Öz
Amaç: Hasta uyumu, özellikle kronik hastalık yönetiminde göz ardı edilen, ancak ilaç tedavisinden çok daha önemli olan bir konudur. Tedavinin başarısız olmasının da en büyük sorunlarından biridir. Çalışmamızda Edirne il merkezinde yaşayan hipertansif yaşlıların hastalığa uyum düzeyleri ve uyum düzeyini etkileyen faktörlerin değerlendirilmesi amaçlanmıştır.
Metod: Çalışmanın örneklemini Edirne il merkezindeki 52 aile hekimliği birimine kayıtlı, 421 yaşlı hipertansif birey oluşturmaktadır. Veriler 75 sorudan oluşan bir anketle toplanmıştır. Anket içerisinde sosyodemografik özellikler, hasta uyumunu etkileyebilecek faktörler ve 25 sorudan oluşan Kronik Hastalıklara Uyum Ölçeği bulunmaktadır.
Bulgular: Katılımcıların 226’sı (% 53,7) kadın, 195’i (% 46,3) erkektir. Katılımcıların ölçekten aldıkları ortalama puan 87,04±9,77 olup minimum puan 62, maksimum puan 116’dır. Genç-yaşlıların uyum puanı daha yüksektir. Dul bireylerin, okuryazar olmayan bireylerin ve yalnız yaşayanların uyum puanı daha düşüktür. Hastalığı ve tedavisi ile ilgili, ailesi de bilgilendirilen, aile desteği olan katılımcıların uyum puanı daha yüksektir.
Sonuç: Çalışmamızda yaşlıların hastalığa uyum düzeyleri beklenen seviyenin altında bulunmuştur. Literatürdeki çalışmalar çoğunlukla ilaç uyumuna odaklanmaktadır. Hastalık uyumuna odaklanan çalışmalar ile hastayı daha iyi anlamak ve uyumlarını arttırabilmek için yeni stratejiler belirlemek mümkün olacaktır.
Anahtar Kelimeler
Kaynakça
- 1. De Medeiros MMD, Carletti TM, Magno MB, Maia LC, Cavalcanti YW, Rodrigues-Garcia RCM. Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis. BMC Geriatr. 2020;20(1):44.
- 2. North MS, Fiske ST. Modern attitudes toward older adults in the aging world: A cross-cultural meta-analysis. Psychol Bull. 2015;141(5):993-1021.
- 3. Chei CL, Loh JK, Soh A, Yuan JM, Koh WP. Coffee, tea, caffeine, and risk of hypertension: The Singapore Chinese Health Study. Eur J Nutr. 2018;57(4):1333-42.
- 4. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart J. 2018;39(33):3021-104.
- 5. Sengul S, Akpolat T, Erdem Y, Derici U, Arici M, Sindel S, et al. Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. J Hypertens. 2016;34(6):1208-17.
- 6. Beaney T, Burrell LM, Castillo RR, Charchar FJ, Cro S, Damasceno A, et al. May Measurement month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension. Eur Heart J. 2019;40(25):2006-17.
- 7. Redon J, Mourad J-J, Schmieder RE, Volpe M, Weiss TW. Why in 2016 are patients with hypertension not 100% controlled? A call to action. J Hypertens. 2016;34(8):1480-88.
- 8. Poulter NR, Borghi C, Parati G, Pathak A, Toli D, Williams B, et al. Medication adherence in hypertension. J Hypertens. 2020;38(4):579-87.
- 9. World Health Organization (2003). Adherence to long-term therapies: evidence for action. Erişim tarihi: 27 December 2020. https://apps.who.int/iris/handle/10665/42682
- 10. Ferdinand KC, Senatore FF, Clayton-Jeter H, Cryer DR, Lewin JC, Nasser SA, et al. Improving medication adherence in cardiometabolic disease: practical and regulatory implications. J Am Coll of Cardiol. 2017;69(4):437-51.
- 11. Alterovitz SS, Mendelsohn GA. Relationship goals of middle-aged, young-old, and old-old Internet daters: an analysis of online personal ads. J Aging Stud. 2013;27:159–65.
