The influence of frailty syndrome on medication adherence among elderly patients with hypertension

Beata Jankowska-Polańska,1 Krzysztof Dudek,2 Anna Szymanska-Chabowska,3 Izabella Uchmanowicz1 1Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 2Department of Logistic and Transport Systems, Faculty of Mechanical Engineering, Wroclaw University of Technology, 3D...

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Autores principales:	Jankowska-Polańska B, Dudek K, Szymanska-Chabowska A, Uchmanowicz I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	frailty syndrome ageing hypertension medication adherence geriatric syndrome Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/0048222db0f04b09ae0284a5971cd138
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spelling	oai:doaj.org-article:0048222db0f04b09ae0284a5971cd1382021-12-02T02:42:53ZThe influence of frailty syndrome on medication adherence among elderly patients with hypertension1178-1998https://doaj.org/article/0048222db0f04b09ae0284a5971cd1382016-12-01T00:00:00Zhttps://www.dovepress.com/the-influence-of-frailty-syndrome-on-medication-adherence-among-elderl-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Beata Jankowska-Polańska,1 Krzysztof Dudek,2 Anna Szymanska-Chabowska,3 Izabella Uchmanowicz1 1Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 2Department of Logistic and Transport Systems, Faculty of Mechanical Engineering, Wroclaw University of Technology, 3Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland Background: Hypertension affects about 80% of people older than 80 years; however, diagnosis and treatment are difficult because about 55% of them do not adhere to treatment recommendations due to low socioeconomic status, comorbidities, age, physical limitations, and frailty syndrome.Aims: The purposes of this study were to evaluate the influence of frailty on medication adherence among elderly hypertensive patients and to assess whether other factors influence adherence in this group of patients.Methods and results: The study included 296 patients (mean age 68.8±8.0) divided into frail (n=198) and non-frail (n=98) groups. The Polish versions of the Tilburg Frailty Indicator (TFI) for frailty assessment and 8-item Morisky Medication Adherence Scale for adherence assessment were used. The frail patients had lower medication adherence in comparison to the non-frail subjects (6.60±1.89 vs 7.11±1.42; P=0.028). Spearman’s rank correlation coefficients showed that significant determinants with negative influence on the level of adherence were physical (rho =-0.117), psychological (rho =-0.183), and social domain (rho =-0.163) of TFI as well as the total score of the questionnaire (rho =-0.183). However, multiple regression analysis revealed that only knowledge about complications of untreated hypertension (β=0.395) and satisfaction with the home environment (β=0.897) were found to be independent stimulants of adherence level.Conclusion: Frailty is highly prevalent among elderly hypertensive patients. Higher level of frailty among elderly patients can be considered as a determinant of lower adherence. However, social support and knowledge about complications of untreated hypertension are the most important independent determinants of adherence to pharmacological treatment. Keywords: frailty syndrome, ageing, hypertension, medication adherence, geriatric syndromeJankowska-Polańska BDudek KSzymanska-Chabowska AUchmanowicz IDove Medical Pressarticlefrailty syndromeageinghypertensionmedication adherencegeriatric syndromeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 1781-1790 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	frailty syndrome ageing hypertension medication adherence geriatric syndrome Geriatrics RC952-954.6
spellingShingle	frailty syndrome ageing hypertension medication adherence geriatric syndrome Geriatrics RC952-954.6 Jankowska-Polańska B Dudek K Szymanska-Chabowska A Uchmanowicz I The influence of frailty syndrome on medication adherence among elderly patients with hypertension
description	Beata Jankowska-Polańska,1 Krzysztof Dudek,2 Anna Szymanska-Chabowska,3 Izabella Uchmanowicz1 1Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 2Department of Logistic and Transport Systems, Faculty of Mechanical Engineering, Wroclaw University of Technology, 3Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland Background: Hypertension affects about 80% of people older than 80 years; however, diagnosis and treatment are difficult because about 55% of them do not adhere to treatment recommendations due to low socioeconomic status, comorbidities, age, physical limitations, and frailty syndrome.Aims: The purposes of this study were to evaluate the influence of frailty on medication adherence among elderly hypertensive patients and to assess whether other factors influence adherence in this group of patients.Methods and results: The study included 296 patients (mean age 68.8±8.0) divided into frail (n=198) and non-frail (n=98) groups. The Polish versions of the Tilburg Frailty Indicator (TFI) for frailty assessment and 8-item Morisky Medication Adherence Scale for adherence assessment were used. The frail patients had lower medication adherence in comparison to the non-frail subjects (6.60±1.89 vs 7.11±1.42; P=0.028). Spearman’s rank correlation coefficients showed that significant determinants with negative influence on the level of adherence were physical (rho =-0.117), psychological (rho =-0.183), and social domain (rho =-0.163) of TFI as well as the total score of the questionnaire (rho =-0.183). However, multiple regression analysis revealed that only knowledge about complications of untreated hypertension (β=0.395) and satisfaction with the home environment (β=0.897) were found to be independent stimulants of adherence level.Conclusion: Frailty is highly prevalent among elderly hypertensive patients. Higher level of frailty among elderly patients can be considered as a determinant of lower adherence. However, social support and knowledge about complications of untreated hypertension are the most important independent determinants of adherence to pharmacological treatment. Keywords: frailty syndrome, ageing, hypertension, medication adherence, geriatric syndrome
format	article
author	Jankowska-Polańska B Dudek K Szymanska-Chabowska A Uchmanowicz I
author_facet	Jankowska-Polańska B Dudek K Szymanska-Chabowska A Uchmanowicz I
author_sort	Jankowska-Polańska B
title	The influence of frailty syndrome on medication adherence among elderly patients with hypertension
title_short	The influence of frailty syndrome on medication adherence among elderly patients with hypertension
title_full	The influence of frailty syndrome on medication adherence among elderly patients with hypertension
title_fullStr	The influence of frailty syndrome on medication adherence among elderly patients with hypertension
title_full_unstemmed	The influence of frailty syndrome on medication adherence among elderly patients with hypertension
title_sort	influence of frailty syndrome on medication adherence among elderly patients with hypertension
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/0048222db0f04b09ae0284a5971cd138
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The influence of frailty syndrome on medication adherence among elderly patients with hypertension

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