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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Agnieszka Pluta & Beata Sulikowska & Jacek Manitius & Zuzanna Posieczek & Alicja Marzec & Donald E. Morisky, 2020. "Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6789-:d:415174
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    Cited by:

    1. Ana Margarida Alves & Alexandre Rodrigues & Pedro Sa-Couto & João Lindo Simões, 2021. "Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study," IJERPH, MDPI, vol. 19(1), pages 1-22, December.

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