Evidence map›Paper›PMID 34916785›Full record

ArticlePatient preference and adherence2021

Blood Pressure Control and Adherence to Drug Treatment in Patients with Hypertension Treated at a Specialized Outpatient Clinic: A Cross-Sectional Study.

Mayra Cristina da Luz Pádua Guimarães, Juliana Chaves Coelho, Giovanio Vieira da Silva, Luciano Ferreira Drager, Rita de Cassia Gengo E Silva Butcher, Howard K Butcher, Angela Maria Geraldo Pierin

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Article in Patient preference and adherence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mayra Cristina da Luz Pádua GuimarãesGraduate Program in Adult Health Nursing (PROESA), University of São Paulo Nursing School, São Paulo, SP, Brazil.ORCID 0000-0001-6874-0206
Juliana Chaves CoelhoGraduate Program in Adult Health Nursing (PROESA), University of São Paulo Nursing School, São Paulo, SP, Brazil.ORCID 0000-0001-8781-7627
Giovanio Vieira da SilvaHypertension Unit, Renal Division, University of São Paulo Medical School, São Paulo, SP, Brazil.ORCID 0000-0003-3370-9326
Luciano Ferreira DragerHypertension Unit, Renal Division, University of São Paulo Medical School, São Paulo, SP, Brazil.ORCID 0000-0002-2081-6846
Rita de Cassia Gengo E Silva ButcherGraduate Program in Adult Health Nursing (PROESA), University of São Paulo Nursing School, São Paulo, SP, Brazil.ORCID 0000-0002-7307-2203
Howard K ButcherChristine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.ORCID 0000-0002-8394-516X
Angela Maria Geraldo PierinGraduate Program in Adult Health Nursing (PROESA), University of São Paulo Nursing School, São Paulo, SP, Brazil.ORCID 0000-0002-3274-7729

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate and identify variables associated with the control of hypertension and adherence to antihypertensive drug treatment in a group of patients with hypertension monitored in a specialized, highly complex outpatient service.

methodsA prospective, cross-sectional study was carried out in the hypertension unit of a tertiary teaching hospital. Patients diagnosed with hypertensive aged 18 years and over and accompanied for at least six months were included in the study. Patients with secondary hypertension and pregnant women were excluded. The sample consisted of 253 patients. Adherence/concordance to antihypertensive treatment was assessed using the Morisky Green Levine Scale. Blood pressure control was set for values less than 140/90 mmHg. Variables with p≤0.20 in univariate analysis were included in multiple logistic regression. The level of significance adopted was p ≤0.05.

resultsMost of patients were white, married and women, with a mean age of 65 (13.3) years old, low income, and education levels. Blood pressure control and adherence were observed in 69.2% and 90.1% of the patients, respectively. Variables that were independently associated with blood pressure control were (OR, odds ratio; CI, 95% confidence interval): married marital status (OR 2.3; CI 1.34-4.28), use of calcium channel blockers (OR 0.4; CI 0.19-0.92) and number of prescribed antihypertensive drugs (OR 0.78; CI 0.66-0.92). Adherence was not associated with any of the variables studied.

conclusionThere was a high frequency of patients with satisfactory adherence to antihypertensive drug treatment. Blood pressure control was less frequent and was associated with social and treatment-related factors.

Indexed as

adherencecontrolhypertensionpharmacological treatment

Identifiers

PMID34916785
PMCPMC8670885

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