Fatores relacionados a não adesão medicamentosa no tratamento da hipertensão arterial: uma revisão integrativa.

Abstract

Systemic Arterial Hypertension (SAH) is considered a multifactorial clinical condition characterized by elevated blood pressure (BP) levels. After visualizing the relevant characteristics of arterial hypertension and its treatment, the objective was to identify the factors that make adherence to the drug treatment of hypertension difficult. It is an Integrative Review of Literature, developed between December 2016 and January 2017 in the following databases: Latin American and Caribbean Literature in Health Sciences (LILACS), Medical Literature Analysis and Online Retrieval System (Medline), Nursing Database (BDENF) and COLECIONA SUS. A total of 84 articles were obtained, where the sample consisted of 20 articles that met the inclusion criteria. The main aspects that influence the adherence of the drug treatment of hypertension are related to the individual, which involve: cognitive deficit, schooling, feelings, alcoholic beverage, socioeconomic, acceptance of the disease and forgetfulness. Aspects regarding treatment: high cost of medications, long duration and complexity, adverse effects and number of medications. In relation to the disease, the main aspects were: late complications, asymptomatology, disease conditions and chronicity. In relation to health services, the following aspects were addressed: insufficient information, difficulties in access and poor ability of professionals to teach the correct use of medicines. The present study made it possible to verify that hypertension is a chronic disease that affects many people all over the world and that several factors interfere in the adherence and continuity of its drug treatment and should be approached by health professionals.