PROBLEM TREE

Increase of
the
complication Problem of
it is in the public health.
patients
hypertensives.
Discomfort
Increase of in the
income to person with
hospitals hypertension
and his family
People with
Hypertension
arterial detected
through the ESE Santago
from Tunja no
they have your
condition they exist
the
difficulty The
controlled. barriers
people of Stress
for the nutrition hypertensive what
acceso
people in the no drives
for
take people they consider I did it in the
consciousness with the r person
in his hypertension importance s with
food
condition of it is not the of the hypertensive
s
Styles de
salud consumo
adecuada activity healthy sieven
of salt and fisica Low Solitude or the
life Sedent resources decrease
managed low racism economy on the network of
and from consumption
cos family support
childhood of fruits and
vegetables
KEYWORDS
Hypertension, complications, self-management, compliance, and adherence to treatment,
provision of health care.

READING SHEETS

ITEM RESULT

TITLE OF THE ARTICLE EFFECT OF EDUCATIONAL INTERVENTION ON

THE ADULT SELF-CARE AGENCY
HYPERTENSIVE MAYOR OF BOYACÁ, COLOMBIA,
SOUTH AMERICA.
 PAÍS, CIUDAD Colombia, Boyacá

REFERENCE1 Fernández Alba Rosa, Manrique-Abril Fred Gustavo.

Effect of the educational intervention on
THE ADULT SELF-CARE AGENCY
HYPERTENSIVE MAYOR OF BOYACÁ, COLOMBIA,
SOUTH AMERICA: CARE AGENCY FOR ELDERLY
HYPERTENSIVE IN BOYACÁ-COLOMBIA,
SOUTH AMERICA. Sci. health. [Internet]. 2010 Aug
[cited 2019 Jun 02]; 16(2): 83-97. Available
[Link]
script=sci_arttext&pid=S0717-
95532010000200009&lng=en.
[Link]
95532010000200009.

SUMMARY The article presents an interdisciplinary intervention

in hypertensive patients to control their condition
and avoid complications; the main ones
interventions that were educated about were:
change in lifestyles, avoid the increase of
weight, consume a healthy diet, reduce
the intake of salt and fats, increase activity
physics, maintain an appropriate handling of stress and
of the medications indicated in the controls
chronic disease newspapers. The intervention
nursing is essential, with educational support,
that encourages behavioral changes, achieves motivation and
to raise awareness among patients for self-care,
increasing interest in their health.
The educational intervention consisted of six sessions.
group educational activities, each study group is assigned
administered two educational sessions per week,
for three weeks, lasting 30
minutes each session.

CENTRAL IDEAS Hypertension is among the

primary causes of morbidity and mortality in adults
elders, being identified as main ones
risk factors of sedentary lifestyle, bad ones
 hábitos alimenticios, el consumo excesivo de grasas
and of salt, and the lack of culture for the use of the
health services.
The appearance of the can be avoided or controlled.
complications through the implementation of
nursing interventions that strengthen the
agency for self-care of the elderly, making
emphasis on proper health education,
according to its sociocultural context, that
allow combining the basic knowledge about it
What is hypertension and the change in lifestyles.

KEYWORDS I["intervention","self-care","elderly","hypertension"].

OBSERVATIONS AND It is an experimental study that allows us to understand the

INTERPRETATION main causes of complications for a
hypertensive person who does not have their condition
controlled and the interventions that the professional
nursing must do.

ITEM RESULT

TITULO DEL ARTICULO Hipertensión arterial, un enemigo peligroso

PAÍS, CIUDAD Havana, Cuba

REFERENCE2 Miguel Soca Pedro Enrique, Sarmiento Teruel

Yamilé. Hypertension, a dangerous enemy.
ACIMED [Internet]. September 2009 [cited June 2019
02]; 20(3): 92-100. Available at:
[Link]
script=sci_arttext&pid=S1024-
94352009000900007&lng=es.

