HIGHLIGHTS
-
Of those who sought Emergency care, 36% did not adhere to the therapy.
-
Non-adherence was associated with being aged less than 60 years old.
-
Frequently seeking ER services was associated with non-adherence.
-
Having bonds with Primary Care professionals was associated with non-adherence.
ABSTRACT
Objective:
to analyze factors associated with therapeutic non-adherence among individuals with Arterial Hypertension who seek emergency care and/or assistance due to hypertensive complications.
Method:
this is a cross-sectional study conducted from December 2019 to October 2020 with 238 people living in a medium-sized municipality from southern Brazil using Morisky’s 8-Item Medication Adherence Scale. Multiple Logistic Regression was used in the analysis.
Results:
a total of 86 (36.1%) participants were considered as non-adherent. A higher change of non-adherence was observed in people younger than 60 years of age (Odds Ratio=2.04), who sought emergency services in the three years under study (Odds Ratio=5.08), and who had a bond with Primary Health Care professionals (Odds Ratio=1.96).
Conclusion:
acknowledging the factors associated with non-adherence to the therapy will allow professionals to conduct educational interventions and assist people with hypertension according to their needs, thus preventing/postponing complications.
DESCRIPTORS:
Nursing; Hypertension; Adherence to Medication; Primary Health Care; Emergency Medical Services.