Therapeutic Compliance of Patients with Arterial Hypertension in Primary Care
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Published on: June 6, 2025
Mihaela Adela Iancu1,2, Irina-Ioana Mateiciuc1, Ana-Maria Alexandra Stanescu1
1Department 5, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Insights
Low adherence to antihypertensive treatment is common in patients with high blood pressure. Improving patient awareness and simplifying medication regimens can enhance treatment compliance and blood pressure control.
Area of Science:
- Cardiology
- Public Health
- Primary Care Medicine
Background:
- Arterial hypertension is a major contributor to cardiovascular disease, with uncontrolled blood pressure often linked to poor treatment adherence.
- Low compliance to antihypertensive medications is a significant challenge in managing hypertension and preventing cardiovascular events.
Purpose of the Study:
- To evaluate treatment compliance among patients with arterial hypertension receiving care in a primary care setting.
- To identify factors influencing adherence to antihypertensive therapy.
Main Methods:
- A cross-sectional, retrospective study involving 129 patients diagnosed with arterial hypertension.
- Analysis of medical records and patient survey responses concerning hypertension, comorbidities, treatment, and awareness.
Main Results:
- The study population had a mean age of 66 ± 8 years, with a majority being overweight or obese.
- Only 21.7% of patients reported adherence to treatment, with 56% citing medication cost as a barrier.
- A significant majority (82.17%) preferred a single daily pill over multiple prescriptions.
Conclusions:
- Patient awareness of arterial hypertension and its consequences is crucial for improving treatment compliance.
- Simplifying medication regimens and addressing cost barriers are essential for better blood pressure control.
- General practitioners play a vital role in patient counseling for secondary prevention of cardiovascular disease.
Abstract:
Background and Objectives: Arterial hypertension remains an important cause of cardiovascular morbidity and mortality, despite all the progress made in the methods of diagnosis, monitoring of target organs' damage and treatment. The main cause of the increased prevalence of uncontrolled blood pressure values is the low compliance to antihypertensive treatment. The objective of our study was to assess the compliance to the treatment of patients diagnosed with arterial hypertension and monitored in a primary care office. Materials and Methods: The cross-sectional, retrospective study included 129 patients, 65.89% (85) women, previously diagnosed with arterial hypertension. Data from the medical files were analyzed, as well as the patients' answers to a survey of 18 questions regarding arterial hypertension, comorbidities, complications, treatment and awareness of the condition. Results: The study included 129 patients, with a mean age of 66 ± 8 years. The majority of patients were overweight, 55.81% (72 patients), and 10.85% (14 patients) had grade I obesity. Most of the patients, 55.81% (72 patients) were diagnosed with grade III hypertension, while 37.98% (49 patients) were diagnosed with grade II hypertension and 6.2% (8 patients) with grade I hypertension. One third of the surveyed patients answered that they follow the recommendations of a low-sodium diet, 21.7% are adherent to treatment, but 56% think that the total cost of the medication is an impediment for their compliance to treatment. The majority, 82.17% (106 patients), of respondents had an affirmative answer to the questions: 'Do you think it would be easier to take one pill instead of 2, 3 or 4 pills?' Conclusion: The increased compliance to the antihypertensive treatment and control of blood pressure values are associated with the degree of awareness of arterial hypertension and the consequences if left untreated, emphasizing the role of the general practitioner in counseling for secondary prevention.
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