Acceso usuarios
Chimbote, Perú
El objetivo de la investigación fue determinar el grado de adherencia al tratamiento de pacientes hipertensos y los factores determinantes de la no adherencia.Bajo un modelo de seguimiento Farmacoterapéutico domiciliario se intervinieron 204 pacientes de las provincias de Trujillo y Chimbote (84 y 120 respectivamente) entre noviembre de 2010 y enero de 2011. Para determinar el grado de cumplimiento se utilizaron tres test normalizados: Test de Heiness Sackett, Test de Moriski Green Lavine y el Test de Recuento de Tabletas. Los factores que influyen sobre la no adherencia se determinaron mediante un test de 20 preguntas agrupadas en 5 dimensiones consideradas como los más influyentes.Los resultados muestran un alto nivel de coincidencia en la identificación de pacientes no adherentes en los tres instrumentos tanto en Trujillo como Chimbote (60.83 y 79.76% respectivamente). El entorno social (27.47% y 22.72%) y la percepción del trato del personal de salud (20.7% y 20.53%) fueron las dimensiones que influenciaron más negativamente. Individualmente los factores más resaltantes fueron la automedicación (13.53% y 8.61%) y la inasistencia a citas programadas (12.88 y 7.59%).Se concluye que los pacientes hipertensos de Trujillo y Chimbote son incumplidores al tratamiento médico y los factores negativos más influyentes el entorno social y una percepción negativa del trato del personal de salud.
This research aimed to determine the level of adherence on medication as well as the determinant factors of no adherence in hypertensive patients attended in public health centers. Two hundred four patients attended in public centers in Trujillo and Chimbote cities were interviewed between November 2010 and January 2011 under a pharmacotherapy follow up program. The level of adherence was diagnosed by three test:
Heiness - Sackett, Moriski Green Lavine and Counting tablets test. All of them were normalized test. The determinants of non-adherence were identified by a 20 questions test based on those factors proposed by the World Health Organization as mayor components of unaccomplished. Results shows high level of coincidence among these three tests used to measure non adherence was detected in Trujillo as well as in Chimbote (60.83 and 79.76% respectively). Social environment (27.47% and 22.72%) and health personnel performance (20.7% and 20.53%) were the dimension that most influenced negatively. Individual factors that most negatively influenced were self-medication (13.53% and 8.61%) and the appointment non attendance (12.88 and 7.59%). It is concluded that hypertensive patients of Trujillo and Chimbote cities are nonadherents to medical treatment and most negative contributors are patient social environment and the patient perception of health personnel.
