Factors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador

Factors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador

Patricia Ortiz Solórzano

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Karen Pesse-Sorensen

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Victor Hugo Mena Maldonado

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Pontificia Universidad Católica del Ecuador

Factors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador

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Abstract

Low adherence to pharmacological treatment in patients diagnosed with hypertension is related to poor blood pressure control and an increased incidence of cardiovascular complications and deaths. A cross-sectional study was performed to determine conditioning factors towards adherence. Questionnaires and clinical evaluations were applied to 187 patients attending three first-level health units; in 130 of them laboratory tests were carried out. Diagnostic criteria were based on the European Clinical Practice Guidelines; adherence was based on the Morinsky test. 57.1% of patients had blood pressure values above the controlled threshold, and 71.1% reported non-adherence to pharmacological prescription. Factors associated whit low adherence were coexisting moderate to severe depression (OR = 2,054; CI 1,064 -3,964), low educational level (3.75 ± 3.05 years), poor understanding of medical prescriptions (OR = 2.3 CI 1.188 -4.477), irregular supply and limited economic access to prescribed drugs ((OR = 1.97 CI 1.08 -3.817), and low satisfaction with the care offered at health services (OR = 2.45; CI 1.202-5.00).

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

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How to Cite This Article

Patricia Ortiz Solórzano. 2021. \u201cFactors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador\u201d. Unknown Journal GJMR-I Volume 21 (GJMR Volume 21 Issue I3).

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GJMR-I Classification NLMC Code: QV 4

Submission ReceivedSeptember 14, 2021
Peer Review Double Blind
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Accepted October 2, 2021
Published October 15, 2021

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September 6, 2021

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