Treatment compliance among hypertensive patients in urban area and factors that affected the compliance

Treatment compliance among hypertensive patients in urban area and factors that affected the compliance Introduction: In chronicle diseases such as hypertension which requires permanent drug use and regular control, the maladjustment with the treatment is one of the most significant obstacles for ensuring an efficient blood pressure. This study aimed to measure compliance with antihypertensive therapy in a group of patients in an urban arae and to identify variables associated with compliance. Materials and Methods: This study is a cross-sectional research which will be conducted to the patients diagnosed as having hypertension and over 40 years old (total 535 hypertensive patient) who are registered at İzmir, Konak Emine Bagcier Health Care Center at the date of January 1st 2014 (total 3594 patient). Sample, when the prevalence is taken as %31, is composed of 300 hypertensive patients who have a power to represent the population with a deviation of %5. Sample units are individuals. The data will be collected through face-to-face interviews using a questionnaire form. In the questionnaire, the socio-demographic features of the patients, their attitudes, knowledge and behaviours towards hypertension disease as well as biochemical parameters will be questioned, also The Patient Assessment of Chronic Illness Care (PACIC) and Antihypertensive treatment Adjustment Questionnaire will be questioned. Result:According to the 8-question questionnaire scale of Morisky, while %74 of the patients is moderately compatible, %22,7 was determined to be incompatible for the treatment. The average of PACİC was confirmed to be 3,5.±0.08. Following the search, no relation was found between age, marital status, business-education status and socioeconomic level and conformity. It was stated that treatment conformity of the people who has true and wide information about hypertension and who are informed by the doctor, who shows the behaviors of quitting cigarette, limiting salt and fat and who has a regular sleep pattern was better. It was pointed out that the greatest obstacle for regular monitoring is resulted from organizational problems about being unable to reach the treatment. Although it is not thought that diseases of the many patients are not in control, patients whose diagnosis and treatments are regulated in the second step are more compatible.Conclusion: Enhancing patient compliance the role of the doctor is inevitable. First step, hypertension should be supported for evaluation and increasing control rates, eliminated the barriers to reach the cure via the healthcare system,. It should be examined the relationship between the patients who have insomnia and compliance with medication. Keywords : Hypertension, Compliance, PACIC, MMAS-8,Antihypertensive treatment