dc.contributor.advisor | Silva Cáceres, Wilbert | |
dc.contributor.author | Rodríguez Rodríguez, Oscar Gonzalo | |
dc.date.accessioned | 2023-10-09T21:22:11Z | |
dc.date.available | 2023-10-09T21:22:11Z | |
dc.date.issued | 2023-08-14 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12557/5759 | |
dc.description.abstract | Introducción: La hipertensión arterial es una enfermedad crónica que afecta un
promedio del 30% de la población adulta a nivel mundial
. Casi la mitad de
hipertensos a nivel mundial no saben que lo padecen, y de los que llevan tratamiento
aproximadamente la mitad no logran una presión arterial controlada. En términos
generales solo 1 de cada 7 pacientes hipertensos logra tener una presión arterial
controlada.
(5)
Por lo que es de suma importancia reconocer los factores asociados a
un inadecuado control de la presión arterial. Objetivo: Determinar los factores
(9)
asociados al inadecuado control de la presión arterial en pacientes hipertensos del
Hospital Regional del Cusco, 2023. Materiales y Métodos: Estudio transversal
analítico con diseño correlacional. Se aplicó un cuestionario de 20 ítems a una muestra
de 231 pacientes hipertensos en consultorio externo del Hospital Regional del Cusco,
2023. Se consideró a pacientes mayores de 35 años, que estén con diagnóstico de
hipertensión arterial y que hayan llevado tratamiento farmacológico por lo menos un
mes. Se consideró controlados a los hipertensos que tengan una presión arterial menor
a 140/90 y no controlados los que tengan valores por encima de estos. Resultados: El
44.1% de los hipertensos no logran un adecuado control de la presión arterial. Los
factores asociados para un inadecuado control de la presión arterial fueron la no
adherencia al tratamiento (p<0.001, OR=3.1, IC95% 1.81-5.35), el estrés frecuente
(p=0.001, OR=2.4, IC95% 0.24- 0.70), la monoterapia (p<<0.001 OR=10.0 IC95%
0.05-0.19), monodosis diaria (p=0.004, OR= 2.4, IC95% 1.31-4.42), la relación
médico-paciente desfavorable (p<0.001, OR=5.1, IC95% 0.99-0-39) y la obesidad
(p<0.001, OR 4.6, IC95% 2.48-8.81). Conclusiones: Casi la mitad de hipertensos no
logran un control adecuado de la presión arterial. Los factores asociados para esto
fueron la no adherencia al tratamiento, el estrés frecuente, la monoterapia, la
monodosis diaria, la relación médico-paciente desfavorable y la obesidad. | es_PE |
dc.description.abstract | Introduction: Arterial hypertension is a chronic disease that affects an average of 30%
of the adult population worldwide
. Almost half of hypertensives worldwide do not
know they have it, and of those who receive treatment, approximately half do not
achieve controlled blood pressure. In general terms, only 1 in 7 hypertensive patients
manages to have controlled blood pressure.
(5)
Therefore, it is extremely important to
recognize the factors associated with inadequate control of blood pressure. Objective:
To determine the factors associated with inadequate control of blood pressure in
(9)
hypertensive patients at the Regional Hospital of Cusco, 2023. Materials and Methods:
Analytical cross-sectional study with correlational design. A 20-item questionnaire
was applied to a sample of 231 hypertensive patients in the outpatient clinic of the
Regional Hospital of Cusco, 2023. Patients older than 35 years were found, who are
diagnosed with arterial hypertension and who have undergone pharmacological
treatment for at least one month Hypertensive patients with blood pressure lower than
140/90 were considered controlled and those with values above these were considered
uncontrolled. Results: 44.1% of hypertensive patients did not achieve adequate blood
pressure control. The associated factors for inadequate control of blood pressure were
non-adherence to treatment (p<0.001, OR=3.1, 95%CI 1.81-5.35), frequent stress
(p=0.001, OR=2.4, 95%CI 0.24-0.70 ), monotherapy (p<<0.001 OR=10.0 95%CI
0.05-0.19), single daily dose (p=0.004, OR= 2.4, 95%CI 1.31-4.42), unfavorable
doctor-patient relationship (p<0.001, OR= 5.1, 95%CI 0.99-0-39) and obesity
(p<0.001, OR 4.6, 95%CI 2.48-8.81). Conclusions: Almost half of hypertensive
patients did not achieve adequate control of blood pressure. The associated factors for
this were non-adherence to treatment, frequent stress, monotherapy, single daily dose,
unfavorable doctor-patient relationship and obesity. | en_US |
dc.format | application/pdf | es_PE |
dc.language.iso | spa | es_PE |
dc.publisher | Universidad Andina del Cusco | es_PE |
dc.rights | info:eu-repo/semantics/openAccess | es_PE |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | es_PE |
dc.subject | Hipertensión arterial no controlada | es_PE |
dc.subject | Factor asociado | es_PE |
dc.title | Factores asociados al inadecuado control de presión arterial en pacientes hipertensos del Hospital Regional del Cusco 2023. | es_PE |
dc.type | info:eu-repo/semantics/bachelorThesis | es_PE |
thesis.degree.name | Médico Cirujano | es_PE |
thesis.degree.grantor | Universidad Andina del Cusco. Facultad de Ciencias de la Salud | es_PE |
thesis.degree.discipline | Medicina Humana | es_PE |
dc.publisher.country | PE | es_PE |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.00.00 | es_PE |
renati.advisor.dni | 23839399 | |
renati.advisor.orcid | https://orcid.org/0000-0002-9647-730X | es_PE |
renati.author.dni | 76172923 | |
renati.discipline | 912016 | es_PE |
renati.juror | Castañeda Ponze, Daniel | |
renati.juror | Delgado Obando, Oscar Fernando | |
renati.juror | Chumbiraico Chumbimuni, Robert Luis | |
renati.juror | Vignatti Valencia, Walter Justo | |
renati.level | https://purl.org/pe-repo/renati/level#tituloProfesional | es_PE |
renati.type | https://purl.org/pe-repo/renati/type#tesis | es_PE |
dc.description.lineadeinvestigacion | Factores de riesgo, prevención y tratamientos en Neoplasias, Diabetes, Enfermedades Cardiovasculares, Enfermedades Osteomusculares, Enfermedades del Colágeno. | es_PE |