Classes of antihypertensive drugs and their combination on public health system patients with systemic arterial hypertension
Supporting Agencies
- Universidade de São Paulo
Abstract
The article analyzes the prescribed antihypertensive drugs classes and their quantity in daily use in the treatment of patients with systemic arterial pressure in the public health system and the combination between the amount of antihypertensive drugs prescribed and the control of arterial pressure levels in two Brazilian municipalities. This is a descriptive, quantitative approach study, carried out in 2014, with 757 people enrolled in unities of family health strategy at a municipality in Minas Gerais and another in São Paulo. The study was approved by the Research Ethics Committee of the Ribeirão Preto School of Nursing, University of São Paulo, Process no.: 02313012.4.0000.5393. For data collection, validated instruments were used to characterize the sample and to map antihypertensive drugs used. It was found that drug treatment occurs in combination and daily use among people was of more than one drug, in the last week, in Minas Gerais: 201 (55.8%); in São Paulo: 253 (63.7%). Verifying the association among the amount of antihypertensive drugs used, statistical significance was not found. The present data support the conclusion that the antihypertensive prescriptions for the sample are consistent with the guidelines recommended by primary care documents issued by the Ministry of Health.Downloads
References
Sociedade Brasileira de Cardiologia, Sociedade Brasileira de Hipertensão, Sociedade Brasileira de Nefrologia. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. 2010; 95:1-51.
Oliveira TL, Miranda LP, Fernandes PS, Caldeira AP. Eficácia da educação em saúde no tratamento não medicamentoso da hipertensão arterial. Acta Paul Enferm.2013;26(2):179-84.
Simão AF, Précoma DB, Andrade JPD, Correa Filho H, Saraiva JFK, Oliveira GMMD. I cardiovascular prevention guideline of the Brazilian Society of Cardiology-executive summary. Arq Bras Cardiol .2014;102(5):420-31.
Marchioli M, Sanches Marin MJ, Magalhães Pizoletto BH, Alves POC, Varella SR. Classes de anti-hipertensivos prescritas aos idosos na estratégia de saúde da família do município de marília (SP). Rev Baiana Saude Publica. 2011;34(3):682-693.
Fátima CC, Marangon M, Schwambach KH. Uso de Medicamentos por Hipertensos do Estado do Rio Grande do Sul, Brasil. Rev Bras Cardiol.2014;27(6):403-8.
Brasil, Ministério da Saúde. Disponível em: http://www.conasems.org.br/index.php/comunicacao/noticias/2338-publicada-a-portaria-da-rename-relacao-nacional-de-medicamentos-essenciais2014. Acesso em: 24/02/2014.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr., et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension .2003;42(6):1206-52.
Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, et al. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens.2007;25(6):1105-87.
Campbell NR, Khan NA, Hill MD, Tremblay G, Lebel M, Kaczorowski J, et al. 2009 Canadian Hypertension Education Program recommendations: the scientific summary--an annual update. Can J Cardiol.2009;25(5):271-7.
Santos Tavares DM, Martins NPF, Dias FA, Diniz MA. Qualidade de vida de idosos com e sem hipertensão arterial. Rev Eletrônica Enferm. 2011;13(2):211-18.
Silva PCS, Monteiro LA, Graciano ADS, Terra FS,Veiga EV. Avaliação da depressão em idosos com hipertensão arterial sistêmica. Rev RENE. 2014;15(1):151-7.
Bezerra SMMS, Veiga EV. Quality of life among people with hypertension served in units of family health strategies. J Nurs UFPE on line.2013;7(12):7055-63.
Leng B, Jinà Y, Li G, Chen L, Jin N. Socioeconomicstatusandhypertension: ameta-analysis. J Hypertens.2015;33(2):221-9.
Thomopoulos C, Parati G, Zanchetti A. Effects of blood pressure lowering on outcome incidence in hypertension: 4. Effects of various classes of antihypertensive drugs-Overview and meta-analyses. J Hypertens.2015;33(2):195-11.
Cuentro VS, Andrade MA, Gerlack LF, Bós AJG, Silva MVS, Oliveira AF. Prescrições medicamentosas de pacientes atendidos no ambulatório de geriatria de um hospital universitário: estudo transversal descritivo. Cienc Saude Colet.2014, 19(8):3355-64.
Obreli Neto PR, Gaeti Franco WP, Cuman RKN. Avaliação da farmacoterapia anti-hipertensiva em pacientes diabéticos atendidos no Sistema Único de Saúde (SUS) na rede municipal de saúde de Salto Grande, SP. Rev Cienc Farm Basica Apl.2010;30(3):323-9.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.