Adesão ao tratamento de indivíduos com diabetes e hipertensão atendidos na Rede Básica de Saúde do município de Cajazeiras - PB.

Abstract

This study aimed to assess the adherence to treatment of individuals with diabetes and hypertension treated at the basic health network of the town of Cajazeiras - PB. It is a transversal observational and quantitative study with descriptive statistical analysis from the utilization of a semi-structured questionnaire as well as administration of the Morisky-Green validated scale for verification of the degree of adherence towards the drug treatment. The quantitative results were presented from descriptive techniques (percentage and absolute frequencies, measures of central tendency and dispersion) and analytical with the support of Graph Pad Prism version 5.0. The association of factors has been verified through the Chisquare test. The sample was composed by 80 users enrolled in the Hiperdia program, during January-August 2011 in eight Family Health Units of the town of Cajazeiras - PB. The study subjects present the following profile: they are predominantly women (76,25%), are between 61 and 70 years old (35%), nonwhite (60%), are married (48,75%), unfinished Elementary School (62,50%), have retirement (67,50%), receive individual monthly income between one and four minimum wages (82,50%), are sedentary (61,25%), nonsmokers (90,0%), nor are alcoholics (73,75%) are on a diet (82,50%), use medicine for diabetes (92,5%) and hypertension (98,75%), have been treated for more than two years (75%), did not interrupt treatment (88,75%) and do not have any difficulties in talcing their medication (87,50%). Half of the interviewed considers good the attendance in the FHU, however, only a little over onethird reports to get all the medications for the treatment of both diseases in the FHU. The result of the Morisky-Green test evidenced a low level behavior of adherence to treatment medication (63,75%). The low degree of adherence was observed in relation to all the evaluated factors, however, only the schooling factor has shown a statistically significant difference according to the Chi-square test. It was concluded that more effective interventions must be developed by the health teams, in order to improve the rates of treatment adherence.