identificación de factores de predicción del incumplimiento terapéutico en adultos mayores hipertensos de una comunidad del sur de chile identifying predictive factors for therapy nonadherence among hypertensive, older adults from a community in southern chile

Clicks: 396
ID: 148150
2009
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #52 of 192 articles by views in communications on pure and applied analysis

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 192 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
OBJETIVO: Identificar factores de predicción del incumplimiento terapéutico en adultos ma yores hipertensos a partir de su dependencia funcional, trastornos de memoria, percepción de bienestar, maltrato y depresión en una región del sur de Chile. MÉTODOS: Estudio cuantitativo exploratorio en una muestra de 211 adultos mayores hiper tensos (29,1% de los atendidos en el Programa Cardiovascular del Centro de Salud Familiar San Pedro, en la provincia de Concepción, Región del Bío Bío, Chile). Se aplicaron siete ins trumentos: el cuestionario abreviado de Pfeiffer para el estado mental, la escala de Yesavage para la depresión geriátrica, la escala de maltrato senil, la escala moral del Centro Geriátrico de Filadelfia, la escala de conductas en salud y las escalas de Lawton y Katz para medir la ca pacidad de realizar actividades instrumentales y básicas de la vida diaria, respectivamente. Mediante el análisis de componentes principales se definieron variables latentes. RESULTADOS: Se determinaron dos variables latentes: vinculación con el medio -medida a partir de las variables depresión, maltrato y satisfacción con el medio- y autonomía -medida a partir de las variables estado mental y capacidad para realizar actividades instrumentales y básicas-. Estas variables latentes explicaron 39,7% y 20,7% del incumplimiento terapéutico, respectivamente. CONCLUSIONES: Las variables latentes propuestas pueden emplearse como factores de predic ción del incumplimiento terapéutico de los adultos mayores con hipertensión arterial. Las cau sas del incumplimiento terapéutico no pueden medirse solamente en los establecimientos de salud, es necesario conocer el entorno primario en el hogar y adecuar la atención sanitaria a partir de las necesidades que allí se detecten.
OBJECTIVE: To identify the predictive factors associated with therapy nonadherence among hypertensive older adults, based on functional dependency, memory disorders, self-perceived wellbeing, abuse, and depression in an area of southern Chile. METHODS: A quantitative, exploratory study of a sample of 211 hypertensive, older adults (29.1% of those being treated by the cardiovascular program at the Centro de Salud Familiar San Pedro, in the province of Concepción, del Bío Bío region, Chile). Seven instruments were applied: Pfeiffer's short mental status questionnaire, Yesavage's geriatric depression scale, the elder abuse screening scale, the morale scale of the Philadelphia Geriatric Center, the health behavior scale, the Lawton assessment of instrumental activities of daily living (ADL), and the Katz ADL index. Following an analysis of the important components, latent variables were identified. RESULTS: Two latent variables were identified: social connectedness-measured by the variables depression, abuse, and social satisfaction-and autonomy-measured by the variables mental health and ability to perform basic and instrumental ADLs. These latent variables accounted for 39.7% and 20.7% of nonadherence to therapy, respectively. CONCLUSIONS: The latent variables proposed here can be used as predictive factors for therapy nonadherence in elderly adults with arterial hypertension. Causes of nonadherence to therapy cannot be assessed solely at health care centers; but rather, an understanding of the home environment is needed and treatment should be adapted according to the needs that exist there.
Reference Key
mendoza-parra2009revistaidentificacin Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Sara Mendoza-Parra;José Manuel Merino;Omar A. Barriga
Journal communications on pure and applied analysis
Year 2009
DOI
DOI not found
URL
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000200002
Keywords
hypertension Risk factors factores de riesgo chile tropical medicinepublic aspects of medicine health of the elderly

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.