Adesão ao tratamento e controle da hipertensão arterial: considerações a partir de revisão bibliográfica

Abstract

Systemic Arterial Hypertension (SAH) is considered a public health problem which is closely related to fatal and non fatal cardiovascular events and deterioration in quality of life of an important part of population. Adherence to SAH medical treatment is a matter of concern for professionals who work at Health Primary Care due to its low rate, compromising the success on blood pressure control and resulting in target organs damage and aggravation of patients functional capacity; at the same time it causes feelings of frustration in the health team and increase of service demand.The aim of this study was to survey in the national literature patient`s adherence inherent factors to SAH treatment, intending to improve the follow up by the health team professionals..A bibliographic review was done based on Literatura Latino-Americana e do Caribe em Ciências da Saúde LILACS and Scientific Eletronic Library Online SCIELO data and the goal was to enlarge the knowledge and comprehension of intrinsic factors involved with antihypertensive treatment adherence. We analyzed articles published between 2000 and 2011 obtained from the selected descriptors.The probable causes found were related to the patient, the disease, the treatment, the health system and to health team assistance. The possible factors that could improve SAH control were active patient participation on treatment, changes in lifestyle, simplification of therapeutic regimen, educational programs, efficient doctor-patient relationship and a multidisciplinary team. In conclusion, health care professionals need to be able to incorporate new strategies to amplify the patient adhesion to the SAH therapy in basic health attention.