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Adesão e controlo tensional: A visão da consulta de Hipertensão
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Abstract(s)
A hipertensão arterial é uma das principais causas de mortalidade e morbilidade
cardiovascular, com uma prevalência crescente em Portugal. A eficácia do tratamento da
hipertensão depende, em grande parte, da adesão dos doentes ao regime terapêutico.
Serve este estudo para avaliar o tempo necessário para o controlo tensional dos doentes
atendidos na Consulta Aberta de Hipertensão, relacionando o grau de hipertensão à adesão
terapêutica, a qual foi medida através da escala de Medida de Adesão ao Tratamento. Foram
analisados 187 doentes com idade igual ou superior a 18 anos, que tiveram a sua primeira
consulta entre junho de 2022 e junho de 2023.
Os resultados indicaram que a maioria dos doentes era do sexo feminino, com idade entre
os 65 e 84 anos, com nível de escolaridade baixo e história familiar de hipertensão,
sedentarismo e dislipidemia. Confirmou-se ainda, que o tempo necessário para o controlo
da pressão arterial estava diretamente correlacionado com o grau de hipertensão.
A adesão à terapêutica foi identificada como um fator determinante no sucesso do
tratamento, sendo que os doentes com grau de hipertensão mais alto demonstraram uma
maior adesão, de acordo com os resultados da escala de Medida de Adesão ao Tratamento.
Este achado sugere que a gravidade percebida da doença pode influenciar positivamente o
comportamento dos doentes no que respeita ao cumprimento do regime terapêutico.
Em conclusão, este estudo sublinha a importância da Consulta Aberta de Hipertensão como
uma intervenção eficaz para melhorar o controlo dos valores de pressão arterial e a adesão
terapêutica. A identificação de doentes com um maior risco de má adesão permite uma
intervenção precoce, focada na educação, prevenção e personalização do tratamento.
Hypertension is a leading cause of death and cardiovascular morbidity, with a prevalence on the rise in Portugal. Treatment efficacy for hypertension is highly dependent on the patient’s adherence to medication. This study associates the level of hypertension to therapeutic adherence by assessing the time required for managing blood pressure in a total of 187 participants aged 18 years or over, who had their first appointment at the Open Hypertension Consultation between June 2022 and June 2023, using a scale on the Treatment Adherence Measure. Results showed the majority of patients were women between 65 and 84 years old with lower academic qualifications, and a family history of hypertension, physical inactivity and dyslipidemia. Furthermore, the time required for managing blood pressure was found to be directly correlated with the degree of hypertension. Adherence to medication was identified as a determining factor in treatment efficacy, where patients with higher blood pressure showed the highest adherence to treatment according to the results of the Treatment Adherence Measure scale. These findings hint that the perceived severity of the disease may positively influence patient behavior regarding compliance with the therapeutic regimen. Finally, this study highlights the importance of the Open Hypertension Consultation as an effective approach to managing blood pressure reading and improve treatment adherence. Targeting patients at higher risk of poor treatment adherence allows for an early intervention based on disease awareness, prevention and personalized therapy.
Hypertension is a leading cause of death and cardiovascular morbidity, with a prevalence on the rise in Portugal. Treatment efficacy for hypertension is highly dependent on the patient’s adherence to medication. This study associates the level of hypertension to therapeutic adherence by assessing the time required for managing blood pressure in a total of 187 participants aged 18 years or over, who had their first appointment at the Open Hypertension Consultation between June 2022 and June 2023, using a scale on the Treatment Adherence Measure. Results showed the majority of patients were women between 65 and 84 years old with lower academic qualifications, and a family history of hypertension, physical inactivity and dyslipidemia. Furthermore, the time required for managing blood pressure was found to be directly correlated with the degree of hypertension. Adherence to medication was identified as a determining factor in treatment efficacy, where patients with higher blood pressure showed the highest adherence to treatment according to the results of the Treatment Adherence Measure scale. These findings hint that the perceived severity of the disease may positively influence patient behavior regarding compliance with the therapeutic regimen. Finally, this study highlights the importance of the Open Hypertension Consultation as an effective approach to managing blood pressure reading and improve treatment adherence. Targeting patients at higher risk of poor treatment adherence allows for an early intervention based on disease awareness, prevention and personalized therapy.
Description
Keywords
Adesão Terapêutica Controlo da Pressão Arterial Epidemiologia Fatores de
Risco Hipertensão Arterial Medida de Adesão ao Tratamento Pressão Arterial