Factors associated with blood pressure control in hypertensive patients in primary health care
Factors associated with blood pressure control in hypertensive patients in primary health care
DOI:
https://doi.org/10.51473/rcmos.v1i2.2025.1633Keywords:
Hypertension, Blood Pressure Control, Primary Health Care, Risk Factors.Abstract
INTRODUCTION: Arterial hypertension (AH) is a chronic condition characterized by a sustained elevation of blood pressure, being an important risk factor for cardiovascular, renal, and cerebrovascular diseases, significantly impacting morbidity, mortality, and quality of life of the population. Adequate blood pressure control is essential to prevent complications and reduce public health costs. METHODOLOGY: This is an integrative literature review, conducted in May 2025, in national and international databases, using the following Health Sciences descriptors: Hypertension, Blood Pressure Control, Primary Health Care, Risk Factors. The inclusion criteria encompassed articles published between 2015 and 2025, with full and free access, in Portuguese, English, or Spanish, directly related to the topic. Duplicate articles, incomplete articles, abstracts, reviews, editorials, articles published in conference proceedings, monographs, dissertations, and these were excluded. RESULTS: The sample consisted of ten articles that investigated factors associated with blood pressure control in hypertensive patients followed in primary care. The findings were organized into a table, highlighting clinical, behavioral, socioeconomic, and organizational determinants. DISCUSSION: Adherence to medication, nutritional monitoring, and regular physical activity are associated with blood pressure control. Greater knowledge about the disease contributes to better blood pressure levels; the impact of psychosocial stress and working conditions; and the relationship between comorbidities, irregular medication use, and uncontrolled blood pressure. These findings reinforce the need for integrated strategies, health education, continuous monitoring, and public policies focused on the prevention and control of hypertension in primary health care. CONCLUSION: The review shows that the control of hypertension is multifactorial, involving clinical, behavioral, socioeconomic, and organizational factors. Integrated strategies that combine health education, treatment adherence, continuous monitoring, and structured public policies are essential to reduce complications and improve the quality of life of hypertensive patients.
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Copyright (c) 2025 Ian Cavalcante de Carvalho , Fernando Mendes Filho , Aderson Marques Buenos Aires Filho , Matheus Fernandes Loiola Soares de Carvalho , Emanuel Orsano Alves Ribeiro (Autor)
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