Kobalova Zh D, Starostina E G, Kotovskaia Iu V, Villeval'de S V, Baranova E I, Bogachev R S, Volkova N I, Drozdetskiĭ S I, Kisliak O A, Koziolova N A, Kolina I G, Krasnova Iu N, Lopatin Iu M, Maksimenko V V, Negoda S V, Tarlovskaia E I, Tiukalova L I, Khokhlov R A, Freĭdlina M A
Ter Arkh. 2008;80(3):76-82.
To study barriers made by the patients for adequate treatment of arterial hypertension.
The ARGUS-2 trial was made in 15 centers of 13 cities of Russia. Anonymous questionnaire survey covered 1298 patients (796 outpatients and 502 inpatients). The patients answered the following questions: 1) what are basic problems of life with hypertension; 2) compliance with intake of antihypertensive drugs; 3) causes of missed intakes of the drugs; 4) opposition to intake of drugs by the patients. Questioning procedure was preset by the trial protocol.
Only 37.4% (38.9% outpatients, 34.6% inpatients) were the treatment adopters. Drug intake was missed most frequently because offorgetting. The problems of life with hypertension were differently interpreted by patients and physicians: for the latter main problems were financial and routine while AH complications were on the 6-7 place. The latter were of primary importance for the patients while financial problems took place 4-6 Barriers to regular intake for the patients were poor self-control and unawareness about side effects of the drugs.
Complience of the patient can be improved only by complex approach: improvement of education, higher motivation, active involvement of patients into the treatment process, better contacts between the physician and the patient.