SUMMARY Hypertension is considered when the figures

Blood pressure readings are equal to or greater than 140/90.

maintained, hypertension is considered as

a global public health problem, due to the
various complications at the organ level
 diana, retinopathies, nephropathies among others that this
There are different studies that exist,
determine some options to prevent them,
these have been endorsed in different countries for the
management and control of this condition, among these is
recommend the management of a physical activity
effective, balanced diet, decrease in the
consumption of foods high in sodium.

CENTRAL IDEAS 1. The condition of hypertension is a problem of

global public health due to the complications that
this present.
2. The changes in lifestyle are
fundamentals for the control of hypertension,
weight control, balanced diet, avoid the
sedentarism.
3. The elimination of toxic habits such as the
tobacco and alcohol consumption decreases the occurrence
of complications and the increase in figures
tensional

KEYWORDS high blood pressure, lifestyles, complications

OBSERVATIONS AND We found an article that specifies

INTERPRETATION key concepts of hypertension, the
complications that this brings in the future and the styles of
life to modify to avoid them.

ITEM RESULT

TITULO DEL ARTICULO La hipertensión arterial: un problema de salud

international
 PAÍS, CIUDAD Matanzas, Cuba

REFERENCE3 Alfonso Prince José Claro, Salabert Tortoló Idalmi

Alfonso Salabert Iria, Morales Díaz Mariuska, García
Cruz David, Acosta Bouso Anilexys. Hypertension
arterial: an international health problem.
[Link]ón. [Internet]. August 2017 [cited
2019 Jun 02] ; 39(4): 987-994. Available at:
[Link]
script=sci_arttext&pid=S1684-
18242017000400013&lng=es.

RESUMEN The objective of the study was to assess the contents

theoretical aspects of hypertension and with experience
accumulated by the authors during their years through the
assistance and educational roles performed in
Medical Sciences, in Cuba and in the missions
internationalists of the National program for
Prevention and Control of Hypertension
revisit concepts and premises of the disease like this
how to assess in a more complete manner and to
community level educational interventions to
said patients.

CENTRAL IDEAS Hypertension has a distribution to

worldwide level, so it must be taken into account
its multiple factors of an economic, social nature,
cultural, environmental and ethnic.
The global prevalence is 20-30% in the
population over 18 years old and has continued its
promotion, often occurs in the most
productive of life and the absent political will,
which translates into a decrease
significant of the years of life and acceleration of the
mortality.
the blood pressure figures of 160 mmHg were adopted and
95 mmHg to classify as hypertensive to the
individuals aged 15 and older.
The initial evaluation of every hypertensive patient
It must follow at least 6 objectives: evaluate the style
 of the patient's life, detect the coexistence of
cardiovascular risk factors, search for the
existence of curable causes of hypertension
arterial, establish whether hypertension is or is not
maintained and its magnitude, assess the presence of
target organ damage, diseases
cardiovascular, and identify other diseases
concomitants that may influence the prognosis and
treatment.
students need to be prepared in development
health intervention actions in the two
primary or occurrence levels and secondary or
progression.
the focus actions must be population-based and
individual
Is there control over all hypertensive patients?
area or country?, how many hypertensives remain
in the streets that are not educated, diagnosed,
controlled and monitored?
This group of authors considers that hypertension
arterial is still a health problem for the
governments and countries, primarily due to the
how expensive it is to implement an educational plan for everyone
the levels to achieve total control of the
hypertension and secondly achieve assistance
from 100% of the population to their office, which in
the current moments the young population and
worker who may be a bearer of said
disease, unless they present a problem
sharp.

KEYWORDS high blood pressure, health problem.

OBSERVATIONS AND Hypertension has a distribution to

INTERPRETATION world level, so it must be taken into account
its multiple factors of an economic, social nature,
cultural, environmental and ethnic; to guide the
care interventions and promote the
self-care.
Health interventions should be directed at the
 two levels primary or occurrence and
secondary or progression.
Hypertension remains a problem in
world level as to design educational plans to
all levels are expensive and it cannot be achieved
total attendance at educational sessions.

ITEM RESULT

TITULO DEL ARTICULO Hipertensión arterial: principales factores de riesgo

modifiable in the family health strategy

PAÍS, CIUDAD Brazil

REFERENCE4 Weschenfelder Magrini D., Gue Martini J..

