Tratamento medicamentoso da hipertensão arterial: adesão terapêutica, qualidade de vida e crenças de homens hipertensos.

Abstract

INTRODUCTION: Man since his socio-cultural formation is stereotyped as a strong, powerful sex and the man responsible for his family. This old-fashioned concept harms many aspects of life, and health is one of the most affected. The man has the belief that health problems will shake his masculinity and his functionality in the work, this behavior results in self-neglect of health, causing the low demand to the health services, resulting in the vulnerability to diseases and diseases, being arterial hypertension prevalent. It is known that this disease requires adequate control to avoid complications, and to achieve this result it is necessary for hypertensive patients to achieve adequate therapeutic adherence and for professionals to know the patients' beliefs regarding treatment. Thus, the OBJECTIVES of this study are: to evaluate adherence to the drug treatment of hypertensive men; to investigate the quality of life of hypertensive men; to raise the beliefs of these men regarding therapeutic adherence. METHOD: Quantitative-qualitative study, carried out at a basic unit of family health in the city of Campina Grande-PB. For the development of this study, we accessed the active database of the pilot research, which contained information collected through a form previously applied and extracted from it the data that fed the bank, referring to the male subjects, such as: sociodemographic data, anthropometrics and specific questions about therapeutic adherence and quality of life (QL), after this stage, the invitation to participate in the belief survey began. The pilot study addressed 112 hypertensive patients, of which 20 were men, composing the characterization sample, but on the belief collection it was not possible to perform with all, resulting in a sample of 13 men. RESULTS: The mean age of the men was 64 years, with white skin self-report (45%), low income (1.85 minimum wages) and schooling (2.65 years), married (60%) and retirees (55%). The data indicate that the sample is overweight (IMC = 28.95), sedentary (85%), headache (20%) as the main complaint and with low scores on quality of life (10,50) and adherence (4,75). The QL questionnaire revealed that these hypertensive people complained of weakness (50%), they think that life is a continuous struggle (90%), they feel they are sick (65%), they urinate more frequently (70%) and feel dry mouth (55%). Outgoing beliefs for treatment have identified health benefits and complying with duty as advantages of adhering to treatment. And the wife was the main positive reference for the treatment of hypertension. CONCLUSION: It is confirmed that users' beliefs about treatment, medication adherence and quality of life are fully connected variables, and it is of great importance that professionals are aware of this fact to provide comprehensive assistance to hypertensive men, knowing and introducing the positive referents in this assistance.