Barbouni A, Nalmpanti M, Gennimata D, Theodoridis D, Merakou K
National School of Public Health-Department of Public & Administrative Health, Athens, Greece.
Health Center of Nea Zihni, Nea Zihni, Serres, Greece.
J Hum Hypertens. 2017 May;31(5):341-346. doi: 10.1038/jhh.2016.84. Epub 2016 Dec 29.
Although it has been proven that decreasing the arterial blood pressure decreases cardiovascular morbidity and mortality, <25% of hypertensive patients receiving antihypertensive treatment achieve target values, which are mainly attributed to failure of the patients to comply to treatment. Ensuring patient compliance to antihypertensive treatment, to prevent the development of hypertension-associated complications, has proven to be challenging in several countries. The aim of the present study was to investigate the knowledge, perceptions and practices applied by doctors treating hypertensive patients regarding patient compliance to the prescribed treatment. We also aimed to assess the possible barriers physicians face to using reinforcement methods and currently available guidelines. A total of 202 doctors from the Serres and Drama prefectures of Greece participated in this study. The data collection comprised a quantitative method questionnaire and the data were processed using Stata 8.0 statistical software. The results demonstrated that 84.7% of the participating doctors do not use the current guidelines for compliance, whereas only 10.1% have consultations lasting >15 min when discussing the medication with their patients. In addition, the majority (84.7%) of the doctors do not practice peer mentoring and consider the most effective interventions to be providing information and discussing the medication with their patients. In conclusion, the level of patient compliance to antihypertensive medication is unsatisfactory and the main reason is considered to be the non-use of guidelines by the treating physicians. Patients may benefit from further education of health professionals in this field.
尽管已经证实降低动脉血压可降低心血管疾病的发病率和死亡率，但接受抗高血压治疗的高血压患者中，只有不到25%达到了目标值，这主要归因于患者未遵守治疗方案。在多个国家，确保患者遵守抗高血压治疗方案以预防高血压相关并发症的发生已被证明具有挑战性。本研究的目的是调查治疗高血压患者的医生在患者遵守规定治疗方面所应用的知识、观念和做法。我们还旨在评估医生在使用强化方法和现有指南时可能面临的障碍。来自希腊塞尔雷斯和德拉马州的202名医生参与了这项研究。数据收集采用定量方法问卷，数据使用Stata 8.0统计软件进行处理。结果表明，84.7%的参与医生未使用当前的依从性指南，而在与患者讨论药物时，只有10.1%的医生会诊时间超过15分钟。此外，大多数医生（84.7%）没有进行同行指导，并且认为最有效的干预措施是提供信息并与患者讨论药物。总之，患者对抗高血压药物的依从性水平不令人满意，主要原因被认为是治疗医生未使用指南。患者可能会从该领域卫生专业人员的进一步教育中受益。
