CONTRIBUTING FACTORS TO DRUG NON-ADHERENCE IN THE TREATMENT OF SYSTEMIC ARTERIAL HYPERTENSION IN THE ELDERLY

Abstract

Brazil is undergoing significant demographic changes, with an increase in the elderly population and consequently, a rise in non-communicable chronic diseases such as arterial hypertension. Patient adherence to treatment becomes crucial to avoid complications. This study aims to identify the factors contributing to the lack of adherence among the elderly to medication treatment for arterial hypertension. We conducted a search for scientific articles in August 2021 on the PubMed and BVS platforms, using Health Science Descriptors: "Medication Adherence," "Arterial Hypertension," "Chronic Disease," and "Elderly," in Portuguese and English languages. After applying inclusion and exclusion criteria, we selected 20 scientific articles. The main factors identified for lack of adherence include low educational level, high medication cost, socioeconomic status of the elderly, number of medications taken per day, and adverse effects of medications. Therapeutic adherence is essential to reduce or stabilize blood pressure levels, posing a challenge for healthcare professionals. However, strategies such as educational groups, home monitoring, and frequent guidance can improve treatment adherence for these individuals.