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El objetivo fue buscar las evidencias disponibles en la literatura acerca de los factores relacionados con la adherencia al tratamiento de la hipertensión. Se adoptó el método de revisión integradora en las bases de datos: MEDLINE, CINAHL y LILACS, con las palabras clave: hypertension, compliance, non compliance, adherence, non adherence, patient compliance, de 2004-2008 en portugués, inglés y español, con el instrumento validado y análisis de contenido. Se encontraron 28 estudios: 64,3% con nivel de evidencia VI. Se observaron los siguientes factores relacionados a la adhesión al tratamiento: costos del tratamiento, actividades educativas, género, relación médico paciente, aspectos fisiológicos y conductuales, tratamiento medicamentoso, frecuencia de consulta y forma de vida. Se sugiere uso de estrategias combinadas para intensificar la adhesión al tratamiento de los individuos. Brechas señalan para valoración de las relaciones dialógicas para prácticas en salud integral y más eficaz.

This study aimed to seek the evidence available in the literature regarding the factors related to adherence to treatment for systemic hypertension. It used the method of integrative review in the databases MEDLINE, CINAHL, and LILACS, using the keywords: hypertension, compliance, non-compliance, adherence, non-adherence, patient compliance, in the period 2004 – 2008, and articles in Portuguese, English and Spanish, with the use of a validated instrument and content analysis. 28 studies were selected, 64.3% of which had level of evidence VI. The following were identified as factors related to adherence to treatment: treatment costs, educational activities, sex, physician-patient relationship, physiological and behavioral aspects, drug therapy, attending checkups and lifestyle. The use of combined strategies is suggested in order to increase the individuals’ adherence to the treatment. Gaps point to the valorization of dialogic relationships for integrated and more efficacious health practices.

Objective To determine and to analyze the theoretical and practical knowledge of Nursing professionals on indirect blood pressure measurement. Methods This cross-sectional study included 31 professionals of a coronary care unit (86% of the Nursing staff in the unit). Of these, 38.7% of professionals were nurses and 61.3% nurse technicians. A validated questionnaire was used to theoretical evaluation and for practice assessment the auscultatory technique was applied in a simulation environment, under a non-participant observation. Results To the theoretical knowledge of the stages of preparation of patient and environment, 12.9% mentioned 5-minute of rest, 48.4% checked calibration, and 29.0% chose adequate cuff width. A total of 64.5% of professionals avoided rounding values, and 22.6% mentioned the 6-month deadline period for the equipment calibration. On average, in practice assessment, 65% of the steps were followed. Lacks in knowledge were primary concerning lack of checking the device calibration and stethoscope, measurement of arm circumference to choose the cuff size, and the record of arm used in blood pressure measurement. Conclusion Knowledge was poor and had disparities between theory and practice with evidence of steps taken without proper awareness and lack of consideration of important knowledge during implementation of blood pressure measurement. Educational and operational interventions should be applied systematically with institutional involvement to ensure safe care with reliable values.