Assessment of Compliance with Treatment and Therapeutic Lifestyle Changes in Hypertensive Patients: A Sample of the Family Health Center Hipertansif Hastalarda Tedavi Edici Yaşam Tarzı Değişikliğine Uyumun Değerlendirilmesi: Aile Sağlığı Merkezi Örneklemi
Sakarya Medical Journal, cilt.13, sa.4, ss.521-529, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 4
- Basım Tarihi: 2023
- Doi Numarası: 10.31832/smj.1342491
- Dergi Adı: Sakarya Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.521-529
- Anahtar Kelimeler: Compliance to Treatment, Hypertension, Lifestyle Change, Obesity
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction Materials and Methods Results Conclusion The aim of this study was to measure treatment adherence and lifestyle modification success in hypertensive patients and to examine the effects of these factors on blood pressure control. The study was conducted with 300 hypertensive patients. Measurements of height, weight, blood pressure, and waist circumference, as well as biochemical and hematological results, were recorded. Patients were asked to complete a questionnaire covering medical information, sociodemographic characteristics, and lifestyle habits. The Hypertensive Individuals' Treatment Adherence and Lifestyle Modification Success Assessment Scale was administered. The mean age of the patients was 62.41±10.49 years. The median duration of hypertension was found to be 10 years. 36.7% of the participants were using three or more antihypertensive medications. Systolic blood pressure was ≥140 mmHg in 44.7% of participants, while diastolic blood pressure was ≥90 mmHg in 33%. Despite treatment, 52% of participants were found to be hypertensive. According to the body mass index (BMI), 59.7% of patients were obese. The BMI was 34.14±6.84 kg/m² for females and 30.20±4.76 kg/m² for males (p=0.001). Patients with high systolic and diastolic blood pressure had higher BMIs and waist circumferences compared to those with normal blood pressure (p=0.001 and p=0.001). According to the Hypertensive Individuals' Treatment Adherence and Lifestyle Modification Success Assessment Scale, 81% of patients were adherent. 66.7% of non-adherent patients and 48.6% of adherent patients were hypertensive (p=0.014). Patients who engaged in physical activity for at least 3 days a week were found to be more adherent (p=0.007). The adherent patient group had lower obesity rates (p=0.047). In our study, the group of patients with higher adherence rates had lower obesity rates. It was also observed that this group had better blood pressure control. To achieve success in hypertension treatment, patients need to be educated about treatment adherence and lifestyle modifications.