Abstract
Objective: Hypertension is worldwide spread, affects 40.41% of Romanians, and represents the leading cause of death. Epidemiological evidence suggests increasing proportion of elderly people. One half/two thirds of them have hypertension. Suboptimal adherence to treatment is considered to be the main impediment in controlling chronic diseases and the most common precipitating factors for hospitalization. Among the new concepts in 2018 ESC/ESH Guidelines for the Management of Arterial Hypertension is a strong emphasis on evaluating treatment adherence as a major cause of poor BP control. The aim of our study was to assess adherence to therapy in uncontrolled middle-old hypertensives admitted in an Internal Medicine Department Design and method: We enrolled 192 consecutive treated but uncontrolled patients with hypertension (BP>140/90mmHg) and age between 75 and 85 years old. All patients completed the Morisky questionnaire for adherence to treatment. Results: 90 patients (53.57%) were females, and 78 (46.43%) males. Morisky score 0 (maximum adherence to therapy) was recorded in only 15.47% of the patients, 36.92 % had intermediate adherence (Morisky score 1–2) and 47.61% low adherence (Morisky score 3–4). Adherence to treatment was low in both sexes. Men had a sleight better maximum adherence than women (17.94% vs 13.33%). Women had a sleight lower low adherence to therapy than men (46.66% vs 50%). Conclusions: In-hospital middle-old uncontrolled patients with hypertension have a very poor adherence to therapy. Low adherence is present in both sexes. Since adherence to therapy is crucial in controlling chronic diseases, effective strategies to increase adherence to therapy are mandatory in uncontrolled middle-old hypertensives.
Published Version
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