Sikhau Murendeni F, Makhubu Mbuyisa J, Marincowitz Gert J O, Marincowitz Clara
Department of Family Medicine, Faculty of Health Sciences, University of Limpopo, Mankweng.
S Afr Fam Pract (2004). 2025 Aug 18;67(1):e1-e7. doi: 10.4102/safp.v67i1.6136.
Non-adherence to treatment remains a major contributing factor to uncontrolled hypertension and its complications. In South Africa, an estimated 50% of adults are living with hypertension and between 41.9% and 45.5% adhere to their treatment. Knowing reasons for non-adherence, therefore, is important in the treatment of hypertension.
A cross-sectional study involving 243 hypertensive patients was conducted from May to July 2022 at Voortrekker Hospital, Mokopane, Limpopo province. The questionnaire included socio-demographic and hypertension-related medical information and adherence was assessed using the previously validated Therapeutic Adherence Scale for Hypertensive Patients (TASHP).
Forty-two per cent of participants adhered to their antihypertensive treatment, whereas 56% controlled their blood pressure. Variables such as employment (p = 0.0076), secondary and tertiary education (p = 0.0048), duration of hypertension of less than a year (p = 0.019) and level of income (more than R3000/month) (p = 0.033) were significantly associated with better adherence.
Adherence to treatment and blood pressure control among hypertensive patients in the Mokopane area is still inadequate, although within the same range as reported in the literature. Effective strategies must be developed to address adherence, especially for vulnerable patients. Contribution: The study identified that only 42% of patients in a rural district hospital setting adhere to their hypertension management. Furthermore, it was found that patients less educated, unemployed, having an income of less than R3000/month or living with hypertension for more than 15 years are significantly more vulnerable to poor adherence.
不坚持治疗仍然是高血压失控及其并发症的一个主要促成因素。在南非，估计有50%的成年人患有高血压，其中41.9%至45.5%的人坚持治疗。因此，了解不坚持治疗的原因对高血压治疗很重要。
2022年5月至7月，在林波波省莫科帕内的 voortrekker 医院对243名高血压患者进行了一项横断面研究。问卷包括社会人口统计学和高血压相关的医疗信息，并使用先前验证的高血压患者治疗依从性量表（TASHP）评估依从性。
42%的参与者坚持服用抗高血压药物，而56%的人控制了血压。就业（p = 0.0076）、中等和高等教育（p = 0.0048）、高血压病程少于一年（p = 0.019）和收入水平（每月超过3000兰特）（p = 0.033）等变量与更好的依从性显著相关。
莫科帕内地区高血压患者的治疗依从性和血压控制仍然不足，尽管与文献报道的范围相同。必须制定有效的策略来解决依从性问题，特别是针对脆弱患者。贡献：该研究发现，在农村地区医院环境中，只有42%的患者坚持高血压管理。此外，研究发现，受教育程度较低、失业、月收入低于3000兰特或患有高血压超过15年的患者明显更容易出现依从性差的情况。
