title: [Adherence to anti-hypertensive treatment within a chronic disease management  program: a longitudinal, retrospective study].
abstract: OBJECTIVE
  This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables.
  
  
  METHODS
  A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients.
  
  
  RESULTS
  A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05).
  
  
  CONCLUSIONS
  Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension.
authors.affiliation: School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
authors.forename: Ana Carolina Nascimento
authors.initials: AC
authors.lastname: Raymundo
authors.affiliation: School of Nursing, Department of Medical-Surgical Nursing, University of São Paulo, São Paulo, SP, Brazil.
authors.forename: Angela Maria Geraldo
authors.initials: AM
authors.lastname: Pierin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001795:Blood Pressure Determination; D002908:Chronic Disease; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D012189:Retrospective Studies; D016903:Drug Monitoring
chemical_list: D000959:Antihypertensive Agents