Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension
Arterial hypertension (AH) is one of the most common cardiovascular diseases increasing mortality rates in Poland and worldwide. Due to its prevalence, complications and treatment costs, AH is a significant health-related, economic and social problem. The aim of this study was to assess the level of...
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doaj-482fdf03dd3f407c84d5c7b5426b2f0e2020-11-25T03:43:48ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-09-01176789678910.3390/ijerph17186789Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with HypertensionAgnieszka Pluta0Beata Sulikowska1Jacek Manitius2Zuzanna Posieczek3Alicja Marzec4Donald E. Morisky5Department of Preventive Nursing, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, PolandDepartment of Nephrology, Hypertension and Internal Diseases, Faculty of Medicine, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, PolandDepartment of Nephrology, Hypertension and Internal Diseases, Faculty of Medicine, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, PolandDepartment of Endocrinology and Diabetology, Provincial Children’s Hospital Józef Brudziński, 85-667 Bydgoszcz, PolandDepartment of Preventive Nursing, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, PolandDepartment of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA 90095, USAArterial hypertension (AH) is one of the most common cardiovascular diseases increasing mortality rates in Poland and worldwide. Due to its prevalence, complications and treatment costs, AH is a significant health-related, economic and social problem. The aim of this study was to assess the level of acceptance of illness and compliance with therapeutic recommendations in patients with AH. The study included 200 outpatient hypertensive patients, 85 men and 115 women aged 49.1 ± 11.6, and used the standardized acceptance of illness (AIS), the eight-item Morisky Medication Adherence Scale (MMAS-8) and author’s design questionnaires. The level of acceptance of illness was found to be as follows: higher in men than in women, unaffected by comorbidities or sociodemographic factors such as residence and professional activity, decreasing with age, and correlating negatively with the duration of antihypertensive therapy. The level of adherence and compliance did not affect the AIS score and increased with the level of education. The study population demonstrated an overall good level of acceptance of illness. Men were characterized by lower levels of adherence and compliance. Patients with AH presented a moderate level of adherence and compliance, which indicates the need for providing active education, support and extensive cooperation facilitating their conformity to therapeutic recommendations.https://www.mdpi.com/1660-4601/17/18/6789arterial hypertensionadherencecomplianceacceptance of illness |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Agnieszka Pluta Beata Sulikowska Jacek Manitius Zuzanna Posieczek Alicja Marzec Donald E. Morisky |
spellingShingle |
Agnieszka Pluta Beata Sulikowska Jacek Manitius Zuzanna Posieczek Alicja Marzec Donald E. Morisky Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension International Journal of Environmental Research and Public Health arterial hypertension adherence compliance acceptance of illness |
author_facet |
Agnieszka Pluta Beata Sulikowska Jacek Manitius Zuzanna Posieczek Alicja Marzec Donald E. Morisky |
author_sort |
Agnieszka Pluta |
title |
Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension |
title_short |
Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension |
title_full |
Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension |
title_fullStr |
Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension |
title_full_unstemmed |
Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension |
title_sort |
acceptance of illness and compliance with therapeutic recommendations in patients with hypertension |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-09-01 |
description |
Arterial hypertension (AH) is one of the most common cardiovascular diseases increasing mortality rates in Poland and worldwide. Due to its prevalence, complications and treatment costs, AH is a significant health-related, economic and social problem. The aim of this study was to assess the level of acceptance of illness and compliance with therapeutic recommendations in patients with AH. The study included 200 outpatient hypertensive patients, 85 men and 115 women aged 49.1 ± 11.6, and used the standardized acceptance of illness (AIS), the eight-item Morisky Medication Adherence Scale (MMAS-8) and author’s design questionnaires. The level of acceptance of illness was found to be as follows: higher in men than in women, unaffected by comorbidities or sociodemographic factors such as residence and professional activity, decreasing with age, and correlating negatively with the duration of antihypertensive therapy. The level of adherence and compliance did not affect the AIS score and increased with the level of education. The study population demonstrated an overall good level of acceptance of illness. Men were characterized by lower levels of adherence and compliance. Patients with AH presented a moderate level of adherence and compliance, which indicates the need for providing active education, support and extensive cooperation facilitating their conformity to therapeutic recommendations. |
topic |
arterial hypertension adherence compliance acceptance of illness |
url |
https://www.mdpi.com/1660-4601/17/18/6789 |
work_keys_str_mv |
AT agnieszkapluta acceptanceofillnessandcompliancewiththerapeuticrecommendationsinpatientswithhypertension AT beatasulikowska acceptanceofillnessandcompliancewiththerapeuticrecommendationsinpatientswithhypertension AT jacekmanitius acceptanceofillnessandcompliancewiththerapeuticrecommendationsinpatientswithhypertension AT zuzannaposieczek acceptanceofillnessandcompliancewiththerapeuticrecommendationsinpatientswithhypertension AT alicjamarzec acceptanceofillnessandcompliancewiththerapeuticrecommendationsinpatientswithhypertension AT donaldemorisky acceptanceofillnessandcompliancewiththerapeuticrecommendationsinpatientswithhypertension |
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