Psychosocial Determinants of the Intention to Take Oral Antihypertensive Drugs: A Cross-sectional Study
DOI:
https://doi.org/10.5294/aqui.2020.20.4.6Palabras clave:
Hipertensión, antihipertensivos, cumplimiento y adherencia al tratamiento, intención, teoría social, enfermería.Resumen
Determinantes psicosociales de la intención de tomar antihipertensivos orales: estudio transversal
Determinantes psicossociais da intenção de tomar anti-hipertensivos orais: estudo transversal
Objetivo: identificar los predictores psicosociales que influyen la intención comportamental de tomar los antihipertensivos orales.
Materiales y métodos: estudio transversal, fundamentado en la teoría de la conducta planeada. Se aplicó un cuestionario construido y validado a 220 individuos con hipertensión arterial sistémica en seguimiento ambulatorio en un hospital público. Se emplearon las pruebas de Cui-cuadrado y exacto de Fisher, correlación de Spearman y regresión logística múltiple para analizar los datos.
Resultados: los participantes presentaron alta intención de tomar los antihipertensivos. Las creencias comportamentales (ß = 0,0432; p = 0,0364), la norma subjetiva (ß = -1,5708; p < 0,01) y el control comportamental percibido (ß = 2,2809; p = 0,0028) explicaron la intención comportamental en el 33 %.
Conclusiones: creencias comportamentales, norma subjetiva y control comportamental percibido son predictores psicosociales significativos de la tomada de los antihipertensivos y deben valorarse, de forma individual y conjunta, en las acciones de salud hacia esta población.
Para citar este artículo / To reference this article / Para citar este artigo
Almeida TCF, Sousa MM, Gouveia BLA, Olinda RA, Lamas JLT, Oliveira SHS. Psychosocial Determinants of the Intention to Take Oral Antihypertensive Drugs: A Cross-sectional Study. Aquichan. 2020;20(4):e2046. DOI: https://doi.org/10.5294/aqui.2020.20.4.6
Recibido: 05/04/2020
Aceptado: 24/08/2020
Publicado: 04/12/2020
Descargas
Citas
Ahn YH, Ham OK. Factors associated with medication adherence among medical-aid beneficiaries with hypertension. West J Nurs Res. 2016;38(10):1298-312. DOI: https://doi.org/10.1177/0193945916651824
Laba T-L, Lehnbom E, Brien J, Jan S. Understanding if, how and why non-adherent decisions are made in an Australian community sample: A key to sustaining medication adherence in chronic disease? Res Social Adm Pharm. 2015;11(2):154-62. DOI: https://doi.org/10.1016/j.sapharm.2014.06.006
Pagès-Puigdemont N, Tuneu L, Masip M, Valls P, Puig T, Mangues MA. Determinants of medication adherence among chronic patients from an urban area: A cross-sectional study. Eur J Public Health. 2019;29(3):419-24. DOI: https://doi.org/10.1093/eurpub/cky259
Crowley MJ, Zullig LL, Shah BR, Shaw R J, Lindquist JH, Peterson ED, Bosworth HB. Medication non-adherence after myocardial infarction: An exploration of modifying factors. J Gen Intern Med. 2015;30(1):83-90. DOI: https://doi.org/10.1007/s11606-014-3072-x
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50:179-211. DOI: https://doi.org/10.1016/0749-5978(91)90020-T
Ouellete JA, Wood W. Habit and intention in everyday life: The multiple processes by which past behavior predicts future behavior. Psychol Bull. 1998;124(1):54-74. DOI: https://doi.org/10.1037/0033-2909.124.1.54
Al-Ganmi AHA, Al-Fayyadh S, Ali MBHA, Alotaibi AM, Gholizadeh L, Perry L. Medication adherence and predictive factors in patients with cardiovascular disease: A comparison study between Australia and Iraq. Collegian. 2019;26(3):355-65. DOI: https://doi.org/10.1016/j.colegn.2018.10.002
Al-Noumani H, Wu JR, Barksdale D, Alkhasawneh E, Knafl G, Sherwood G. Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study. Sultan Qaboos Univ Med J. 2017;17(3):e329-33. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642364/
Molloy JG, O’Carroll RE. Medication adherence across the lifespan: Theory, methods, interventions and six grand challenges. Psychol Health. 2017; 32(10):1169-1175. DOI: https://doi.org/10.1080/08870446.2017.1316850
Ho YC, Ho CP, Shih JH. Factors affecting medication compliance behavior among hypertension patients based Theory of Planned Behavior. Gen Health Med Sci. 2015;3(1):1-5. Available from: https://pt.scribd.com/document/315233868/Factors-Affecting-Medication-Compliance-Behavior-among-Hypertension-Patients-based-on-Theory-of-Planned-Behavior