Hypertension: main risk factors
modifiable in the family health strategy.
Glob. Nurs. [Internet]. April 2012 [cited June 2019
02]; 11(26): 344-353. Available at:
[Link]
script=sci_arttext&pid=S1695-
61412012000200022&lng=en.
[Link]
61412012000200022.

SUMMARY this narrative literature review study

directed at Brazilian studies, sought to highlight the
main risk factors for hypertension,
disseminated in scientific works, having as
problem the main risk factors for the
Modifiable Hypertension in the Strategy
Family health, mainly, through
educational practices that can be stimulated in
individual and collective multiprofessional attention,
reported in the literature.

CENTRAL IDEAS Hypertension is defined when we find

 values for systolic blood pressure above
of 140 mmHg and diastolic above 90 mmHg. The
borderline blood pressure is one with values
systolic between 130-139 mm Hg and diastolic between
85-89 mmHg, while we consider the pressure
systolic arterial normal < 130 mm Hg and diastolic <
85 mm Hg. Blood pressure is optimal if the pressure
systolic arterial is <120 mmHg and diastolic <80
mmHg.
In Brazil, hypertension affects more than
30 million Brazilians, of these, 36% of the
adult men and 30% of women, and it is the factor
the most important risk for development of the
cardiovascular diseases, including stroke
and the myocardial infarction, which represent the two
major isolated causes of deaths in the country.
Studies indicate that societies that go through
changes from a less industrialized place to one
more industrialized, reflect a profound
environmental contribution for blood pressure.
hypertension can be associated with problems
such as acute myocardial infarction, diseases
cerebrovascular, chronic kidney disease,
peripheral vascular diseases.
Hypertension is also called
silent assassin.
HIPERDIA program, which is a System of
Registration and Support of Hypertensives
Diabetics of the entire affected population by this
disease treated in the Basic Care Network.
In the analyzed articles, they were found as
modifiable risk factors by intervention
from the professionals: age, genetic factors,
gender and ethnicity, socioeconomic factors, excess of
weight and obesity, sedentary lifestyle, alcohol consumption,
tobacco and eating habits.

KEYWORDS Hypertension. Risk factors. Education for the

health. Primary health care.

OBSERVATIONS AND Educational activities aimed at the population

 INTERPRETATION they should aim to prevent hypertension
arterial; for those who already suffer from the
High blood pressure activities should be
focused on reducing pressure levels
arterial, control of other risk factors
cardiovascular diseases and the reduction of the use of
antihypertensive medications. The strategies
recommended should focus on the cessation of
tobacco use and abusive use of alcohol, reduction
of weight among those with overweight,
implementation of physical activities, reduction of
salt consumption, increase in vegetable consumption
and fruits, in addition to the decrease of food
fats, stimulus for self-care and promotion of
a healthy life.

ITEM RESULT

TITULO DEL ARTICULO Hipertensión arterial y otros factores de riesgo

associated with cardiovascular diseases in
adults

PAÍS, CIUDAD Maringá, Brazil

REFERENCE5 Radovanovic Cremilde Aparecida Trindade, Santos

Lucimary Afonso dos, Carvalho Maria Dalva de
Barros, Marcon Sonia Silva. High blood pressure and
other risk factors associated with the
cardiovascular diseases in adults. Rev.
Latino-Am. Nursing [Internet]. August 2014 [cited
June 02, 2019; 22(4): 547-553. Available from:
[Link]
script=sci_arttext&pid=S0104-
11692014000400547&lng=en.
[Link]

SUMMARY Hypertension is considered a serious

public health problem at the global level, in the
 Research conducted in Maringa, Brazil
observed the risk factors that influence the
appearance of cerebrovascular diseases, the
risk factors included in the study were:
physical activity, healthy eating
smoking, variability of sex and age
dyslipidemias, diabetes mellitus. The study showed
relevant information about what were the
factors that most affect this condition: according to
At the age it was concluded that people between 50
and 59 are more predisposed to suffer from
aggregation of risk factors, for which it had
higher risk of suffering from diseases
cardiovascular, smoking was one of the
main causes of mortality in diseases
non-communicable, the people with whom they presented
obesity had a 2.35 more likelihood of presenting a
complication in hypertension, dyslipidemias and
mellitus diabetes was a contributing factor
directors of hypertension for complications.

