Assessment of adherence to drug treatment and affecting factors among hypertensive patients

Önalan, Erhan; YAKAR, BURKAY; KARACA, Asli AZAKOĞLU

Assessment of adherence to drug treatment and affecting factors among hypertensive patients

Burkay YAKAR, (Fırat Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Elazığ, Türkiye)

Asli AZAKOĞLU KARACA, (Alanya Aile Sağlığı Merkezi, Antalya, Türkiye)

Erhan ÖNALAN (Fırat Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Elazığ, Türkiye)

Aile Hekimliği ve Palyatif Bakım

2 0

Yıl: 2019 Cilt: 4 Sayı: 3 Sayfa Aralığı: 89 - 95 Metin Dili: İngilizce İndeks Tarihi: 02-11-2020

Assessment of adherence to drug treatment and affecting factors among hypertensive patients

Öz:

Introduction: Adherence to antihypertensive therapy is important for blood pressure control. Poor adherence to antihypertensive drug therapy leadsto the development of hypertensive complications and increase risk of cardiovascular events. The aim of this study was to assess adherence toantihypertensive drug therapy and associated factors among hypertensive patients.Methods: A cross-sectional study was conducted on a simple random sample of 242 patients at the Family Health Center. Adherence toantihypertensive treatment was assessed using the Turkish Modified Morisky Scale (TMMS). The factors affecting the adherence to treatment wereobtained with a sociodemographic questionnaire. Blood pressures of all participants were measured from both arms and the mean values were recorded.Results: The mean age of the 242 participants was 60.95 ± 12.54 years. Mean systolic blood pressures of the participants were 139.08±20.78 mmHgand mean diastolic blood pressures were 83.63±11.88 mmHg. Adherence to antihypertensive medication was found 76.9% (non-adherence to treatmentwas 23.1%) and 75.6% of the participants had sufficient knowledge antihypertensive treatment.Conclusions: We found numbers of drugs taken daily, level of knowledge about treatment and level of education to be the strongest factors affectingadherence to anti-hypertensive medication among our patients. We also found that high adherence to treatment is important for effective blood pressurecontrol. Health workers' questioning the adherence to antihypertensive drug therapy may provide more effective blood pressure control in hypertensivepatients.

Anahtar Kelime:

Hipertansif hastalarda ilaç tedavisine uyum ve etkileyen faktörlerin değerlendirilmesi

Öz:

Giriş: Antihipertansif tedaviye uyum kan basıncı kontrolü için önemlidir. Antihipertansif ilaç tedavisine zayıf uyum hipertansif komplikasyonların gelişmesine ve kardiyovasküler olay riskinin artmasına sebep olur. Çalışmamızın amacı hipertansif hastalarda antihipertansif ilaç tedavisine uyumu ve etkileyen faktörleri değerlendirmektir. Yöntem: Aile Sağlığı Merkezinde 242 hastadan oluşan basit rastgele örneklem üzerinden kesitsel bir çalışma yürütülmüştür. Antihipertansif tedaviye uyumun değerlendirilmesinde Türkçe Modifiye Morisky Ölçeği kullanılmıştır. Tedaviye uyumu etkileyen faktörler sosyodemografik anket formu ile elde edilmiştir. Tüm katılımcıların kan basınçları her iki koldan ölçülüp ortalamaları kayıt edilmiştir. Bulgular: Çalışmaya dahil edilen 242 katılımcının yaş ortalaması 60,95±12,54 yıldı. Katılımcıların ortalama sistolik kan basıncı 139,08±20,78 mmHg, diyastolik kan basıncı ise 83,63±11,88 mmHg idi. Katılımcıların %75,6’sının antihipertansif tedavi bilgi düzeyi yeterli idi ve antihipertansif tedaviye uyum oranı %76,9 (tedaviye uyumsuzluk oranı %23,1) saptandı. Sonuç: Katılımcıların antihipertansif tedaviye uyumu günlük alınan ilaç sayısı, tedavi hakkında ki bilgi düzeyi ve eğitim düzeyleri ile ilişkili bulundu. Etkin kan basıncı kontrolünde tedaviye yüksek uyum önemliydi. Sağlık çalışanlarının hipertansif hastalarının antihipertansif tedaviye uyum durumunu sorgulamaları daha etkin kan basıncı kontrolü sağlayabilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	YAKAR B, KARACA A, Önalan E (2019). Assessment of adherence to drug treatment and affecting factors among hypertensive patients. , 89 - 95.
Chicago	YAKAR BURKAY,KARACA Asli AZAKOĞLU,Önalan Erhan Assessment of adherence to drug treatment and affecting factors among hypertensive patients. (2019): 89 - 95.
MLA	YAKAR BURKAY,KARACA Asli AZAKOĞLU,Önalan Erhan Assessment of adherence to drug treatment and affecting factors among hypertensive patients. , 2019, ss.89 - 95.
AMA	YAKAR B,KARACA A,Önalan E Assessment of adherence to drug treatment and affecting factors among hypertensive patients. . 2019; 89 - 95.
Vancouver	YAKAR B,KARACA A,Önalan E Assessment of adherence to drug treatment and affecting factors among hypertensive patients. . 2019; 89 - 95.
IEEE	YAKAR B,KARACA A,Önalan E "Assessment of adherence to drug treatment and affecting factors among hypertensive patients." , ss.89 - 95, 2019.
ISNAD	YAKAR, BURKAY vd. "Assessment of adherence to drug treatment and affecting factors among hypertensive patients". (2019), 89-95.

APA	YAKAR B, KARACA A, Önalan E (2019). Assessment of adherence to drug treatment and affecting factors among hypertensive patients. Aile Hekimliği ve Palyatif Bakım, 4(3), 89 - 95.
Chicago	YAKAR BURKAY,KARACA Asli AZAKOĞLU,Önalan Erhan Assessment of adherence to drug treatment and affecting factors among hypertensive patients. Aile Hekimliği ve Palyatif Bakım 4, no.3 (2019): 89 - 95.
MLA	YAKAR BURKAY,KARACA Asli AZAKOĞLU,Önalan Erhan Assessment of adherence to drug treatment and affecting factors among hypertensive patients. Aile Hekimliği ve Palyatif Bakım, vol.4, no.3, 2019, ss.89 - 95.
AMA	YAKAR B,KARACA A,Önalan E Assessment of adherence to drug treatment and affecting factors among hypertensive patients. Aile Hekimliği ve Palyatif Bakım. 2019; 4(3): 89 - 95.
Vancouver	YAKAR B,KARACA A,Önalan E Assessment of adherence to drug treatment and affecting factors among hypertensive patients. Aile Hekimliği ve Palyatif Bakım. 2019; 4(3): 89 - 95.
IEEE	YAKAR B,KARACA A,Önalan E "Assessment of adherence to drug treatment and affecting factors among hypertensive patients." Aile Hekimliği ve Palyatif Bakım, 4, ss.89 - 95, 2019.
ISNAD	YAKAR, BURKAY vd. "Assessment of adherence to drug treatment and affecting factors among hypertensive patients". Aile Hekimliği ve Palyatif Bakım 4/3 (2019), 89-95.