Adesão à terapia medicamentosa em pacientes com síndrome metabólica atendidos em Cuité/PB.

Abstract

Result of poor diet and physical inactivity, increasing the risk of cardiovascular disease and diabetes mellitus type 2. In this context, medication adherence is essential for successful treatment. Thus aimed to evaluate medication adherence of patients with MS treated at UBS Raimunda Domingos de Moura, in the municipality of Cuité - PB. This was a cross-sectional, descriptive and analytical study in patients diagnosed with MS, according to the NCEP / ATPIII. We collected socioeconomic data, biochemical, anthropometric and blood pressure levels, with the aid of tracking famacoteratêutico by the method of Pharmacotherapy workup (PW). To evaluate the adhesion was used therapy adherence scale of eight items of Morisky (MMAS-8). Were followed 40 patients with a mean age of 61.1 years (± 13,056), most of the patients were female (80%), who were in the age group 61-65 years (47.5%) 40% earned less than the minimum wage and 62.5% did not finish elementary school. Body mass index (BMI) (28.7 ± 4.6), the median systolic blood pressure (140 mmHg) and triglycerides (m = 220.1 mg / dL) were considered high according to the adopted parameters by NCEP / ATP III (2002), whereas glucose parameters are within normal limits (96.5 mg / dL). In women, the mean HDL-C was 45.06 ± 14.25 and abdominal circumference (AC) was 101.53 ± 8.56. Regarding the level of medication adherence, 77.5% of patients were in poor condition (37.5%) and medium (40%) membership, and only 12.5% of patients were considered strongly adherent. It was observed for schooling that 46.7% of poorly adherent patients were illiterate and 53.3% have not finished elementary school; of moderately adherent patients 18.8% were illiterate, 75% have not completed elementary school and only 6.2% complete high school and between strongly adherent, 20% are among the illiterate, 40% have not completed primary school and another 40% had completed high school. The prevalence was elderly, female, low-income and with incomplete primary education, who presented SBP measures, female and male abdominal circumference and high triglycerides and HDL-c female below the estimated normal. Most study patients appeared as weakly or moderately adherent to drug treatment and education level was significantly associated with the level of medication adherence.