CENTRAL IDEAS Hypertension is not a public health problem

controlled.
It can be considered in a control of the tensions
highs with changes in lifestyles.
Smoking is a relevant factor in the
complications that occur in people
with hypertension.
The older you are, the more crowded it gets.
of risk factors.

KEYWORDS Hypertension, risk factors, adult,

cardiovascular diseases.
 OBSERVATIONS AND A cross-sectional study was conducted, in which
INTERPRETATION 408 people were evaluated, chosen by a system.
systematized random.
The study presented some limitations according to
at the time, as the effects could not be evaluated
physical activity and healthy eating.
The study was conducted in a small municipality, but
showed similarity in their results according to
studies conducted at the national level (Brazil).
The results showed a bias according to
that the data collection was carried out in the houses which
provoked greater participation from women.

ITEM RESULT

TITULO DEL ARTICULO Hipertensión arterial: prevalencia, diagnóstico

opportune, control and trends in Mexican adults

PAÍS, CIUDAD Cuernavaca, Mexico

REFERENCE6 Campos-Nonato Ismael, Hernández-Barrera Lucía

Rojas-Martínez Rosalba, Pedroza Adolfo, Medina-
García Catalina, Barquera-Cervera Simón.
High blood pressure: prevalence, diagnosis
timely, control, and trends in adults
Mexicans. Public health Mex [journal in the
Internet]. 2013 [cited 2019 Jun 02]; 55(Suppl
2): S144-S150. Available at:
[Link]
script=sci_arttext&pid=S0036-
36342013000800011&lng=es.
 SUMMARY Hypertension (HTA) is one of the factors
of the most important risks for suffering
cardiovascular disease, cerebrovascular disease and failure
renal that are other important causes of
mortality in Mexico.
The complications of hypertension are related to
directly with the magnitude of the increase of the
blood pressure and the time of evolution. The
early treatment of hypertension is important
benefits in terms of prevention of
complications, as well as a lower risk of
mortality. For this reason, the high prevalence of
this disease in Mexico is gaining more
importance if it is considered that in the year 2006,
47.8% of these adults with hypertension were found to be
the survey, that is, they had not been
diagnosed.
Among the factors that have been identified and that
various studies contribute to the onset of hypertension
age, a high sodium intake, diets
high in saturated fats, smoking,
physical inactivity and presence of diseases
chronic conditions such as obesity, dyslipidemias, and diabetes

CENTRAL IDEAS The study shows a higher prevalence of

complications in patients with hypertension that
they presented obesity.
Hypertension is the disease that is most common
affecting global society, due to the different
complications that present such as
nephropathy, retinopathy, diseases
cardiovascular, cerebrovascular, and in general
affection in target organs.
The change in lifestyles such as: physical activity,
healthy eating, low sodium intake,
decrease in tobacco and alcohol consumption.

KEYWORDS Hypertension, prevalences, diagnosis, control

trends, Mexico.

OBSERVATIONS AND Receiving pharmacological treatment does not guarantee

 INTERPRETATION to have greater control of hypertension.

Greater emphasis will need to be placed on the modification.

of other risk factors associated with this
condition such as suffering from obesity, smoking, having a
high sodium intake, being inactive and having a life
sedentary.
To increase the percentage of hypertensive adults
with timely diagnosis, which have figures of
blood pressure under control and with less
complications, it is important: 1) to implement
programs that allow for early diagnosis and
the timely attention of the adults who are in
risk of developing hypertension.

Health information was collected,

socio-demographic and healthcare services of the
Mexican adults aged 20 years or older, participants
in the National Health and Nutrition Survey 2012
(ENSANUT 2012). This survey was designed to
estimate prevalences and proportions of conditions
health, determinants, and access to services from
from a representative national sample.

ITEM RESULT

TITULO DEL ARTICULO Hipertensión arterial departamento de Boyacá

PAÍS, CIUDAD Tunja, Boyacá, Colombia

REFERENCE7 Meneses. L.Y., Gómez.N.S., Mendieta.Y.Y.

