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Interdependence in the therapeutic compliance of hypertensive older adults during the COVID-19 pandemic

Interdependencia en la adherencia terapéutica de ancianos hipertensos durante la pandemia de COVID-19

ABSTRACT

Objective:

to analyze stimuli and behaviors related to interdependence and their implications for compliance with the therapeutic regimen of older adults with hypertension during the COVID-19 pandemic.

Method:

a multiple case, qualitative study, carried out with fifteen older adults treated at a Family Health Strategy unit. A characterization instrument and semi-structured interview were used for data collection. Data were processed in NVivo12, submitted to thematic content analysis, based on Roy’s interdependence mode.

Results:

the reports seized showed that the family has meaning as a therapeutic support network, as well as health services, neighbors, friends and religious institutions. Two categories emerged: Stimuli and adaptive behaviors related to interdependence in the pandemic: implications for compliance; Ineffective stimuli and behaviors related to interdependence in the pandemic: implications for compliance.

Conclusion:

adaptive and ineffective behaviors related to interdependence during the adjustment to the new condition of social distancing demonstrate the need for greater professional attention to achieve compliance with treatment.

DESCRIPTORS
Adaptation; Treatment Adherence and Compliance; Hypertension; Aged; Coronavirus Infections; Nursing Theory

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br