Relation between cognitive impairment and treatment adherence in elderly hypertensive patients

Anna Chudiak,1 Izabella Uchmanowicz,1 Grzegorz Mazur2 1Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland; 2Department and Clinic of Internal and Occupational Diseases and Hypertension, Wroclaw Medical University, Wrocław, Poland Background: Non...

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Autores principales:	Chudiak A, Uchmanowicz I, Mazur G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	cognitive impairment compliance hypertension old age treatment adherence Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/88d4f4a45bc84415b4edf5b0e79a4a96
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spelling	oai:doaj.org-article:88d4f4a45bc84415b4edf5b0e79a4a962021-12-02T05:30:36ZRelation between cognitive impairment and treatment adherence in elderly hypertensive patients1178-1998https://doaj.org/article/88d4f4a45bc84415b4edf5b0e79a4a962018-08-01T00:00:00Zhttps://www.dovepress.com/relation-between-cognitive-impairment-and-treatment-adherence-in-elder-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Anna Chudiak,1 Izabella Uchmanowicz,1 Grzegorz Mazur2 1Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland; 2Department and Clinic of Internal and Occupational Diseases and Hypertension, Wroclaw Medical University, Wrocław, Poland Background: Nonadherence to medical treatment and lack of cooperation in hypertensive patients >65 years of age are believed to be caused by a number of age-related problems, such as cognitive impairment. Numerous epidemiological and prospective studies have demonstrated that hypertension that remains untreated for many years or is unsuccessfully treated for reasons such as poor compliance and adherence of the patient may lead to cognitive impairment. Objective: The objective of this study was to investigate the occurrence of cognitive impairment and its effect on treatment compliance and adherence in elderly hypertensive patients. Design: This study was an analytical cross-sectional study. Patients and methods: The study was conducted on 300 patients aged 65–91 years (mean age=71.8 years, SD=7.8 years) diagnosed with hypertension. The following research tools were used: 1) Hill-Bone High Blood Pressure Compliance Scale (HBCS) and 2) Mini–Mental State Examination (MMSE). We also analyzed medical documentation to obtain basic sociodemographic and clinical data. The study was approved by the Bioethics Committee of the Medical University of Wroclaw (no KB-144/2016). Results: Cognitive impairment occurred in 60% of the patients. A group of 63% patients complied with antihypertensive therapy, with the mean score of 20.8 points. Cognitive impairment was strongly correlated with the total score of the HBCS questionnaire (p<0.001) and two of its subscales: “appointment keeping” (p<0.001) and “medication taking” (p<0.001). Conclusion: Compliance and adherence levels are higher in patients with a higher educational level, whereas male sex adversely affects treatment adherence in elderly hypertensive patients. Keywords: cognitive impairment, compliance, hypertension, old age, treatment adherenceChudiak AUchmanowicz IMazur GDove Medical Pressarticlecognitive impairmentcompliancehypertensionold agetreatment adherenceGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1409-1418 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	cognitive impairment compliance hypertension old age treatment adherence Geriatrics RC952-954.6
spellingShingle	cognitive impairment compliance hypertension old age treatment adherence Geriatrics RC952-954.6 Chudiak A Uchmanowicz I Mazur G Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
description	Anna Chudiak,1 Izabella Uchmanowicz,1 Grzegorz Mazur2 1Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland; 2Department and Clinic of Internal and Occupational Diseases and Hypertension, Wroclaw Medical University, Wrocław, Poland Background: Nonadherence to medical treatment and lack of cooperation in hypertensive patients >65 years of age are believed to be caused by a number of age-related problems, such as cognitive impairment. Numerous epidemiological and prospective studies have demonstrated that hypertension that remains untreated for many years or is unsuccessfully treated for reasons such as poor compliance and adherence of the patient may lead to cognitive impairment. Objective: The objective of this study was to investigate the occurrence of cognitive impairment and its effect on treatment compliance and adherence in elderly hypertensive patients. Design: This study was an analytical cross-sectional study. Patients and methods: The study was conducted on 300 patients aged 65–91 years (mean age=71.8 years, SD=7.8 years) diagnosed with hypertension. The following research tools were used: 1) Hill-Bone High Blood Pressure Compliance Scale (HBCS) and 2) Mini–Mental State Examination (MMSE). We also analyzed medical documentation to obtain basic sociodemographic and clinical data. The study was approved by the Bioethics Committee of the Medical University of Wroclaw (no KB-144/2016). Results: Cognitive impairment occurred in 60% of the patients. A group of 63% patients complied with antihypertensive therapy, with the mean score of 20.8 points. Cognitive impairment was strongly correlated with the total score of the HBCS questionnaire (p<0.001) and two of its subscales: “appointment keeping” (p<0.001) and “medication taking” (p<0.001). Conclusion: Compliance and adherence levels are higher in patients with a higher educational level, whereas male sex adversely affects treatment adherence in elderly hypertensive patients. Keywords: cognitive impairment, compliance, hypertension, old age, treatment adherence
format	article
author	Chudiak A Uchmanowicz I Mazur G
author_facet	Chudiak A Uchmanowicz I Mazur G
author_sort	Chudiak A
title	Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
title_short	Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
title_full	Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
title_fullStr	Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
title_full_unstemmed	Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
title_sort	relation between cognitive impairment and treatment adherence in elderly hypertensive patients
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/88d4f4a45bc84415b4edf5b0e79a4a96
work_keys_str_mv	AT chudiaka relationbetweencognitiveimpairmentandtreatmentadherenceinelderlyhypertensivepatients AT uchmanowiczi relationbetweencognitiveimpairmentandtreatmentadherenceinelderlyhypertensivepatients AT mazurg relationbetweencognitiveimpairmentandtreatmentadherenceinelderlyhypertensivepatients
_version_	1718400362180771840

Relation between cognitive impairment and treatment adherence in elderly hypertensive patients

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