Caceres. F.M.; Hypertension Department of
Boyacá. [Internet]. December 2017 [cited June 02, 2019].
Available at:
[Link]
 4/1/[Link]

SUMMARY It is a job that aims to conduct an analysis.

Conceptual about what hypertension is and its types.
(primary and secondary), as well as risk factors
and interventions to treat it. Then provide data
epidemiological data on morbidity and mortality in Tunja and
Boyacá due to hypertension.

CENTRAL IDEAS Regarding Tunja, hypertension was found

in 2008, as the fourth cause of morbidity
general at 4.186 over 45 years old, and of
overall mortality, ranking fifth in
over 79 years old, being identified the
risk factors: sedentariness, excessive consumption
of fats and salt, alcoholism and stress.
For the period 2005-2007, it was found among the
municipalities with lower prevalence of activity
physics; with a decrease in vegetable consumption
and fruits; and that 46.4% consumed alcoholic beverages,
although, it decreased with age.
This disease is the greatest risk factor.
important in the origin of heart diseases,
cerebrovascular and chronic kidney failure.

KEYWORDS Hypertension, prevalence, risk factors.

OBSERVATIONS AND Hypertension in Boyacá is a disease

INTERPRETATION common and poorly controlled, the main factors of
risk is the low level of physical activity, the
excessive consumption of fats and salt, as well as of
alcoholic beverages, and stress. It is the fourth cause
of morbidity in people over 45 years old and
mortality in people over 75 years old in
Tunja, being the first risk factor
cardiovascular

ITEM RESULTADO
TITULO DEL ARTICULO Hipertensión arterial conducente a enfermedad
cerebrovascular due to non-compliance with the plan
medicinal.

PAÍS, CIUDAD
Santiago de Cuba, Cuba.

REFERENCE8 Bell Santos Héctor. Leading arterial hypertension

a cerebrovascular disease due to non-compliance
of the medication plan. MEDISAN [Internet]. 2011
Feb [cited 2019 Jun 02]; 15(2): 204-208.
Available at: [Link]
script=sci_arttext&pid=S1029-
30192011000200009&lng=es.

SUMMARY It is a descriptive and cross-sectional study of 210

patients with hypertension, with follow-up
in a hospital in Santiago de Cuba; in which
I intended to analyze non-adherence to treatment.
medication for arterial hypertension and the
presence of cerebrovascular disease. Among the
main causes of the 130 patients who do not
they complied with the pharmacological treatment in a manner
regular, they prevailed that only they would consume it
when they presented any symptoms of the
arterial hypertension or, in other words, they will forget
ingest them.

CENTRAL IDEAS If the person has information about what they should
to do regarding his illness, will have greater
possibility of controlling it clinically and delaying the
frequency of complications.
the noncompliance with pharmacological therapy is
one of the main causes of the uncontrolled situation in
blood pressure readings and the detection, diagnosis, the
treatment and follow-up of the majority of the
people with this condition constitute
fundamental responsibility of internists and
family doctors.
Among the main causes of the 130
patients did not comply with the treatment
pharmacological regularly, prevailed the one that
 only consumed it when they presented something
symptom of hypertension or, on the other hand
way, they will forget to ingest them.
- only 72 (34.2%) knew the name of the
drugs they used, the other members of
the series had a partial lack of knowledge (131 of
they, for 62.3%) or total (9 for 4.2%) on the
medicines they ingested.
- Of the total patients, it was found that 202 (96.1
%) knew about the complications that were
originating from therapeutic non-compliance, while
that only 8 of them (3.8%) were unaware
in this regard.
The participants in the study presented
neurological symptoms in a high percentage, given
due to the decrease in muscle strength, the loss
of muscular strength, the alterations of language
and the relaxation of the sphincter (to a lesser extent).
Hypertension is the main factor
risk for cerebrovascular diseases,
occasionally hypertensive crises cause
hemorrhages.
people over the age of 60 are the
what else affects the non-compliance with therapy.

KEYWORDS High blood pressure, stroke,

medication treatment, primary care of
health, secondary health care.

