Varma Pavani, Mohandas Anu, Ravulapalli Pratyusha, Pattnaik Snigdha, Varaprasad K Satya
Department of Community Medicine, Apollo Institute of Medical Sciences and Research (AIMSR), Hyderabad, Telangana, India.
Intern, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India.
J Family Med Prim Care. 2023 Dec;12(12):3129-3134. doi: 10.4103/jfmpc.jfmpc_588_23. Epub 2023 Dec 21.
The burden of hypertension is expected to double by 2025 and adherence to treatment has a key role in disease outcome. The World Health Organization defines adherence as the extent to which a person's behaviour of taking medication, following a diet and/or exceeding life-style changes, corresponds with the agreed recommendations of health care providers. The study tries to assess the level of adherence to medication and life-style modifications in hypertensive patients.
It is a cross-sectional study among patients attending urban health centres of a teaching hospital. The study population included all hypertensive patients above 30 years. Based on the prevalence of non-adherence to hypertensive medication, 70% of the sample size is calculated as 182. A Morisky medication adherence scale is used to find adherence to treatment. Life-style modification was also assessed. Scoring was done based on their adherence to treatment and life-style modifications and quantified.
The mean age of the study population was 55 years (38-80 years). In total, 58.33% were illiterate and 21% were retired from work. Around 87.5% had to spend money on medication. Mean weight, height, hip and waist circumference was 66 kg, 157 cm, 108 cm and 100 cm, respectively. Mean BMI was 26.6. Prevalence of good adherence to medication was 129 (70.83%) and that of good life-style modifications was 127 (70.17%).
The adherence to medication and life-style modification was satisfactory. Family physicians have a key role in Non communicable diseases (NCD) management and should focus on ongoing education programmes for treatment adherence and life-style modifications at a community level, and grass-root level workers should conduct regular follow-up activities.
预计到2025年，高血压负担将翻倍，坚持治疗对疾病转归起着关键作用。世界卫生组织将依从性定义为一个人的服药行为、遵循饮食和/或进行生活方式改变的程度与医疗保健提供者商定的建议相符的程度。本研究旨在评估高血压患者的药物治疗依从性和生活方式改变情况。
这是一项针对教学医院城市健康中心就诊患者的横断面研究。研究人群包括所有30岁以上的高血压患者。根据高血压药物治疗不依从的患病率，计算出样本量的70%为182例。采用Morisky药物治疗依从性量表来评估治疗依从性。同时也对生活方式改变进行了评估。根据他们对治疗和生活方式改变的依从性进行评分并量化。
研究人群的平均年龄为55岁（38 - 80岁）。总体而言，58.33%为文盲，21%已退休。约87.5%的人需要花钱买药。平均体重、身高、臀围和腰围分别为66千克、157厘米、108厘米和100厘米。平均体重指数为2６.6。药物治疗依从性良好的患病率为129例（70.83%），生活方式改变良好的患病率为127例（70.17%）。
药物治疗和生活方式改变的依从性令人满意。家庭医生在非传染性疾病管理中起着关键作用，应关注社区层面关于治疗依从性和生活方式改变的持续教育项目，基层工作人员应开展定期随访活动。
