MANIFESTATIONS AND ATTITUDES ABOUT DIFFICULTIES IN ADHERENCE TO PHARMACOLOGICAL TREATMENT IN THE UNIVERSE OF PRIMARY CARE
ADHERENCE TO PHARMACOLOGICAL TREATMENT IN THE UNIVERSE OF PRIMARY CARE
DOI:
https://doi.org/10.13037/ras.vol23.e20259641Keywords:
medication adherence, primary health care, aged, hypertension, public health, chronic diseaseAbstract
Introduction: Systemic Arterial Hypertension is a pathology with high prevalence and impact on the lives of the elderly population, emphasizing the need for constant and adequate treatment, whose impact is crucially influenced by multifactorial agents such as pharmacological adherence and rational use of medicines. Objectives: This study aims to understand pharmacotherapeutic non-adherence among elderly people with hypertension treated at a Primary Healthcare Unit. Materials and Methods: It is a qualitative study involving description and content analysis, conducted with 20 elderly hypertensive patients who had difficulties adhering to the proposed therapeutic plan and were registered at a Primary Healthcare Unit in the South Zone of São Paulo. Data collection took place through in-depth interviews based on a questionnaire with pre-formulated questions, from January to February 2024. Laurence Bardin's methodology was used for subsequent content analysis. Results: Medication adherence among hypertensive elderly people was affected by several factors, such as memory lapses, a superficial perception of the pathology combined with a sense of autonomy, alcoholism, side effects of pharmacotherapy, polypharmacy, limited understanding of the benefits of treatment, and low availability of medicines. Conclusion: pharmacotherapeutic adherence is multifactorial, which highlights the relevance of care that adopts the patient's perspective as a biopsychosocial being, taking into account their individuality and particular demands, thus allowing the identification of the feelings underlying the diagnosis and treatment.
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