Factors influencing adherence to treatment in older adults with hypertension

Bartosz Uchmanowicz,1 Anna Chudiak,1 Izabella Uchmanowicz,1 Joanna Rosińczuk,2 Erika Sivarajan Froelicher3,4 1Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Nervous System D...

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Autores principales:	Uchmanowicz B, Chudiak A, Uchmanowicz I, Rosińczuk J, Froelicher ES
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	elderly patients hypertension Hill-Bone scale socioeconomic and clinical factors Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3d0dba9f2f864b77a13a33c77bacf9bf
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spelling	oai:doaj.org-article:3d0dba9f2f864b77a13a33c77bacf9bf2021-12-02T03:09:39ZFactors influencing adherence to treatment in older adults with hypertension1178-1998https://doaj.org/article/3d0dba9f2f864b77a13a33c77bacf9bf2018-11-01T00:00:00Zhttps://www.dovepress.com/factors-influencing-adherence-to-treatment-in-older-adults-with-hypert-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Bartosz Uchmanowicz,1 Anna Chudiak,1 Izabella Uchmanowicz,1 Joanna Rosińczuk,2 Erika Sivarajan Froelicher3,4 1Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Nervous System Diseases, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 3Department of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, CA, USA; 4Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, CA, USA Purpose: Hypertension (HT) is considered to be the most common disorder in the general population. Demographic data indicate that older adults commonly suffer from HT. Older age is one of the key factors affecting the adherence of patients with HT. The main purpose was to identify demographic, socioeconomic, and clinical factors that affect adherence in older adults with HT. Materials and methods: This cross-sectional study included 150 patients (84 women and 66 men) with mean age of 72.1 years. The Hill-Bone Compliance to High Blood Pressure Therapy Scale (Hill-Bone CHBPTS) was used to evaluate the adherence to therapeutic recommendations for HT. Results: The mean score obtained by the patients in the Hill-Bone CHBPTS was 20.19 (SD±4.05). The linear regression model showed the independent predictors of the total score (P<0.05): 1) age, each subsequent year of life raises the total score by an average of 0.2 points; 2) gender, males raise it by an average of 1.34 points compared to females; 3) education, a secondary, higher, or higher professional education lowers it by an average of 1.75 points compared to a primary education or no education; and 4) living with the family, having familial support lowers it by an average of 1.91 points compared to living alone or in an organized institution. Conclusion: Our study has shown that the variables of age, education level, and living with the family were statistically significant in explaining the adherence rates. Health care professionals should pay more attention to older HT patients who have a low level of education and who experience the lack of social support. There is a need for a tailored education among this group of patients to better understand and adhere to medication treatment. Keywords: elderly patients, hypertension, Hill-Bone scale, socioeconomic factors, clinical factors, cardiac nursing, health care providersUchmanowicz BChudiak AUchmanowicz IRosińczuk JFroelicher ESDove Medical Pressarticleelderly patientshypertensionHill-Bone scalesocioeconomic and clinical factorsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2425-2441 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	elderly patients hypertension Hill-Bone scale socioeconomic and clinical factors Geriatrics RC952-954.6
spellingShingle	elderly patients hypertension Hill-Bone scale socioeconomic and clinical factors Geriatrics RC952-954.6 Uchmanowicz B Chudiak A Uchmanowicz I Rosińczuk J Froelicher ES Factors influencing adherence to treatment in older adults with hypertension
description	Bartosz Uchmanowicz,1 Anna Chudiak,1 Izabella Uchmanowicz,1 Joanna Rosińczuk,2 Erika Sivarajan Froelicher3,4 1Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Nervous System Diseases, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 3Department of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, CA, USA; 4Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, CA, USA Purpose: Hypertension (HT) is considered to be the most common disorder in the general population. Demographic data indicate that older adults commonly suffer from HT. Older age is one of the key factors affecting the adherence of patients with HT. The main purpose was to identify demographic, socioeconomic, and clinical factors that affect adherence in older adults with HT. Materials and methods: This cross-sectional study included 150 patients (84 women and 66 men) with mean age of 72.1 years. The Hill-Bone Compliance to High Blood Pressure Therapy Scale (Hill-Bone CHBPTS) was used to evaluate the adherence to therapeutic recommendations for HT. Results: The mean score obtained by the patients in the Hill-Bone CHBPTS was 20.19 (SD±4.05). The linear regression model showed the independent predictors of the total score (P<0.05): 1) age, each subsequent year of life raises the total score by an average of 0.2 points; 2) gender, males raise it by an average of 1.34 points compared to females; 3) education, a secondary, higher, or higher professional education lowers it by an average of 1.75 points compared to a primary education or no education; and 4) living with the family, having familial support lowers it by an average of 1.91 points compared to living alone or in an organized institution. Conclusion: Our study has shown that the variables of age, education level, and living with the family were statistically significant in explaining the adherence rates. Health care professionals should pay more attention to older HT patients who have a low level of education and who experience the lack of social support. There is a need for a tailored education among this group of patients to better understand and adhere to medication treatment. Keywords: elderly patients, hypertension, Hill-Bone scale, socioeconomic factors, clinical factors, cardiac nursing, health care providers
format	article
author	Uchmanowicz B Chudiak A Uchmanowicz I Rosińczuk J Froelicher ES
author_facet	Uchmanowicz B Chudiak A Uchmanowicz I Rosińczuk J Froelicher ES
author_sort	Uchmanowicz B
title	Factors influencing adherence to treatment in older adults with hypertension
title_short	Factors influencing adherence to treatment in older adults with hypertension
title_full	Factors influencing adherence to treatment in older adults with hypertension
title_fullStr	Factors influencing adherence to treatment in older adults with hypertension
title_full_unstemmed	Factors influencing adherence to treatment in older adults with hypertension
title_sort	factors influencing adherence to treatment in older adults with hypertension
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/3d0dba9f2f864b77a13a33c77bacf9bf
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Factors influencing adherence to treatment in older adults with hypertension

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