0330 : Factors associated with medication non-adherence in hypertensive patients
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文摘
In a recent study, only 24% of hypertensive patients reached blood pressure goal in Tunisia.

One of the major problems is the adherence to long-term therapy for chronic illnesses in developed countries.

Aim

To evaluate drug compliance and to identify factors associated with non-adherence to antihypertensive medication.

Materials and methods

Treatment compliance was evaluated by the Girerd questionnaire among hypertensive outpatients seen in the Habib Thameur's Hospital.

Results

Patients mean age was 65 years-old, 45% were elderly patients and 77% were women. Fourty-two percent of the patients were illiterate and about a quarter had a poor socioeconomic status. Seventy-seven percent of the patients knew their treatment. Non-adherence to medication was present in 93% of participants. Among them, three patients had quit their drugs. Medication non-adherence was due to forgetting in 44%, important number of tablets intake (>=5) in 24%, illness deny in 15%, high cost of drugs in 15% and the feeling that the treatment is ineffective treatment in 2%. In univariate analysis, female gender and the important number of tablets intake were significantly associated with medication non-adherence (respectively, p=0,02 and p=0,004).

Conclusion

The treatment compliance of hypertension patients in our community is not good. Positive activation from interaction of physicians and patients can help enhancing patient's medicine adherence.

The author hereby declares no conflict of interest

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