Evaluación de la adherencia terapéutica y factores influyentes en pacientes hipertensos, Comunidad El Recuerdo, año 2018.

Abstract

Background: The lack of therapeutic adherence in patients with chronic diseases such as hypertension represents a public health problem, increasing costs in health services and decreasing the quality of life. In Ecuador, several studies agree that the lack of adherence to treatment is influenced by various biopsychosocial and clinical factors within the population. Materials and Methods: a relational, prospective, cross-sectional study that included 103 patients from the "El Recuerdo" community in the Daule canton, over 18 years of age with a diagnosis of hypertension and treatment of more than one year. The information was obtained through a survey made by the author, the Martin-Bayarre-Grau questionnaire and, the Patient Medical Relationship Questionnaire, the H Kruskal Wallis test was used to determine the association between variables. Results: the sociodemographic characteristics that predominate are the female sex with 56.4%, in ages of 50- 59 years, of independent occupation, with primary and bachelor level of education, demonstrated partial adherence to the medical indications among the social factors that influence negatively, the lack of knowledge was found in 72%, and poverty. Conclusions: The population has low levels of adherence to treatment of hypertension, the factor most associated with this is the lack of knowledge.