OBSERVATIONS AND Patients do not adhere to the treatment.

INTERPRETATION pharmacological upon feeling improvement in their condition of
hypertension, against which they stop taking their
medications even knowing the complications and
risks of this.
Hypertension is the main risk factor for
present a stroke, when
this often leaves the person with sequelae
neurological.
 ITEM RESULT

TITLE OF THE ARTICLE The challenge of assessing treatment adherence in the

high blood pressure

PAÍS, CIUDAD Cali, Colombia

REFERENCE10 Varela Arévalo, M. T, The challenge of evaluating the

adherence to treatment in hypertension.
Pontifical Javeriana University Cali [Internet]. Cali,
Colombia. 2010. [accessed June 4, 2019].
Available in:
[Link]
código=3265202

SUMMARY The article presents a critical review of the issue

from adherence to treatment for hypertension since
various points of view and proposes guidelines and
alternatives for its adequate evaluation in
Colombia.
Define treatment adherence as
compliance or monitoring of the instructions
medical and presents a series of instruments
used worldwide in both countries
developed as in developing countries for the
adherence measurement, for Colombia the
The adapted and approved instrument is the CAT-HTA.

CENTRAL IDEAS hypertension increases three to four times the

risk of ischemic heart disease, and between two and three
sometimes the overall cardiovascular risk.
The incidence of stroke (CVA)
increases between three and eight times depending on the type of
HTA, It is estimated that 40% of heart attack cases
myocardial infarction or stroke are attributable to the
HTA, this is also associated with a higher risk
of heart failure, renal failure and
dementia.
the comorbidity of hypertension generates disabilities
that deteriorate not only the quality of life of the
not only individuals, but also families
In developed countries, adherence to
treatment in patients with diseases
the chronicles is at 50% and it is expected to be lower in
developing countries, given the scarcity of resources and
the inequities in access to healthcare.
It is suggested that more than 40% of hypertensive individuals in

treatment take the medication in a way

incorrect, and approximately 80% fail with the
food restrictions, exercise restrictions, of
decrease in tobacco and alcohol consumption.
The Joint National Committee states that the
non-compliance with treatment is the main cause
of therapeutic failure in the control of hypertension,
emphasizing that the effectiveness of the
antihypertensives do not depend solely on one
appropriate therapeutic decision, but also of the
patient collaboration.
Adherence to treatment has been defined as
different forms, but mainly as the
compliance or following the instructions
medical
adherence to other non-pharmacological aspects
that are part of the treatments (such as the
modification of eating habits, of activity
physics, the management of emotions, etc.).

The problem of low adherence to the

treatments are present in all countries,
regardless of their level of development, what
it turns it into a global public health issue.
of the available methods for evaluation of
adherence to treatment, those who have a
most empirical support comes from the questionnaires of
self-report and the MEMS.
delivery records of the medications of the
pharmacies and the counting of pills as methods
 to evaluate medication adherence
antihypertensives
Treatment adherence questionnaire for
cases of arterial hypertension [CAT–HTA]
(instrument used in Colombia)

KEYWORDS Adherence to treatment, hypertension, evaluation,

measurement.

OBSERVATIONS E Poor adherence to treatment can

INTERPRETATION adopt various forms: difficulties in starting the
treatment, premature suspension or abandonment,
incomplete or insufficient compliance with the
instructions (omission errors, dosage errors, of
time, intentionally - mistake in the use of one
or another medication), absence from consultations and
interconsultations, absence of habit modification
and lifestyles, self-medication, among others.
Adherence to treatment allows for a
future prognosis of patients with
this disease, being more favorable for the
people with adherence.
Non-compliance with treatment is the main
cause of therapeutic failure in the control of the
HTA.

