stress subscale were applied to measure adherence, self-efficacy and stress respectively. For data analysis, measures of central tendency and dispersion, comparison between groups, correlation analysis and multiple linear regression were used with the support of the SPSS software version 21 and R.
Results:
Total adherence was weakly though significantly related to self-efficacy (r=,224) and negatively related to stress (r=-,170). Age, non- consumption of cigarettes and knowledge that the disease is a chronic condition turned out to be predictors of adherence to treatment.
Conclusion:
The results reinforce the importance of personal variables as predictors of health behaviors and the role of information and education in adherence to the treatment of people with hypertension. The practical implications of these findings for the functioning of the cardiovascular program are explored.
Keywords : adherence; self-efficacy; physiological stress; hypertension; public health.