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Intervención cognitivo-conductual en ancianos hipertensos

(2016) FINLAY. 6(1). p.41-48
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Organization
Abstract
Background: aging-associated diseases contribute to morbidity and mortality in the population; therefore, it is necessary to develop intervention strategies to prevent and/or minimize their consequences. Objectives: to evaluate the effectiveness of a cognitive-behavioral intervention aimed at older hypertensive patients treated in primary care in Cardenas and Santiago de Cuba municipalities during 2011-2013. Methods: an intervention study of older adults with hypertension was conducted in two municipalities: Santiago de Cuba and Cardenas. The intervention group was composed of 399 older patients living in the catchment areas of the Carlos Juan Finlay and Heroes del Moncada polyclinics while the control group included 377 older adults served by the Julian Grimau and Jose Antonio Echeverria polyclinics. The intervention consisted of a systematic strategy to increase knowledge of the disease in order to change lifestyles. Results: in the intervention group, there were more patients with sufficient knowledge of the disease (OR: 1.82), greater control of hypertension (OR: 1.51) and better adherence to treatment (OR: 1.70). By modeling the explanatory variables with hypertension control, being in the intervention group (OR: 0.695) and adhering to treatment (OR: 0.543) were found to be health protective factors. Conclusion: the congnitive-behavioral intervention for older adults treated in primary care of the municipalities studied was effective in improving blood pressure control since it contributed to a greater adherence to treatment.
Keywords
hypertension, aged, cognitive therapy, primary health care, medication, adherence

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Chicago
García Roche, René, Armando Rodríguez Salvá, Addys Díaz Piñera, Susana Balcindes Acosta, Esteban Londoño Agudelo, and Patrick Van Der Stuyft. 2016. “Intervención Cognitivo-conductual En Ancianos Hipertensos.” Finlay 6 (1): 41–48.
APA
García Roche, R., Rodríguez Salvá, A., Díaz Piñera, A., Balcindes Acosta, S., Londoño Agudelo, E., & Van Der Stuyft, P. (2016). Intervención cognitivo-conductual en ancianos hipertensos. FINLAY, 6(1), 41–48.
Vancouver
1.
García Roche R, Rodríguez Salvá A, Díaz Piñera A, Balcindes Acosta S, Londoño Agudelo E, Van Der Stuyft P. Intervención cognitivo-conductual en ancianos hipertensos. FINLAY. 2016;6(1):41–8.
MLA
García Roche, René, Armando Rodríguez Salvá, Addys Díaz Piñera, et al. “Intervención Cognitivo-conductual En Ancianos Hipertensos.” FINLAY 6.1 (2016): 41–48. Print.
@article{8511015,
  abstract     = {Background: aging-associated diseases contribute to morbidity and mortality in the population; therefore, it is necessary to develop intervention strategies to prevent and/or minimize their consequences. 
Objectives: to evaluate the effectiveness of a cognitive-behavioral intervention aimed at older hypertensive patients treated in primary care in Cardenas and Santiago de Cuba municipalities during 2011-2013. 
Methods: an intervention study of older adults with hypertension was conducted in two municipalities: Santiago de Cuba and Cardenas. The intervention group was composed of 399 older patients living in the catchment areas of the Carlos Juan Finlay and Heroes del Moncada polyclinics while the control group included 377 older adults served by the Julian Grimau and Jose Antonio Echeverria polyclinics. The intervention consisted of a systematic strategy to increase knowledge of the disease in order to change lifestyles. 
Results: in the intervention group, there were more patients with sufficient knowledge of the disease (OR: 1.82), greater control of hypertension (OR: 1.51) and better adherence to treatment (OR: 1.70). By modeling the explanatory variables with hypertension control, being in the intervention group (OR: 0.695) and adhering to treatment (OR: 0.543) were found to be health protective factors. 
Conclusion: the congnitive-behavioral intervention for older adults treated in primary care of the municipalities studied was effective in improving blood pressure control since it contributed to a greater adherence to treatment.},
  author       = {Garc{\'i}a Roche, Ren{\'e} and Rodr{\'i}guez Salv{\'a}, Armando and D{\'i}az Pi{\~n}era, Addys and Balcindes Acosta, Susana and Londo{\~n}o Agudelo, Esteban and Van Der Stuyft, Patrick},
  issn         = {2221-2434},
  journal      = {FINLAY},
  keyword      = {hypertension,aged,cognitive therapy,primary health care,medication,adherence},
  language     = {spa},
  number       = {1},
  pages        = {41--48},
  title        = {Intervenci{\'o}n cognitivo-conductual en ancianos hipertensos},
  volume       = {6},
  year         = {2016},
}

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