Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension

Abstract

Arterial hypertension (AH) is one of the most common cardiovascular diseases increasing mortality rates in Poland and worldwide. Due to its prevalence, complications and treatment costs, AH is a significant health-related, economic and social problem. The aim of this study was to assess the level of acceptance of illness and compliance with therapeutic recommendations in patients with AH. The study included 200 outpatient hypertensive patients, 85 men and 115 women aged 49.1 ± 11.6, and used the standardized acceptance of illness (AIS), the eight-item Morisky Medication Adherence Scale (MMAS-8) and author’s design questionnaires. The level of acceptance of illness was found to be as follows: higher in men than in women, unaffected by comorbidities or sociodemographic factors such as residence and professional activity, decreasing with age, and correlating negatively with the duration of antihypertensive therapy. The level of adherence and compliance did not affect the AIS score and increased with the level of education. The study population demonstrated an overall good level of acceptance of illness. Men were characterized by lower levels of adherence and compliance. Patients with AH presented a moderate level of adherence and compliance, which indicates the need for providing active education, support and extensive cooperation facilitating their conformity to therapeutic recommendations.

Association Between Traditional Chinese Medicine and Medication Adherence in Hypertensive Patients in Mainland China: A Real-World Population-Based Cohort Study

“…This study presents a retrospective analysis based on real-world data from a Chinese medicine hospital to investigate the association between non-pharmacological interventions and medication adherence in Our ndings revealed a positive effect of TCM exposure on improving medication compliance in hypertension patients. This observation aligns with previous studies that reported no signi cant relationship between CAM use and medication non-adherence [28,29].Age, sex, and education are recognized factors in uencing adherence in hypertensive patients, while comorbidity has shown a lesser impact [30][31][32][33]. To account for these factors, we included age and sex as independent variables in our GEE model, con rming the consistency of our results.…”

Low acceptance of illness with inflammatory bowel disease tending to receive fecal microbiota transplantation

“…Illness acceptance will directly affect patients' choice of treatment, thereby affecting their disease health outcomes [30]. Illness acceptance refers to that patients reach a compromise with their disease, accept everything brought by the disease and take positive actions to continue their life [31]. In our study, the score of illness acceptance of IBD patients was lower than that of breast cancer, gastric cancer [32,33].…”

Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study

“…Another important factor determining a patient’s adjustment to chronic disease is the acceptance of their illness. This is a complex psychological phenomenon, which is of a constructive significance [ 49 ]. In the present study, the time of diagnosis was another factor that influenced “anxious concern”.…”

“…Everyone is different; hence, the reaction to the disease and acceptance of the new situation are also different. In the study of Pluta et al, statistical analysis showed that the level of disease acceptance decreased with age ( p = 0.01) [ 49 ]. The highest mean score for disease acceptance was reported in the age group of up to 30 years (34.41 points) and in the age group of 31–40 years (33.3 points).…”