Asociación de la No Adherencia al Tratamiento en Pacientes con Hipertensión Arterial Sistémica y el Deterioro Cognitivo en Adultos Mayores de 65 Años

Background. Aging population has increased the prevalence of chronic diseases such as systemic arterial hypertension (SAH), especially in older adults. One of the main challenges in its management is achieving adequate adherence to treatment, with various factors involved, including cognitive impairment. This condition affects functions such as memory, judgment, and comprehension, negatively impacting the patient's ability to follow therapeutic instructions. Given this context, it is considered important to analyze whether there is a relationship between non-adherence and cognitive impairment. Objective. To establish the association between non-adherence to antihypertensive treatment and cognitive impairment in adults over 65 years of age. Materials and methods. An analytical cross-sectional study was conducted in 193 hypertensive patients over 65 years of age. A non-probabilistic convenience sampling method was used. Adherence was assessed using the 8-item Morisky scale (MMAS-8), and cognitive status was assessed using the Mini-Mental State Examination (MMSE). Descriptive statistics and bivariate analysis using the Chi-square test (p