Além da prescrição: a má adesão ao tratamento medicamentoso da Hipertensão Arterial Sistêmica

Abstract

This narrative bibliographical review used a selection of scientific studies by consulting Bireme, Lilacs, Medline, PubMed and Scielo database, in order to analyse the contributions about poor adherence to High Blood Pressure (HBP) drug treatment, one of the most important Public Health problems, whose complications are responsible to a big social impact. There are many reasons that may influence adherence to HBP drug treatment, including patient-related factors, disease, treatment, acessibility to health services and the relationship with the health professionals and their care-giver. Several texts about self-care, focus of Orems Self-care Deficit Theory, and on the interventions taken to improve adherence to HBP drug treatment were presented. We concluded that the good doctorpatient relationship is very important to the success of HBP treatment and the participation of other health professionals, with multidisciplinary approach, is essential and promotes greater adherence to treatment and consequently better control of the disease. This work serves as an instrument to encourage and assist the development of strategies and action plans to promote the best approach and treatment of HBP. This narrative bibliographical review used a selection of scientific studies by consulting Bireme, Lilacs, Medline, PubMed and Scielo database, in order to analyse the contributions about poor adherence to High Blood Pressure (HBP) drug treatment, one of the most important Public Health problems, whose complications are responsible to a big social impact. There are many reasons that may influence adherence to HBP drug treatment, including patient-related factors, disease, treatment, acessibility to health services and the relationship with the health professionals and their care-giver. Several texts about self-care, focus of Orems Self-care Deficit Theory, and on the interventions taken to improve adherence to HBP drug treatment were presented. We concluded that the good doctorpatient relationship is very important to the success of HBP treatment and the participation of other health professionals, with multidisciplinary approach, is essential and promotes greater adherence to treatment and consequently better control of the disease. This work serves as an instrument to encourage and assist the development of strategies and action plans to promote the best approach and treatment of HBP.