- 12. Atik D, Karatepe H. Scale development study:adaptation to chronic illness. Acta Medica Mediterranea. 2016;32(1):135-42. 13. Aydogdu S, Güler K, Bayram F, Altun B, Derici U, Abacı A, et al. 2019 Turkish Hypertension Consensus Report. Turk Kardiyol Dern Ars. 2019;47(6):535-46. 14. König M, Gollasch M, Rosada A, Demuth I, Spira D, Steinhagen-Thiessen E. Antihypertensive treatment patterns and blood pressure control in older adults: results from the Berlin Aging Study II. Drugs Aging. 2018;35(11):993-1003. 15. Yang L, Xu X, Yan J, Yu W, Tang X, Wu H, et al. Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China: a community-based, cross-sectional survey. BMC Public Health. 2014;14(1):903.
- 16. Aydemir O, Ozdemir C, Koroglu E. The impact of co-morbid conditions on the SF-36: a primary-care-based study among hypertensives. Arch Med Res. 2005;36(2):136-41.
- 17. Erşan EE, Kelleci M, Baysal B. Kalp hastalarında psikososyal uyum, depresyon, anksiyete ve stres düzeylerine bir bakış. Klinik Psikiyatri. 2013;16(4):214-24.
- 18. Çam O, Nehir S. Miyokard infarktüsü geçirmiş hastalarin psikososyal uyumlari ile depresyon ve anksiyete düzeyleri arasindaki ilişkinin incelenmesi. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi. 2011;27(2):47-59.
- 19. Tokem Y, Taşçı E, Yılmaz M. Hipertansiyon tanısı olan bireylerin evde hastalık yönetimlerinin incelenmesi. Turk J Card Nur. 2013;4(5):30-40.
- 20. Yuet LM, Alexander M, Chun CJP. Coping and adjustment in Chinese patients with chronic obstructive pulmonary disease. Int J Nurs Stud. 2002;39(4):383-95.
- 21. Maslakpak MH, Rezaei B, Parizad N. Does family involvement in patient education improve hypertension management? A single-blind randomized, parallel group, controlled trial. Cogent Med. 2018;5(1):1537063.
- 22. Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: a systematic review by the ISPOR medication adherence and persistence special interest group. Value Health. 2013;16(5):863-71.
- 23. Barreto MdS, Marcon SS. Patient perspectives on family participation in the treatment of hypertension. Texto & Contexto-Enfermagem. 2014;23(1):38-46.
- 24. DiMatteo MR. Social support and patient adherence to medical treatment: a meta-analysis. Health Psychol. 2004;23(2):207.
Adherence Levels of Hypertensive Elderly Individuals and Associated Factors: A Cross-Sectional Study
Öz
Objective: Patient adherence, particularly in the management of chronic diseases, is an often overlooked but crucial aspect that is more important than medication treatment itself. It is also one of the major problems contributing to treatment failures. Our study aims to evaluate the adherence levels of elderly hypertensive individuals residing in the city center of Edirne, as well as the factors influencing adherence levels. Methods: The study sample consists of 421 elderly hypertensive individuals registered with 52 primary healthcare units in the city center of Edirne. Data were collected using a questionnaire comprising 75 questions. The questionnaire included socio-demographic characteristics, factors that may affect patient adherence, and the Adaptation to Chronic Illness Scale consisting of 25 questions. Results: Of the participants, 226 (53.7%) were female and 195 (46.3%) were male. The participants had an average adaptation score of 87.04±9.77, with a minimum score of 62 and a maximum score of 116. Younger elderly individuals had higher adaptation scores. Adaptation scores were lower for widowed individuals, illiterate individuals, and those living alone. Participants who were informed about their illness and treatment, involved their families, and had family support had higher adaptation scores. Conclusions: The adherence levels of the elderly participants in our study were found to be below the expected level. Existing studies in the literature predominantly focus on medication adherence. Conducting studies that specifically target disease adaptation would enable a better understanding of patients and the development of new strategies to improve adherence levels.
Anahtar Kelimeler
Kaynakça
- 1. De Medeiros MMD, Carletti TM, Magno MB, Maia LC, Cavalcanti YW, Rodrigues-Garcia RCM. Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis. BMC Geriatr. 2020;20(1):44.
- 2. North MS, Fiske ST. Modern attitudes toward older adults in the aging world: A cross-cultural meta-analysis. Psychol Bull. 2015;141(5):993-1021.
