The Relationship Between Adherence to Medication and Quality of Life and Health Perception in Hypertensive Patients

Abstract

Introduction: Medication adherence is an important component of disease management in the treatment of hypertension. The purpose of this study is to examine the relationship between medication adherence, quality of life and health perception in patients with hypertension. Method: This descriptive-cross-sectional study was performed in patients diagnosed with hypertension in a family health center in the city center of Denizli. In collecting data, sociodemographic characteristics, Hypertension Compliance Assessment Scale, quality of life scale and health perception scale were used. Results: The mean age of 117 patients who participated in the study was 62.85 ± 9.29, and 55.6% were women. The mean score of the participants' compliance to drug treatment scale was 3.98 ± 1.73 and 93.2% of them were in compliance with drug treatment. The mean health perception score of the participants was 49.76 ± 6.50 and a negative correlation was found between the health perception score and the drug treatment compliance score (r=-0.211; p=0.023). The summary score of physical components of the quality of life subscales was 43.59 ± 5.69; The summary mean score of mental components was 47.10 ± 6.62. No correlation was found between drug treatment compliance score and quality of life subscales. No correlation was found between drug treatment compliance score and quality of life subscales. In addition, statistically significant blood pressure of those with good compliance with medication was under control (p=0.003). Conclusion: It was determined that the patients' compliance to the treatment affects their health perceptions but there is no relation with the quality of life. In addition, blood pressure values of patients with high compliance with medication were under control, and home blood pressure measurements were found to increase drug compliance.

Keywords

• hypertension
• medication adherence
• quality of life
• health
• perception

Hipertansiyon Hastalarında İlaç Tedavisine Uyumun Yaşam Kalitesi ve Sağlık Algısıyla İlişkisi

Abstract

Giriş: Hipertansiyon tedavisinde ilaç uyumu, hastalık yönetiminin önemli bir bileşenidir. Çalışmamızın amacı, hipertansiyon tanısı olan hastalardaki ilaç uyumunun, yaşam kalitesi ve sağlık algısıyla ilişkisini incelemektir. Yöntem: Tanımlayıcı-kesitsel nitelikte olan bu çalışma, Denizli il merkezinde bulunan bir aile sağlığı merkezinde, hipertansiyon tanısı almış hastalarda yapılmıştır. Verilerin toplanmasında, sosyodemografik özellikler, antihipertansif ilaç uyum ölçeği, yaşam kalitesi ölçeği ve sağlık algısı ölçeği kullanılmıştır. Bulgular: Çalışmaya katılan 117 hastanın yaş ortalaması 62,85±9,29 olup, %55,6’sı kadındı. Katılımcıların, ilaç tedavisine uyum ölçek puanı ortalaması 3,98± 1,73 idi ve %93,2’si ilaç tedavisine uymaktaydı. Katılımcıların sağlık algısı ortalama puanı 49,76±6,50 idi ve sağlık algısı puanı ile ilaç tedavisine uyum puanı arasında negatif yönde zayıf düzeyde ilişki bulunmuştur (r=-0,211; p=0,023). Yaşam kalitesi alt ölçeklerinden fiziksel bileşenlerin özeti ortalama puanı 43,59±5,69; mental bileşenlerin özeti ortalama puanı 47,10±6,62 bulunmuştur. İlaç tedavisine uyum puanı ile yaşam kalitesi alt ölçekleri arasında ilişki saptanamamıştır. Ayrıca ilaç tedavisine uyumları iyi olanların istatistiksel olarak anlamlı oranda tansiyonlarının kontrol altında olduğu tespit edilmiştir (p=0,003). Sonuç: Çalışmamızda, hastaların ilaç tedavisine uyumunu, sağlık algısının etkilediği ancak yaşam kalitesiyle ilişkili olmadığı gösterilmiştir. Ayrıca ilaç tedavisine uyumu iyi olan hastaların tansiyon değerleri kontrol altındaydı ve evde tansiyon ölçümlerinin de ilaç uyumunu artırdığı tespit edilmiştir

Keywords

• Hipertansiyon
• İlaç tedavisine uyum
• yaşam kalitesi
• sağlık
• kabul

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