Depressão e sua relação com a adesão ao tratamento medicamentoso anti-hipertensivo em idosos assistidos pela estratégia saúde da família em Brazlândia, Distrito Federal

Abstract

The aim of this study was to analyze the relation between depression and adherence to antihypertensive drug treatment in hypertensive elderly assisted by the primary health care in Brazlândia, Distrito Federal. This is an observational study, case-control. Structured interview was performed as well as 2 questionnaires were applied (GDS-15 and MMAS-8) in hypertensive elderly (n=261). The analysis showed 59% were female, 90% of low education, 53% were retired, 68% were married, 13% lived alone, 68% did not do self medication, 38% got the medication in the health center, 88% were sedentary, 81% were nonsmokers, the most used drug was diuretic 60%, only 22% used only one drug. The comparative analysis showed that blood pressure levels and adherence to treatment are independent variables, as well as where the patient gets the medication and the adherence to drug therapy. The prevalence of depression in this population was 37%. The odds ratio showed greater chance of depression in the elderly with inadequate BP and AC and in those who did not adhere to treatment. It was found less chance of depression in men and smokers.