Prevalencia de hipertensión, falta de adherencia al tratamiento anti hipertensivo y factores asociados, en pacientes mayores de 40 años, internados en el servicio de clínica de los Hospitales José Carrasco Arteaga y Vicente Corral Moscoso, Cuenca 2013

Abstract

Determine the prevalence of hypertension, absence in adhesion to the anti hypertensive treatment and associated factors, in patients older than 40 years of age, who have been hospitalized in the Clinics of Jose Carrasco Arteaga and Vicente Corral Moscoco hospital, in the year of 2013. Methodology Cross sectional study, of a random sample of 516 patients from a total of 602. The sample was random, representative and weighted for each hospital and specialty, of which were randomly selected. The size was calculated on the base of a known universe, with a confidence interval of 95%, proportion of the lowest factor (related to the patient) equal to 25%, and a 2% index of error Results The mean age was 64.27 ± 15.12 years; men, 54.26%. The prevalence of hypertension was 38.4%. The prevalence of adherence was 38,4%. The association between adherence to anti-hypertensive treatment and the socioeconomic factors, provided RP: 5.21 p < 0.05, with the factors relating to the system and health equipment RP: 2.42 p < 0.05, therapy-related RP: 4.31 p < 0.05 and related to the patient RP: 15.41 p < 0.05. Conclusion The prevalence of hypertension was of 38.4%. The prevalence of adherence is 39,9%. The most important factor for non adherence is patient – related factors with RP 15,41 (IC 3,9 – 59,7), in succession of socioeconomic, concerning therapy and those relating to the health system and equipment. Key Words: HYPERTENSION, PREVALENCE, MEDICATION ADHERENCE, HOSPITAL JOSE CARRASCO ARTEAGA, HOSPITAL VICENTE CORRAL MOSCOSO.