Blood Pressure Profile and Factors Affecting Medication Adherence in Older Persons with Hypertension in Two Care Centers

IF 1 Q4 GERONTOLOGY
Chinonyerem O. Iheanacho, Agbaje Akeem Babatunde, Uchenna I. H. Eze
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引用次数: 1

Abstract

High prevalence of uncontrolled blood pressure in older adults is a major health concern, and mostly results from poor medication adherence. The study assessed blood pressure profile and factors that influence medication adherence in older persons. Association of adherence factors with systolic and diastolic blood pressure was also determined. Cross-sectional and retrospective survey were conducted among 310 out-patients of ≥ 65 years of age in two hospitals. A pretested questionnaire measured medication adherence factors on a 5-point Likert scale. Data on last blood pressure and medications of study participants were retrospectively obtained from case notes. Descriptive analysis and Chi-square were performed using SPSS version 25. (P ≤ 0.05). A total of 300 patients participated in the study. The study noted slightly high mean systolic and diastolic blood pressure (147.65 ± 20.607 and 92.82 ± 15.137) among respondents, however, diastolic hypertension was prevalent 171 (57.0%). Average mean score for respondents’ reported medication-related and attitude-related adherence factors were 2.40 ± 1.09 and 2.66 ± 1.24, respectively. Systolic and diastolic blood pressure were statistically significant with; number of pills (p = 0.008 and p = 0.003 respectively) and dosing regimen (p = 0.000 and p = 0.052, respectively). Systolic blood pressure was statistically significant with; frequency of dosing (p = 0.011), non-availability or scarcity of prescribed medicines (p = 0.027), pharmacists’ attitude (p = 0.000), physician’s attitude (p = 0.000) and phobia for medicines (p = 0.002). Forgetfulness was statistically associated with diastolic blood pressure (p = 0.011). Diastolic hypertension was prevalent, and several factors of adherence significantly influenced systolic and diastolic blood pressure in older adults. Improved medication counselling is required for maximum benefits in older persons.

两个护理中心老年高血压患者的血压状况及影响服药依从性的因素
老年人血压失控的高患病率是一个主要的健康问题,主要是由于药物依从性差。该研究评估了老年人的血压状况和影响药物依从性的因素。还测定了依从性因素与收缩压和舒张压的相关性。对两家医院310名年龄≥65岁的门诊患者进行了横断面和回顾性调查。一份预测试问卷以5分Likert量表测量药物依从性因素。研究参与者的最后一次血压和药物数据是从病例记录中回顾性获得的。使用SPSS 25进行描述性分析和卡方分析。(P≤0.05)。共有300名患者参与了本研究。研究发现,受访者的平均收缩压和舒张压略高(147.65±20.607和92.82±15.137),但舒张压普遍存在171(57.0%)。受访者报告的药物相关和态度相关依从因素的平均得分分别为2.40±1.09和2.66±1.24。收缩压和舒张压具有统计学意义;药丸数量(分别为p=0.008和p=0.003)和给药方案(分别为p=0.000和p=0.052)。收缩压具有统计学意义;给药频率(p=0.011)、处方药不可用或稀缺(p=0.027)、药剂师的态度(p=0.000)、医生的态度(p=0.000)和对药物的恐惧症(p=0.002)。遗忘与舒张压(p=0.011,一些依从性因素显著影响老年人的收缩压和舒张压。需要改进药物咨询,以最大限度地造福老年人。
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来源期刊
Ageing International
Ageing International GERONTOLOGY-
CiteScore
2.70
自引率
6.70%
发文量
39
期刊介绍: As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.
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