Cerzniewska Izabela, Gierycz Edyta, Rachubińska Kamila, Schneider-Matyka Daria, Walaszek Ireneusz, Ćwiek Dorota, Ustianowski Przemysław, Grochans Elżbieta, Cybulska Anna Maria
Department of Nursing, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Independent Public Health Care Center in Choszczno, Choszczno, Poland.
Front Public Health. 2025 Mar 24;13:1536430. doi: 10.3389/fpubh.2025.1536430. eCollection 2025.
BACKGROUND/OBJECTIVES: One of the major challenges in managing hypertension is non-adherence to treatment recommendations. This issue poses a significant barrier to effectively controlling blood pressure and preventing related cardiovascular complications. The main objective of this study was to demonstrate the level of adherence to therapeutic recommendations by hypertensive patients, and to determine how socio-demographic and medical variables affect adherence.
The study was conducted among 205 patients with diagnosed hypertension hospitalized in the West Pomeranian Voivodeship. The study used a diagnostic survey method, a survey technique, and a self-administered questionnaire and the Adherence to Refills and Medication Scale.
The overall score for the ARMS questionnaire was 24.32, which is 2.03 points per question and indicates that adherence to therapeutic recommendations among the hypertensive patients surveyed was at a good level. Based on the collected data, it was shown that the older the age, the worse the adherence was. In addition, urban residents adhered to therapeutic recommendations less frequently than other respondents.
Patients with diabetes were more likely to be non-compliant than patients without diabetes. And respondents with diagnosed CHF were more likely to adhere to recommendations than other respondents. Age, occupational activity and place of residence influenced adherence to treatment recommendations among hypertensive patients surveyed.
背景/目的：高血压管理的主要挑战之一是不遵守治疗建议。这个问题对有效控制血压和预防相关心血管并发症构成了重大障碍。本研究的主要目的是展示高血压患者对治疗建议的遵守程度，并确定社会人口统计学和医学变量如何影响依从性。
该研究在西波美拉尼亚省住院的205名确诊高血压患者中进行。该研究采用了诊断调查方法、调查技术、自填问卷以及用药依从性量表。
ARMS问卷的总分是24.32分，每个问题2.03分，这表明接受调查的高血压患者对治疗建议的依从性处于良好水平。根据收集的数据显示，年龄越大，依从性越差。此外，城市居民比其他受访者更少遵守治疗建议。
糖尿病患者比非糖尿病患者更有可能不依从。被诊断为CHF的受访者比其他受访者更有可能遵守建议。年龄、职业活动和居住地点影响了接受调查的高血压患者对治疗建议的依从性。
