Objective: to evaluate adherence to antihypertensive medication, blood pressure levels, and associated factors in hypertensive individuals monitored by primary health care. Method: a cross-sectional, descriptive and analytical study, carried out in Family Health Strategies in the city of Recife, Brazil. Data collection took place from April to August 2018. To assess adherence, the Morisky Medication Adherence Scale was used, an 8-item scale that addresses some behaviors when taking antihypertensive medication, such as: forgetfulness, non-intentional intake, reduced dose, interruption of treatment, and discomfort following the prescription. In the data analysis, the Chi-square and Kruskal-Wallis tests were used. Results: a total of 421 hypertensive individuals participated in the study. Low, medium and high adherence was observed, respectively, at 48.5%, 38.7% and 12.8%. High/Medium adherence was associated with single individuals (p=0.005), without work activity (p=0.043), who did not report stress (p=0.001) and hypertensive urgency/emergency (p=0.037), without side effects of antihypertensive drugs (p=0.012), and who made continuous use of other drugs (p=0.001). Blood pressure control was verified in 205 hypertensive individuals and an association was established with females (p=0.033), younger age (p=0.041), higher schooling (p=0.008), use of up to 2 antihypertensive drugs (p=0.006) and absence of side effects (p=0.026). Conclusion: the predominance of low adherence and uncontrolled pressure in some groups show the need to redirect health promotion actions in primary care, especially in the program for people with arterial hypertension and diabetes mellitus.

Objectives: to evaluate the factors associated to the adherence to the non-pharmacological treatment of hypertension in primary health care. Methods: cross-sectional study with 421 participants. The adherence was evaluated using the components: weight control, abdominal circumference, physical activity, and alcohol consumption. The chi-squared and Mann-Whitney’s tests were used for analysis. Results: the adherence to the control of the abdominal circumference was associated to smoking, sex, and stress. Smoking, age, and profession were associated to weight control. The adherence to a physical activity varied between the sexes and between people who used beta blockers and those who did not. Moderate alcohol consumption was associated to sex, age, profession, income, comorbidities, time using antihypertensive drugs, and using other medication. Conclusions: socioeconomic and clinical factors were associated to the adherence to the anti-hypertensive treatment. Innovative techniques, such as the transtheoretical model of change, motivational interviews, and supported self-care can help in behavioral changes.

Objective: To assess the knowledge of patients receiving outpatient treatment on oral anticoagulant therapy. Method: Cross-sectional study with a quantitative approach, performed at the Emergency Hospital of Pernambuco (PROCAPE) with 100 individuals. We used specific instrument of 10 questions. Answers to scores assigned subsequently classified as insufficient knowledge, regular and adequate knowledge knowledge after cutoff. The study was approved by the Research Ethics Committee, CAAE nº30622114.2.0000.5192. Results: Only 39% of subjects had adequate knowledge about treatment. There was statistical significance in pools of knowledge with sex (p = 0.042), age (p = 0.015), years of education (p = 0.021) and average time of outpatient follow-up (p = 0.010). Conclusion: The prevalence of inadequate knowledge (61%) demonstrate the need to implement educational strategies that promote the understanding of the treatment, stimulating drug adherence and reducing possible complications

Objetivo: descrever a distribuição da produção científica dos cuidados de enfermagem ao paciente com traumatismo da medula espinhal e verificar quais as temáticas mais abordadas. Método: análise bibliométrica através da Lei de Bradford, Lei de Zipf e estatística textual realizada com publicações em português, inglês e espanhol, disponibilizadas em bases de dados nacionais e internacionais, no período de 1978 a 2018. Resultados: a amostra foi composta por 33 artigos distribuídos em 13 periódicos, sendo a maioria originais e de abordagem quantitativa. O Brasil foi o país com maior número de publicações, apresentando a terceira colocação dos periódicos no núcleo de Bradford. Foi identificado um valor médio do multiplicador de Bradford (XmB) = 2,1. Os termos com maior semântica foram: lesão medular, paciente, enfermagem, enfermeiro e cuidado. Conclusão: os indicadores bibliométricos demonstraram uma produção científica com pouca produtividade, porém com tendência a crescimento nas últimas décadas. Faz-se necessário realizar novos estudos acerca da temática para aprimorar o cuidado ofertado ao paciente com lesão medular.

Objectives: To identify attitudes, beliefs and barriers to adherence to the hyposodic diet in patients with heart failure and associated factors. Methods: Cross-sectional study with 41 individuals. The Dietary Sodium Restriction Questionnaire was used. Fisher's test was applied for analysis. Results: Attitudes were based on family and professional relationships; in the beliefs, it was highlighted to believe in the diet to improve health. As barriers, insufficient efforts were found to change the diet and taste of low salt foods. It was associated with adherence among the components factors such as: income, perception of cardiac improvement with the diet, family history of renal and heart failure and family adherence to the diet. Conclusions: The identified attitudes and beliefs refer, respectively, to social relationships and trust in the diet to improve health status. The barriers were: insufficient effort to modify the diet and food palatability. Economic, family and clinical factors were associated with hyposodic adherence.