ITEM RESULT

TITLE OF THE ARTICLE A systematic review of adherence to

antihypertensive treatment and interventions
intended to improve it

PAÍS, CIUDAD Cantabria, Spain

REFERENCE11 Lopez Gonzalez, S. A systematic review of the

adherence to antihypertensive treatment and of the
interventions aimed at improving it. Thesis
Doctoral. University of Cantabria Department
 of Nursing. [Internet]. Cantabria, Spain. 2017.
[consulted June 5, 2019].
Available in:
[Link]
codigo=114965

SUMMARY The meta-analysis conducted on 39 studies

observational, that used databases to
measure adherence in hypertensive patients,
demonstrated the significant relationship between adherence
and the following factors: age, ethnicity, suffering
diabetes, not being diagnosed with depression,
take a regimen of antihypertensives in
fixed combination and the type of antihypertensive.

CENTRAL IDEAS Patients taking ARBs were more

adherents than the patients who were taking
diuretics, ACE inhibitors, beta-blockers, and calcium channel blockers.

more frequent interruptions due to

adverse events occurred with the CCB (6.7%) and
alpha-adrenergic blockers (6.0%), while
that the lowest with diuretics and ARBs (each
one with a 3.1%.
proven superiority of diuretics over
other antihypertensives in prevention of
major complications of CDV and its low cost
economic.
there were two associated comorbidities
significantly with adherence: depression is
associated with poorer adherence and being diabetic
increased the chances of being adherent.
samples from patients over 65 years old obtain
better adherence rates than those under 65 years.

KEYWORDS

OBSERVATIONS AND Relates different aspects of the treatment

INTERPRETATION pharmacological with adherence to treatment.
It concludes that patients with diabetes
they have more adherence to the treatment of hypertension.
 ITEM RESULT

TITULO DEL ARTICULO Adherencia al tratamiento en personas con

high blood pressure

PAÍS, CIUDAD Montería, Córdoba. Colombia

REFERENCE13 Herrera Guerra, E. Adherence to treatment in

people with high blood pressure. Article from
research. [Internet]. Monteria, Colombia. 2016.
[consulted June 24, 2019].
Available in:
[Link]
df

RESUMEN It is a cross-sectional study in which a

instrument applied to each of the 170
participants of the study and measured adherence to
treatment both pharmacological and non
pharmacological treatment of hypertension, as well as
I determine the main factors that were affecting
said adherence.

CENTRAL IDEAS the adherence to the treatment is 'the extent to which

the behavior of a patient, in relation to taking
medications, diet monitoring and
modification of lifestyle habits, coincide with the
instructions provided by the doctor.
Good communication is identified as a
factor that can enhance adherence. The
education, the setting of objectives and the
social support can help the patient to manage
the HTA.
The instrument used was the one designed by Bonilla.
and of Royals, which has validity criteria and
reliability (Cronbach's alpha 0.60). The subjects
pueden clasificarse según puntuación obtenida en
advantage for adherence 38-48, at risk of not
develop adherence behaviors 29-37 and
they cannot respond with behaviors of
adherence < 29.
-Según los criterios de interpretación global de los
results, most of the participants
they were placed at risk of not developing
adherence behaviors (42%), followed by
in advantage for adherence (39 %) and in lesser
frequency was found in the group of people who did not
they can respond with adherence behaviors (19
%).
Dentro de los factores que afectan la adherencia se
they find:
- Socioeconomic factors: the participants
they stated that sometimes they can be afforded
medications (57%) and sometimes
They find it difficult to change their diet due to the cost.
of the recommended foods (52%). Studies
it is revealed that involving the family allows for support
patient's efforts to control hypertension.
Factors related to the supplier: The
education and support from the healthcare team
they are little perceived by the participants, good
communication and maintaining a respectful relationship
cordial, aimed at improving the degree of
patient understanding and collaboration.
Factors related to therapy: are not given
explicit instructions about what, how,
when; the patient's lifestyle is not taken into account
when prescribing the treatment; it is not provided
appropriate feedback on the issues
arisen; the required behaviors are not rehearsed and
supervision is insufficient
Factors related to the patient: Most
they are convinced of the benefits of the treatment
and that's why they follow it (87%), and are interested in
to know about their health condition and the way to
take care of oneself (84 %).

care can be more effective if one knows the

individual problems of each person
from a more individualized perspective, based
 in holistic care.

