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Self-reported adherence to therapeutic regimens among patients with hypertension

Laila I Al-Daken1, Nidal F Eshah1

  • 1a Faculty of Nursing, Zarqa University , Zarqa, Jordan.

Clinical and Experimental Hypertension (New York, N.Y. : 1993)
|April 28, 2017
PubMed

Insights

Jordanian hypertensive patients showed good adherence to medication, but less so to lifestyle changes like reduced sodium intake. Knowledge about hypertension and regular doctor visits were key predictors of adherence.

Area of Science:

  • Cardiology
  • Public Health
  • Pharmacology

Background:

  • Hypertension is a significant global health concern.
  • Patient adherence to treatment regimens is crucial for managing hypertension effectively.
  • Understanding adherence patterns in specific populations, like Jordanians, is vital for targeted interventions.

Purpose of the Study:

  • To evaluate the adherence rate of Jordanian hypertensive patients to their prescribed hypertension therapeutic regimen (HTR).
  • To identify the primary factors influencing adherence to HTR among this patient group.

Main Methods:

  • A descriptive comparative design was employed with convenience sampling.
  • 192 hypertensive patients attending a public healthcare center participated.
  • The Hill-Bone Compliance to High Blood Pressure Therapy Scale and Hypertension Knowledge-Level Scale were utilized.

Main Results:

  • Overall good adherence to HTR was reported by 82.8% of participants, with a mean adherence score of 87.3.
  • Higher adherence was observed in women, less educated, unemployed individuals, those with comorbidities, and those with a negative family history of hypertension.
  • Multiple linear regression identified greater knowledge of hypertension and regular physician visits as significant predictors of good adherence.

Conclusions:

  • While Jordanian hypertensive patients demonstrate good adherence to antihypertensive medications, there is a notable gap in adherence to reduced sodium intake and attending medical appointments.
  • Patients tend to comply with pharmacological aspects of HTR more readily than non-pharmacological elements.
  • Interventions should focus on improving adherence to lifestyle modifications and appointment keeping in hypertensive patients.
Abstract

Keywords:
Adherencehypertensionlifestylemedicationtherapeutic regimenstreatment

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