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Relationship between patients' knowledge and medication adherence among patients with hypertension

Beata Jankowska-Polańska1, Izabella Uchmanowicz1, Krzysztof Dudek2

  • 1Department of Clinical Nursing, Wroclaw Medical University.

Patient Preference and Adherence
|December 21, 2016
PubMed

Insights

Patient knowledge significantly impacts adherence to hypertension treatment. Improving understanding of arterial hypertension and its management is key for better medication adherence and health outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Medical Education

Background:

  • Arterial hypertension (AH) management requires consistent pharmaceutical treatment.
  • Patient knowledge significantly influences adherence to prescribed medications.

Purpose of the Study:

  • To investigate the relationship between knowledge of arterial hypertension (AH) and its management and adherence to pharmaceutical treatment.
  • To identify factors influencing medication adherence in hypertensive patients.

Main Methods:

  • A study involving 233 patients diagnosed with AH and on hypotensive drugs for at least 1 year.
  • Utilized the 8-item Morisky Medication Adherence Scale (MMAS-8) and the Hypertension Knowledge-Level Scale (HK-LS).

Main Results:

  • 63% of patients exhibited low knowledge of AH, particularly regarding non-pharmaceutical treatments and drug adherence.
  • Lower knowledge levels correlated with significantly lower medication adherence scores (MMAS).
  • High knowledge, non-pharmaceutical treatment understanding, and frequent blood pressure monitoring were independent determinants of good adherence.

Conclusions:

  • Patient knowledge is a critical independent factor for good adherence to hypertension treatment.
  • Addressing knowledge deficits is essential for improving hypertension control and patient outcomes.
  • Multidisciplinary teams must focus on enhancing patient understanding to overcome adherence challenges.
Abstract

Keywords:
arterial hypertensionmedical knowledgemedication adherence

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