KEYWORDS medication treatment, treatments

complementary hypertension

OBSERVATIONS AND Several factors affect the monitoring and the

INTERPRETATION adaptation to hypertension treatment and must
analyze individually to provide care
holistic to individuals.

the trust and good service provided by the

health professionals, especially nurses
definitively mark the treatment of a
person and the adoption of adherence.
The socioeconomic factor is the main one that influences.
in adherence.

ITEM RESULT

TITULO DEL ARTICULO Adherencia al tratamiento antihipertensivo en

patients over 60 years old

PAÍS, CIUDAD Havana, Cuba

REFERENCE14 López Vázquez Santiago A, Chávez Vega Raúl.

Adherence to antihypertensive treatment in
patients over 60 years old. Rev haban cienc
med [Internet]. February 2016 [cited June 26, 2019];
15( 1 ). Available at:[Link]
script=sci_arttext&pid=S1729-
519X2016000100006&lng=es

SUMMARY This study analyzes adherence to

treatment of hypertension in elderly patients
It is tall as they usually have others
comorbidities and have more symptoms that lead them to
taking care of oneself while the elderly are over 90
years forget to take their medications;
also, it conducts an analysis on adherence in
 treatment by people with level
advanced school and those who are not.

CENTRAL IDEAS The more symptomatic a disease is,

greater therapeutic compliance is expected from
of the sick, but hypertension is a condition that
asymptomatic and chronic, so the
risk perception by the patient frequently
it is low, which contributes to decreasing its adherence
regular treatment. However, those with hypertension
who have personal or family experiences of
cardiovascular or cerebrovascular events
related to hypertension show greater
adherence
The complexity of the therapeutic regimen, the number
of medications to take, the amount of doses and of
tablets per dose, are also factors that influence
in the adhesion. Likewise, the side effects
of antihypertensive drugs
older people forget less
medications taken frequently
those sick patients also suffer from other conditions
and they have more symptoms, which encourages them not to
abandon the medication.
women are more systematic in the
compliance with medical instructions.
patients with higher education, holders
from a higher general education, are more
compliant with the therapy because they have a
more realistic perception of risk in the long term
it involves the condition of being uncontrolled hypertensive.
an important segment of the hypertensive
abandon the treatment during the first year after
the diagnosis, and another substantial part of those who
they continue the therapy but do not take the medications
in the appropriate doses.

KEYWORDS Hypertension, therapeutic adherence,

pharmacological treatment, antihypertensive.

OBSERVATIONS AND Adherence to hypertension treatment in

 INTERPRETATION older patients are more common
they have other comorbidities and have more symptoms
that lead them to take care of themselves while people
people over 90 forget to take their
medications; also, it makes an analysis about the
adherence to treatment by individuals
with advanced school level who have greater
adherence because they have a real knowledge of
the consequences of not being adherent and those that
they do not show advanced schooling level.

ITEM RESULT

TITLE OF THE ARTICLE

PAÍS, CIUDAD

REFERENCE15

SUMMARY

CENTRAL IDEAS

KEYWORDS

OBSERVATIONS AND
INTERPRETATION

ITEM RESULT
TITULO DEL ARTICULO

PAÍS, CIUDAD

REFERENCE16

SUMMARY

CENTRAL IDEAS

KEYWORDS

OBSERVATIONS AND
INTERPRETATION

ITEM RESULT

TITLE OF THE ARTICLE

PAÍS, CIUDAD

REFERENCE17

SUMMARY
 CENTRAL IDEAS

KEYWORDS

OBSERVATIONS AND
INTERPRETATION

ITEM RESULT

TITLE OF THE ARTICLE

PAÍS, CIUDAD

REFERENCE18

SUMMARY

CENTRAL IDEAS

KEYWORDS

OBSERVATIONS AND
INTERPRETATION
 ITEM RESULT

TITLE OF THE ARTICLE

PAÍS, CIUDAD

REFERENCE19

SUMMARY

MAIN IDEAS

KEYWORDS

OBSERVATIONS AND E
INTERPRETATION

ITEM RESULT

TITLE OF THE ARTICLE

PAÍS, CIUDAD

REFERENCE20

SUMMARY
CENTRAL IDEAS

KEYWORDS

OBSERVATIONS AND
INTERPRETATION