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Factors associated to patients' noncompliance with hypertension treatment

Camila Dosse1, Claudia Bernardi Cesarino, José Fernando Vilela Martin

  • 1Faculdade de Medicina de São José do Rio Preto, Brazil. camiladosse@yahoo.com.br

Revista Latino-Americana De Enfermagem
|June 25, 2009
PubMed

Insights

Most hypertensive patients struggle with treatment compliance, with high rates of non-adherence to medication and lifestyle changes. Emotional factors significantly contribute to this non-adherence in systemic hypertension management.

Area of Science:

  • Cardiology
  • Public Health
  • Behavioral Medicine

Background:

  • Systemic Hypertension (SH) presents significant challenges in patient treatment compliance.
  • Understanding adherence barriers is crucial for effective hypertension management.
  • Previous research highlights the complexity of patient adherence to prescribed regimens.

Purpose of the Study:

  • To assess medical appointment attendance in hypertensive patients.
  • To quantify adherence to medication and non-medication regimens.
  • To identify primary reasons for non-adherence among these patients.

Main Methods:

  • A descriptive study involving 68 hypertensive patients at a teaching outpatient clinic.
  • Data collection utilized multi-professional team care reports, the Morisky-Green test, and telephone interviews.
  • Participant demographics included 64.71% women with an average age of 63.9 years.

Main Results:

  • Only 61.76% of patients attended scheduled medical consultations.
  • High rates of non-adherence were observed: 86.76% for medication and 85.29% for non-medication regimens.
  • Emotional factors were the most frequently cited reason for non-adherence (69.12%).

Conclusions:

  • Significant gaps exist in patient adherence to both medication and lifestyle recommendations in systemic hypertension.
  • Emotional factors represent a key barrier to treatment compliance.
  • Findings can inform targeted interventions to improve adherence and patient quality of life.

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