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Factors affecting medication adherence in community-managed patients with hypertension based on the principal

Yuji Zhang1, Xiaoju Li1, Lu Mao1

  • 1Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, China.

Patient Preference and Adherence
|May 23, 2018
PubMed

Insights

Community management significantly impacts medication adherence in hypertensive patients. Improving regular instructions and services can reduce nonadherence, especially for mild hypertension cases.

Area of Science:

  • Cardiology
  • Public Health
  • Pharmacology

Background:

  • Hypertension management requires understanding medication nonadherence.
  • Community-based interventions are crucial for blood pressure control.

Purpose of the Study:

  • To analyze factors influencing antihypertensive medication adherence in Xinjiang.
  • To assess the relationship between various factors and medication adherence using principal component analysis.

Main Methods:

  • A multi-stage sampling survey of 1,916 community-managed hypertensive patients.
  • Utilized self-designed questionnaires and principal component analysis.
  • Chi-squared tests and binary logistic regression identified nonadherence factors.

Main Results:

  • Nine common factors influencing adherence were identified, explaining 63.6% of the variance.
  • Disease severity, community management, diabetes, and traditional medication use were significantly linked to nonadherence.

Conclusions:

  • Enhanced community management is vital for improving medication adherence in hypertension.
  • Regular patient education and community services can mitigate nonadherence.
  • Close monitoring by community healthcare providers is recommended for mild hypertension.
Abstract

Keywords:
Chinacommunity managementfactorshypertensionmedication adherenceprincipal component analysis

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