Adherencia terapéutica de los medicamentos antihipertensivos en los adultos mayores del área de cardiología del Hospital General del Norte de Guayaquil IESS Los Ceibos.

Abstract

Medication adherence is defined as the degree to which a patient takes the medications prescribed by the doctor or specialist to improve their medical conditions. Objective: Determine the therapeutic adherence of antihypertensive medications in older adult patients in the cardiology area of the General Hospital of the North of Guayaquil IESS Los Ceibos. Methodology: Descriptive, quantitative level, according to the prospective time and the sequence of the cross-sectional study. Population: 100 elderly hypertensive patients. Technique: Survey. Instrument: Therapeutic profile questionnaire and Hill-Bone Compliance Scale. Results: The therapeutic profile of the patients is 58% male in the age range of 65 to 79 years (54.0%). Regarding treatment, 54.0% receive monotherapy, while a considerable percentage requires dual therapy (30.0%). In addition, there is a history of high blood pressure (78.0%) of grade I (74.0%), diagnosed in the last five years (50.0%). In terms of treatment, diuretics represent the most prescribed class (46.0%), followed closely by calcium channel blockers (34.0%). Diabetes mellitus emerges as the most prevalent comorbidity 65.7%. Regarding taking medications (70.0%) comply with the recommendations, however, sodium consumption and scheduled medical appointments are not met (66.0%) and (62.0%) respectively. Conclusion: Although most patients show good adherence to antihypertensive medications, the lack of compliance in controlling sodium consumption and scheduled medical appointments is worrying.