Creencias en síntomas y adherencia al tratamiento farmacológico en pacientes con hipertensión

International Journal of Clinical and Health Psychology (Impact Factor: 2.79). 01/2007; 7.
Source: DOAJ


El presente estudio analítico-transversal tiene como objetivo analizar el impacto de las creencias en síntomas relacionados con la elevación de la tensión arterial, sobre la adherencia al tratamiento en pacientes hipertensos. Participaron en el estudio 163 pacientes hipertensos con tratamiento farmacológico. Se evaluó tanto la presencia de creencias en forma de síntomas asociados a la tensión arterial, como la adherencia de los pacientes al tratamiento farmacológico prescrito. Los resultados indican una fuerte asociación entre informes de creencias en forma de síntomas e informes de falta de adherencia. Se discute la importancia de estos datos por cuanto entre las variables asociadas a la ruptura de la adherencia al tratamiento en pacientes hipertensos no se incluye la presencia de creencias en forma de síntomas asociados a la tensión arterial, y la necesidad de incorporar su evaluación a los protocolos de control de la adherencia en esta enfermedad crónica.

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Available from: Jesus Gil Roales-Nieto, Apr 11, 2014
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    ABSTRACT: Objective To test the effectiveness of a program to improve treatment adherence in new onset hypertensive patients. Design This is a quasi-experimental study. Location Four health centers in Almeria. Participants A total of 120 subjects between 18 and 65 years, diagnosed with hypertension within the previous 12 months. Main measurements The participants were divided into three groups: intervention group A, which received educational instruction, intervention group B, educational instruction and feedback process, and the control group C, received usual care. Adherence was determined by lifestyle (diet, physical activity, smoking, alcohol) and drug treatment. Results As regards diet and physical activity, there were significant differences between performance groups after intervention (p < 0,05), with better adherence levels being found in group B subjects for these variables. Better adherence to pharmacological treatment was also observed in these patients. No significant results were found regarding alcohol and smoking. Conclusions In the study population, patients undergoing educational instruction and feedback had better adherence levels than those who received only instruction or usual treatment.
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