factors associated with adherence to pharmacological treatment among elderly persons using antihypertensive drugs 2017 glenda de almeida aquino学术.pdf

该【factors associated with adherence to pharmacological treatment among elderly persons using antihypertensive drugs 2017 glenda de almeida aquino学术 】是由【探春文档】上传分享，文档一共【12】页，该文档可以免费在线阅读，需要了解更多关于【factors associated with adherence to pharmacological treatment among elderly persons using antihypertensive drugs 2017 glenda de almeida aquino学术 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。:..http://dx./-ério3MarceldeToledoVieira4RonaldoRochaBastos4IsabelCristinaGon?alvesLeite2AbstractObjective::Across-sectional,population-basedstudywasperformedofelderlypatientsresidentinJuizdeFora,MinasGerais,--demographicvariablesandvariablesrelatedtohealthstatus,thehealthserviceKeywords:(95%confidenceinterval)prevalenceratios(PR).:Theprevalenceofadherencetopharmacologicaltherapywas47%(95%CI:41%-53%).Thesampleconsistedof279elderlypersons,themajorityofwhomwerewomen(69%),describedthemselvesaswhite(%),andhaduptofouryearsofschooling(%).Regardingpharmacologicaltherapy,(±)(±):asignificantassociationwasobservedbetweenadherencetopharmacologicaltherapyandthevariablespositiveperceptionofvision,,Programadepós-gradua??oemSaú,MG,,FaculdadedeMedicina,DepartamentodeSaú,MG,,FaculdadedeFarmácia,DepartamentodeCiênciasFarmacê,MG,,DepartamentodeEstatí,MG,-mail:@:...,RiodeJaneiro,2017;20(1):111-122InTRoDuCTIonResultsobtainedfrompopulation-basedstudiesondruguseareimportanttoolsfortheplanningofAsthepopulationages,thereisanincreasepharmaceuticalcare,healthregulation(registrationmunicableandinspection)policies,,,buttopromotehealth,thepreventionofdiseasesandthereisnoconsensusonagoldstandardandthere1121isnoinstrumentthatissuitableforallstudies5,(SAH)isTherefore,thepresentstudyaimstoanalyzecharacterizedasachronicmultifactorialdisease,adherencetopharmacologicaltreatmentandwhichishighlyprevalent,,thecostsofSAHcomplicationsreachasmuchas20%oftotal2Across-sectional,population-,whichwaspartofaresearchprojectentitled"theHealthSurveyoftheElderlyAdherencetodrugtherapycanbeunderstoodPopulationofJuizdeFora".Thecityislocatedinas"theextenttowhichindividualbehavior–theZonadaMata(ForestRegion)areaofthestatetheuseofmedications,followingadiet,and/ofMinasGerais,andhasapopulationof516,247ormakinglifestylechangescoincidewiththeinhabitants,%(70,288inhabitants)mendationsofhealthprofessionals”,%.regionofthecityofJuizdeFora,,83%ofBrazilianswhoself-:reporttheuseTheprevalenceofhypertensionandthenumberofatleastoneantihypertensivemedicationandofmedicationsusedtotreatthischronicdiseasebeapprovedinthe"MiniMentalStateExam"increasewithage5-7.(MMSE)or,inthecaseofcognitivedecline,,questionsaboutself-,impactingonthequalityoflifeofthepatientThedatacollectioninstrumentwaspreviouslyandhealthexpenditures,:..:cognition,generalhealth,functionalindependence,socialThepresentstudyoriginatesfromthecross-support,medicationuse,nutrition,mood,sectionalcut-offofthesecondphaseofacohortcontinence,,,theindividualspresentstudy,theelderlywereclassifiedasnon-frailwereselectedthroughclustersampling,basedonthewhentheyreacheduptofourpoints,andsuffering113typeofhealthcarecoverageofferedbytheSistemaapparenttoseverefrailtywhentheyscoredbetweenfiveand17points18.únicodeSaúde(theUnifiedHealthSystem)(SUS),subdividedintoprimarycare(FamilyHealthStrategyortraditional),SecondaryLevelMedicalSpecialtyTheinterviewalsoincludedasemi-structuredClinics,,consistingof30questionsregardingthesocioeconomicInthecurrentphaseofthisstudy,thecalculationconditions,,thesamplesizethirdvisit,%,(consideringthestratificationandclustereffect)Theeffectofthestudydesignwasconsideredintheanalyses,%.Initially,(462),%(248)quantitativevariables,(mean,medianandmode)anddispersion(standardforlossesoverthefouryearsduetopopulation11deviationandvariance)-changes,theoversamplemethodwasused,(PR)andthe95%confidenceinterval,aTheMMSEwasusedtotrackcognitivePoissonregressionmodelwasadopted,witharobustimpairment12,,,Multivariateanalysiswasbasedontheproposedandthosewithlessthanfouryears,atleast18hierarchicalmodel(Figure1)≤,theMorisky-GreenTest(MGT),,,basedonsignificancelevels,withthosethatmaintainedavalueofp<,consistingoffourquestions15finalmodel,,lowcostandfrequentuseinstudieswithsimilardesigns6,16,,andnon-mitteeofthegaveatleastonepositiveresponse,regardlessofUniversidadeFederaldeJuizdeFora()().:...,RiodeJaneiro,2017;20(1):111-,MG,(%),haduptofouryearsofschooling(%)lassC19(%).Atotalof423elderlypersonswereinterviewed,(±)(%)individualswereexcludedduetoofthesample(%)livedwithanotherpersonormendedMMSEscorepersons,%(145)ofwhomdescribedbeingbasedonschooling,mon-,97(%)Only6%ofthesamplelivedinanareanotpersonswereexcludedastheydidnotuseanycoveredbytheFamilyHealthStrategy(FHS),andmorethanhalf(169)(84%)andendocrine(%)56(%),24(%),%(202)%(32),andincludedsubjectswho,,onlyalthoughtheydidnotreportsufferingfromSAH,,theusepersons(p=),(±)(±)tabletsacaregiver,(p=),hemicalClassification20,(50%),thealimentarytractConsideringthelossof144(%)individuals,(%)andnervoussystem(13%).Withrespectthefinalsampleofthestudyincluded279elderlytoantihypertensivemedication,(%).posedofmainly(±)oftheseactiveingredientswasobserved,women(69%),whodescribedthemselvesaswhitewithlosartan(%),hydrochlorothiazide(%):..Factorsassociatedwithadherencetopharmacologicaltreatmentamongtheelderlyandatenolol(%),%%áciaPopularorPopularschoolingwasassociatedwithnon-adherence,,beingsatisfiedwithhealthservicesandAtotalof47%(95%CI:41%-53%),thevariablesOftheelderlyinterviewed,%describedpositiveperceptionofvision,positiveperceptionottentotaketheirmedication,andofhearingandabsenceoffrailtyremained28.