- 3. Chei CL, Loh JK, Soh A, Yuan JM, Koh WP. Coffee, tea, caffeine, and risk of hypertension: The Singapore Chinese Health Study. Eur J Nutr. 2018;57(4):1333-42.
- 4. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart J. 2018;39(33):3021-104.
- 5. Sengul S, Akpolat T, Erdem Y, Derici U, Arici M, Sindel S, et al. Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. J Hypertens. 2016;34(6):1208-17.
- 6. Beaney T, Burrell LM, Castillo RR, Charchar FJ, Cro S, Damasceno A, et al. May Measurement month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension. Eur Heart J. 2019;40(25):2006-17.
- 7. Redon J, Mourad J-J, Schmieder RE, Volpe M, Weiss TW. Why in 2016 are patients with hypertension not 100% controlled? A call to action. J Hypertens. 2016;34(8):1480-88.
- 8. Poulter NR, Borghi C, Parati G, Pathak A, Toli D, Williams B, et al. Medication adherence in hypertension. J Hypertens. 2020;38(4):579-87.
- 9. World Health Organization (2003). Adherence to long-term therapies: evidence for action. Erişim tarihi: 27 December 2020. https://apps.who.int/iris/handle/10665/42682
- 10. Ferdinand KC, Senatore FF, Clayton-Jeter H, Cryer DR, Lewin JC, Nasser SA, et al. Improving medication adherence in cardiometabolic disease: practical and regulatory implications. J Am Coll of Cardiol. 2017;69(4):437-51.
- 11. Alterovitz SS, Mendelsohn GA. Relationship goals of middle-aged, young-old, and old-old Internet daters: an analysis of online personal ads. J Aging Stud. 2013;27:159–65.
- 12. Atik D, Karatepe H. Scale development study:adaptation to chronic illness. Acta Medica Mediterranea. 2016;32(1):135-42. 13. Aydogdu S, Güler K, Bayram F, Altun B, Derici U, Abacı A, et al. 2019 Turkish Hypertension Consensus Report. Turk Kardiyol Dern Ars. 2019;47(6):535-46. 14. König M, Gollasch M, Rosada A, Demuth I, Spira D, Steinhagen-Thiessen E. Antihypertensive treatment patterns and blood pressure control in older adults: results from the Berlin Aging Study II. Drugs Aging. 2018;35(11):993-1003. 15. Yang L, Xu X, Yan J, Yu W, Tang X, Wu H, et al. Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China: a community-based, cross-sectional survey. BMC Public Health. 2014;14(1):903.
- 16. Aydemir O, Ozdemir C, Koroglu E. The impact of co-morbid conditions on the SF-36: a primary-care-based study among hypertensives. Arch Med Res. 2005;36(2):136-41.
- 17. Erşan EE, Kelleci M, Baysal B. Kalp hastalarında psikososyal uyum, depresyon, anksiyete ve stres düzeylerine bir bakış. Klinik Psikiyatri. 2013;16(4):214-24.
- 18. Çam O, Nehir S. Miyokard infarktüsü geçirmiş hastalarin psikososyal uyumlari ile depresyon ve anksiyete düzeyleri arasindaki ilişkinin incelenmesi. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi. 2011;27(2):47-59.
- 19. Tokem Y, Taşçı E, Yılmaz M. Hipertansiyon tanısı olan bireylerin evde hastalık yönetimlerinin incelenmesi. Turk J Card Nur. 2013;4(5):30-40.
- 20. Yuet LM, Alexander M, Chun CJP. Coping and adjustment in Chinese patients with chronic obstructive pulmonary disease. Int J Nurs Stud. 2002;39(4):383-95.
- 21. Maslakpak MH, Rezaei B, Parizad N. Does family involvement in patient education improve hypertension management? A single-blind randomized, parallel group, controlled trial. Cogent Med. 2018;5(1):1537063.
- 22. Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: a systematic review by the ISPOR medication adherence and persistence special interest group. Value Health. 2013;16(5):863-71.
- 23. Barreto MdS, Marcon SS. Patient perspectives on family participation in the treatment of hypertension. Texto & Contexto-Enfermagem. 2014;23(1):38-46.
- 24. DiMatteo MR. Social support and patient adherence to medical treatment: a meta-analysis. Health Psychol. 2004;23(2):207.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Ekim 2023 |
| Kabul Tarihi | 9 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 15 Sayı: 3 |
