Adherencia al tratamiento de la hipertensión arterial y factores influyentes en cuatro consultorios del Centro de Salud Santa Elena. Año 2018.

Abstract

Background: High blood pressure (HBP) is more prevalent in the Ecuadorian population. Its treatment has non-pharmacological and pharmacological alternatives. Despite the detection, treatment and control for many patients it is difficult to adhere due to family, personal factors, related to health care and medications. Hypertension constitutes the second cause of morbidity in Ecuador; a constant evaluation by the health system is needed. Materials and Methods: observational, prospective, transversal, analytical. The population comprises hypertensive patients over 30 years of age, corresponding to 129 hypertensive patients. Previously informed consent was requested from those who participated. The clinical histories of hypertensive patients were reviewed. A survey and / or domicile are applied to both groups with sociodemographic and clinical data. Results: The age group between 60 and 69 years old predominates with 38.8% of the total; women with 57.4% and men with 42.6%. The degree of schooling with primary school with 46.5%, and housewife occupation with 56.6%; 54.3% with less than 10 years of diagnosis. Partial adherence (65.9%); Family support prevails in 67.4%, and monotherapy in 91.5%. 89.1% are stage 1 patients. Acceptance of health services (doctor-patient relationship) represents almost always 55.8%. And 59.7% of patients receive their medications through free delivery. Conclusions: There is a significant association between the degree of adherence and the following influencing factors: family support, health care, and the availability of medication.