Determinantes da não adesão ao tratamento medicamentos de usuários hipertensos de uma Unidade Básica de Saúde

Abstract

Systemic arterial hypertension (SAH) is an important public health problem in Brazil and in the world. It is a chronic clinical condition currently characterized in our country as high and persistent pressure levels, equal to or greater than 140 x 90 mmHg. Systemic arterial hypertension also acts as a risk factor for other diseases such as acute myocardial infarction and stroke. Some risk factors contribute to the emergence of systemic arterial hypertension, including heredity, obesity, sedentary lifestyle and old age. Despite the creation of programs and public policies aimed at the prevention, control and rehabilitation of complications arising from the hypertensive picture, the non adherence to medical care reaches alarming levels, around 40 to 60% of the cases. This study aims to verify which factors interfere in the decision of not adhering to prescribed drug therapy. The research has been carried out in the Basic Health Unit of Dom Bosco, in the municipality of Juiz de Fora and has as subjects 20 hypertensive users accompanied by the health team of the referred Health Unit. Reasons for non compliance were grouped into four categories: 1. related to side effects of medicines in the human body, 2. related to hypertensive users, 3. referring to health professionals and their relationship with users, 4. allusive to access to medicines and services in the public network. All aspects showed are directly linked to the users’ decision however two are determinants: the lack of communication and the defficient relationship between doctor and hypertensive user. Both permeate the other points listed and arise the need for care. Care should be comprehensive and go beyond the simple act of a medical prescription.