
Katarzyna Lomper
Wroclaw Medical University , PolandTitle: Geriatric conditions and adherence in hypertensive patients
Abstract
Hypertension (HT) is the leading cause of premature death
worldwide. Less than 20% of patients diagnosed with HT have the disease under
control. A successful antihypertensive treatment depends on the adherence, but
the phenomenon of non-adherence is common in a group of patients with HT. Among
the reasons for non-adherence are changes associated with old age, including
frailty syndrome (FS) and cognitive impairment. This work deals with the
prevalence of geriatric conditions in HT patients and their impact on
adherence. The study used medical record analysis and standardized survey
instruments: the Tilburg Frailty Indicator (TFI) questionnaire, the Montreal
Cognitive Assessment (MOCA) questionnaire and the The Hill-Bone Compliance to High Blood
Pressure Therapy Scale.
The study included 99 patients diagnosed with hypertension (mean age 69,1 years old). The research shows that FS (92,93%)
and cognitive disorders (79,80%) are common in HT patients. The
average score (SD) of the Hill-Bone Scale was 22,38 (8,98). Linear
regression models showed that significant (p?0.05) predictors of the Hill-Bone
score were variables such as: living in a small city (p=028), staying in a relationship (p=0,002) and duration of illness (p=0,015). A multivariate
linear regression model showed that significant (p?0.05) independent predictors
of Hill-Bone score were: staying in
a relationship (p=0,003), duration of illness
(p=0,035), 3-5 hospitalizations in the past year (p=0,023) and classification
of HT as high normal blood pressure (p=0,015).
Biography
Katarzyna Lomper
is an assistant professor at the Wroclaw Medical University. She is the author
of numerous papers published in peer-reviewed scientific journals, particularly
focusing on issues related to cardiovascular disease.