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The influence of quality of life on the level of adherence to therapeutic recommendations among elderly hypertensive patients

机译：生活质量对老年高血压患者坚持治疗建议水平的影响

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Background: Hypertension is one of the most important risk factors for cardiovascular disease, which contributes to lowering the quality of life (QOL), especially in elderly patients. Recent data show that almost half of the hypertensive patients and one-third of patients with comorbidities were nonadherent to medication. Objective: To assess the association of QOL with the level of adherence and to examine the association with selected variables on the level of adherence. Design: A prospective, cross-sectional, and analytical study. Methods: This study involved 186 hypertensive elderly patients (mean age: 71.05±7.47 years). An analysis of medical records based on sociodemographic and clinical data was conducted. The World Health Organization Quality of Life Scale Brief version (WHOQOL-BREF) was used to assess the level of QOL, and the Hill-Bone Compliance to High Blood Pressure Therapy Scale (HBQ) was used to examine the level of adherence to therapeutic recommendations in hypertensive patients. Results: The average assessment of the QOL measured by the WHOQOL-BREF questionnaire was 3.36±0.84 points, which indicates a QOL at a level between average and good. The patients’ average score on the HBQ questionnaire was 20.39±4.31 points. In the “reduced sodium intake” subscale, patients had an average of 4.75±1.33 points. In the “appointment keeping” subscale, the patients scored an average of 3.45±1.07 points. In the “medication taking” subscale, the patients had an average of 12.19±3.46 points. It was shown that the total score of the HBQ questionnaire was negatively correlated with all domains of QOL assessed with the WHOQOL-BREF questionnaire ( P 0.05). Conclusion: There is an association between QOL and adherence to therapeutic recommendations among hypertensive elderly patients. It has been concluded that with an increasing QOL, the level of adherence to therapeutic recommendations increases. The level of adherence is also negatively affected by: older age, longer duration of disease, worse marital status, lower education, living alone, and using polytherapy.
机译：背景：高血压是心血管疾病的最重要危险因素之一，尤其是对于老年患者，这会降低生活质量（QOL）。最新数据显示，几乎一半的高血压患者和三分之一的合并症患者对药物不依从。目的：评估QOL与依从性水平的关联，并检查依从性与选定变量的关联性。设计：前瞻性，横断面和分析性研究。方法：本研究纳入186例高血压老年患者（平均年龄：71.05±7.47岁）。根据社会人口统计学和临床​​数据对病历进行了分析。世界卫生组织生活质量量表简明版（WHOQOL-BREF）用于评估QOL的水平，希尔伯恩对高血压治疗量表的依从性（HBQ）用于检查对治疗建议的依从性水平在高血压患者中。结果：WHOQOL-BREF问卷对QOL的平均评估为3.36±0.84点，表明QOL在平均水平和良好水平之间。患者在HBQ问卷上的平均得分为20.39±4.31分。在“减少钠摄入量”子量表中，患者平均得分为4.75±1.33分。在“保持约会”子量表中，患者平均得分为3.45±1.07分。在“服药”子量表中，患者平均得分为12.19±3.46分。结果表明，HBQ问卷的总分与使用WHOQOL-BREF问卷评估的QOL的所有领域均呈负相关（P <0.05）。结论：高血压老年患者的QOL与坚持治疗建议之间存在关联。已经得出结论，随着QOL的提高，对治疗建议的依从性水平也随之提高。依从性水平还受到以下因素的不利影响：年龄大，疾病持续时间长，婚姻状况差，受教育程度低，独自生活和使用多药疗法。

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