Study of adherence to therapy in patients with arterial hypertension and comorbidity Aksana Muhamedovna Karda-Reference-Cited by-同舟云学术

Study of adherence to therapy in patients with arterial hypertension and comorbidity Aksana Muhamedovna Karda

Published:2021-05-08 Issue:33 Volume:12 Page:264-273
ISSN:0041-8811
Container-title:Revista de la Universidad del Zulia
language:es
Short-container-title:RDLUZ

Author:

Kardangusheva Aksana Muhamedovna¹^ORCID,Pshigotizheva Inna Fuadovna²^ORCID,Kardanova Leila Dadashevna³^ORCID,Sizhazheva Sofiat Khasenovna⁴^ORCID,Shigalugova Svetlana Zaurovna⁴^ORCID,Dudarova Inna Mukhamedovna⁴^ORCID

Affiliation:

1. Head of the Department of Public Health, Health Care and Preventive Medicine Kabardino-Balkarian State University named after H.M. Berbekov Nalchik, Russia

2. Faculty of Medicine Kabardino-Balkarian State University named after H.M. Berbekov Nalchik, Russia.

3. Department of General Medical Practice and Medical Rehabilitation Kabardino-Balkarian State University named after H.M. Berbekov Nalchik, Russia

4. Department of Public Health, Health Care and Preventive Medicine Kabardino-Balkarian State University named after H.M. Berbekov Nalchik, Russia

Abstract

The aim of the research is to study the parameters of tolerance and adherence to antihypertensive therapy in patients with arterial hypertension and comorbidity in real clinical practice. Material and methods. The study included 138 adult patients (29% of men and 71% of women) with arterial hypertension and comorbidity receiving therapy in the cardiology department. The average age of the patients was 64.3 ± 12 years. Results. The mean Charlson index in our study was 3.97 ± 2.0 points (3.75 ± 2.3 points for men and 4 ± 1.9 points for women). Treatment adherence was low in 40% of men and 24.5% of women. The lowest rates of adherence were found to medical follow-up (85% in men and 83.6% in women) and lifestyle modifications (80% in men and 77.5% in women), the highest rates of adherence were to drug therapy (20 % for men and 18.4% for women). Significant correlations were found for all adherence categories with age and the number of drugs taken.Conclusion. Adherence to treatment in almost a third of the patients we surveyed was low. The lowest rates of adherence were found to medical support and lifestyle modifications, the highest were found to drug therapy. The factors influencing adherence, efficacy and tolerability of treatment includes age and the number of drugs taken.

Publisher

Universidad del Zulia

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