Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension

Agnieszka Pluta, Beata Sulikowska, Jacek Manitius, Zuzanna Posieczek, Alicja Marzec and Donald E. Morisky
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Agnieszka Pluta: Department of Preventive Nursing, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, Poland
Beata Sulikowska: Department of Nephrology, Hypertension and Internal Diseases, Faculty of Medicine, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, Poland
Jacek Manitius: Department of Nephrology, Hypertension and Internal Diseases, Faculty of Medicine, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, Poland
Zuzanna Posieczek: Department of Endocrinology and Diabetology, Provincial Children’s Hospital Józef Brudziński, 85-667 Bydgoszcz, Poland
Alicja Marzec: Department of Preventive Nursing, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, Poland
Donald E. Morisky: Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA

IJERPH, 2020, vol. 17, issue 18, 1-14

Abstract: 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.

Keywords: arterial hypertension; adherence; compliance; acceptance of illness (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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