COMPLIANCE FOR THE TREATMENT OF PATIENTS WITH ARTERIAL HYPERTENSION AND CORONARY HEART DISEASE IN OUTPATIENT CARE
DOI:
https://doi.org/10.11603/1811-2471.2019.v0.i1.10059Keywords:
сompliance to the treatment, regularity of the therapyAbstract
The article deals with topical issues of the formation of compliance to the treatment of patients with hypertension and coronary heart disease. The necessity of interaction between doctors and patients in the solution of some problems connected with insufficient сompliance to the medical therapy is estimated.
The aim – to analyze the сompliance of treatment in outpatient care in patients with arterial hypertension and coronary heart disease and ways to increase it.
Material and Methods. There were examined 182 patients who visited a family doctor or cardiologist. All the patients were divided into 2 groups. For the patients in the group 1 with low сompliance to the treatment it was performed standard outpatient care with blood pressure monitoring with periodic reviews at the primary health care center, and also used the method of automatic daily telephone reminders for regular medication consumption. Patients in the group 2 – with high сompliance to the treatment, telephone reminders were not conducted. The сompliance to the therapy was evaluated using the Morisky-Green Specialized Questionnaire.
Results and Discussion. The assessment of the compliance dynamics at the beginning of the study, after 1 and 2 months, showed that the number of patients with compliance to the therapy increased both in the telephone reminder group and in the group of patients without reminders. The analysis of the Morisky-Green test points showed that the compliance in the group 1 had much better dynamic. At the end of the entire observation period, there was a significant decrease in blood pressure levels in both groups, however, the degree of decline was more pronounced in patients in the group 1.
Conclusion. The obtained research data suggest that the use of telephone reminders can significantly increase the compliance to the therapy in patients with arterial hypertension and coronary heart disease in outpatient care.
References
(2013). ESH/ESC Guidelines for the management of arterial hypertension: 234 The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur. Heart J., 34, 2159-2219.
dn_20180803_1446 (pdf, 51 Кб)
Carter, S., Taylor, D., & Levenson, R. (2001). A question of choice – compliance in medicine taking, a preliminary review. London: University of London School of pharmacy. Retrieved from: www.medicinespartnership. org Accessed 04 Dec 2012.
Morisky, D.E., Green, L.W., & Levine, D.M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Med. Care, 24, 67-74.