Bane C, Hughe CM, McElnay JC. Determinants of medication adherence in hypertensive patients: An application of self-efficacy and the Theory of Planned Behaviour. Inter Journal of Pharm Pract. 2006;14(3):197-204. DOI: https://doi.org/10.1211/ijpp.14.3.0006
Lennon C, Hughes CM, Mcelnay JC, Johnston GD. Identification of psychosocial factors which influence patient adherence with antihypertensive medication. Inter Journal of Pharm Pract. 2001;9(s1):8.DOI: https://doi.org/10.1111/j.2042-7174.2001.tb01068.x
Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT et al. 7th Brazilian Guideline of Arterial Hypertension. Arq Bras Cardiol. 2016;107(suppl. 3):1-83. DOI: https://doi.org/10.5935/abc.20160140
Organización Mundial de la Salud. Adherencia a los tratamientos a largo plazo: pruebas para la acción. Washington: OMS; 2004. 199 p. Disponible en: http://www.farmacologia.hc.edu.uy/images/WHO-Adherence-Long-Term-Therapies-Spa-2003.pdf
Almeida TCF. Determinantes psicossociais do uso de anti-hipertensivos orais: instrumento de medida e tecnologias motivacionais. Tese [doutorado em Enfermagem]. Universidade Federal da Paraíba, João Pessoa; 2019. Disponível em: https://sig-arq.ufpb.br/arquivos/20190770885c54181015136a6f29d9b01/TESE_-_TACIANA_DA_COSTA_FARIAS_ALMEIDA.pdf
Topouchian J, Agnoletti D, Blacher J, Youssef A, Ibanez I, Khabouth J et al. Validation of four automatic devices for selfmeasurement of blood pressure according to the international protocol of the European Society of Hypertension. Vasc Health Risk Manag. 2011;7:709-17. DOI: http://dx.doi.org/10.2147/VHRM.S27193
Hulley SB, Cummings SR, Browner WS, Grady D, Newman TB. Delineando a pesquisa clínica. 4. ed. Porto Alegre: Editora Artmed; 2015.
Almeida TCF, Sousa MM, Pessoa MSA, Sousa LS, Gouveia BLA, Oliveira SHS. Beliefs of individuals with systemic arterial hypertension related to drug treatment. Rev Rene. 2019;20:e41585. DOI: https://doi.org/10.15253/2175-6783.20192041585
Park LG, Howie-Esquivel J, Whooley MA, Dracup K. Psychosocial factors and medication adherence among patients with coronary heart disease: A text messaging intervention. Eur J Cardiovasc Nurs. 2015;14(3):264-73. DOI: http://dx.doi.org/10.1177/1474515114537024
Gouveia BLA, Sousa MM, Almeida TCF, Sousa VAG, PereiraWDF, Oliveira SHS. Beliefs related to oral antidiabetic use among individuals with diabetes. Escola Anna Nery. 2020;24(1):e20190148. DOI: https://dx.doi.org/10.1590/2177-9465-ean-2019-0148
Anderson K, Burford O, Emmerton L. Mobile health apps to facilitate self-care: A qualitative study of user experiences. PLoS One. 2016;11(5):e0156164. DOI: https://doi.org/10.1371/journal.pone.0156164
Piette JD, List J, Rana GK, Townsend W, Striplin D, Heisler M. Mobile health devides as tools for worldwide cardiovascular risk reduction and disease management. Circulation. 2015; 132(21):2012-27. DOI: https://doi.org/10.1161/CIRCULATIONAHA.114.008723
Burke LE, Ma J, Azar KM, Bennett GG, Peterson ED, Zheng Y et al. Current science on consumer use of móbile health for cardiovascular disease prevention. Circulation. 2015;132:1-58. DOI: https://doi.org/10.1161/CIR.0000000000000232
Mansour SN, Monteiro CN, Luiz OC. Adherence to medication among hypertensive patients participating in the Medicine at Home Program. Epidemiol Serv Saude. 2016;25(3):647-54. DOI: https://doi.org/10.5123/s1679-49742016000300021
Raimundo ACN, Pierin AMG. Adherence to anti-hypertensive treatment within a chronic disease management program: A longitudinal, retrospective study. Rev Esc Enferm USP. 2014; 48(5):811-9. DOI: https://doi.org/10.1590/S0080-6234201400005000006
Gaziano TA, Bertam M, Tollman SM, Holfman KJ. Hypertension education and adherence in South Africa: A cost-effectiveness analysis of community health workers. BMC Public Health. 2014;14(240):1-9. DOI: https://doi.org/10.1186/1471-2458-14-240
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2020 Aquichan
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
Esta revista y sus artículos se publican bajo la licencia CreativeCommons CC BY 4.0 DEED Atribución 4.0 Internacional, usted es libre de: Compartir — copiar y redistribuir el material en cualquier medio o formato para cualquier propósito, incluso comercialmente. Adaptar — remezclar, transformar y construir a partir del material para cualquier propósito, incluso comercialmente. La licencia no puede revocar estas libertades en tanto usted siga los términos de la licencia.
