Factors related to adherence to treatment for systemic hypertension

Silvana Maria Coelho Leite Fava; Eliana Cavalari Teraoka; Amanda dos Santos Oliveira; Amanda Aparecida Teixeira Ferreira Calixto; Letícia Palota Eid; Eugênia Velludo Veiga

doi:10.15253/2175-6783.2014000200021

Authors

Silvana Maria Coelho Leite Fava
Eliana Cavalari Teraoka
Amanda dos Santos Oliveira
Amanda Aparecida Teixeira Ferreira Calixto
Letícia Palota Eid
Eugênia Velludo Veiga

DOI:

https://doi.org/10.15253/2175-6783.2014000200021

Keywords:

Patient Compliance, Medication Adherence, Hypertension, Guideline Adherence.

Abstract

This study aimed to seek the evidence available in the literature regarding the factors related to adherence to treatment for systemic hypertension. It used the method of integrative review in the databases MEDLINE, CINAHL, and LILACS, using the keywords: hypertension, compliance, non-compliance, adherence, non-adherence, patient compliance, in the period 2004 – 2008, and articles in Portuguese, English and Spanish, with the use of a validated instrument and content analysis. 28 studies were selected, 64.3% of which had level of evidence VI. The following were identified as factors related to adherence to treatment: treatment costs, educational activities, sex, physician-patient relationship, physiological and behavioral aspects, drug therapy, attending checkups and lifestyle. The use of combined strategies is suggested in order to increase the individuals’ adherence to the treatment. Gaps point to the valorization of dialogic relationships for integrated and more efficacious health practices