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Universidade Federal De Pernambuco Centro De Ciências Da Saúde - Ccs Programa De Pós-graduação Em Ciências Da Saúde - Ccs
| Content Provider | Semantic Scholar |
|---|---|
| Author | Vinícius, Marcos Santos, Ribeiro Dos |
| Copyright Year | 2011 |
| Abstract | INTRODUCTION: Non-communicable chronic diseases have reached pandemic proportions. Among such diseases, hypertension has a major role for the prevalence and morbidity and mortality that it determines. The reduction in morbidity and mortality related to hypertension depends on the effective control of blood pressure levels that can potentially be achieved by appropriate therapeutic management, changes in lifestyle and treatment adherence. However, the findings of low rates of hypertension control (on average below 50%) are a reality and point to a critical problem in the approach to antihypertensive treatment poor adherence to treatment. OBJECTIVE: For evaluating if the telehealth can be an effective strategy to enhance adherence to antihypertensive treatment in primary care, we conducted a pre-and post, nonrandomized open trial, whose primary outcome is the effect of telehealth on adherence to drug and non-drug treatment of hypertensive patients registered at the HIPERDIA program, and the secondary one is the assessment of the patient`s blood pressure. METODOLOGY: Through questionnaires, demographic, clinical and both pharmacological and non-pharmacological treatment hypertension patients adherence data were collected from 502 patients of two USF in Pernambuco. Then, the 21 FHS participated in 10 web conferences (oito temas) on hypertension, its control and treatment adherence importance. The FHS’s have undergone a questionnaire survey prior to training and then they went through the same one to evaluate the impact of such educational activity. Six months later, patients completed the questionnaires again, after the team intervention, so that the researcher could have changes in adherence to treatment assessed and compared. RESULTS: In the preintervention phase, the main characteristics were: socio-demographic58% > 60 years age, 74,1% female, 50.6% literacy, 78.5% family income > one minimum wage; clinics22.5% diabetes, 13.3% venous insufficiency, 8.8% coronary heart disease, 59.6% family history of coronary disease, 39% BMI> 25 and 60 years, the income of > 1 minimum wage, coronary disease, venous insufficiency and absence of coronary artery disease and familial hypercholesterolemia. In multivariate analysis remained income > 1 minimum wage, OR = 1.75 (CI: 1.04 2.95), p = 0.036, coronary heart disease [OR = 2.83 (CI: 1, 29 to 6.43), p = 0.01] and family absence of coronary disease OR = 1.86 (CI: 1.16 to 2.99), P = 0.01. After the telehealth intervention, there were changes from 37.8% to 46.7% (p = 0.004) in the adherence rates for the use of medications; low sodium diet, from 92.0% to 96.3% (p = 0.001) and no changes in physical activity. CONCLUSION: The telemedicine increased adherence to antihypertensive treatment in health units studied. Other telemedicine services, beyond what is proposed in this work, may be made available to increase the results in monitoring of hypertension and support other actions to improve the resolution of family health teams. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://repositorio.ufpe.br/bitstream/123456789/1791/1/arquivo6694_1.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
