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Article

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

1
Department of Preventive Nursing, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, Poland
2
Department of Nephrology, Hypertension and Internal Diseases, Faculty of Medicine, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, 87-100 Toruń, Poland
3
Department of Endocrinology and Diabetology, Provincial Children’s Hospital Józef Brudziński, 85-667 Bydgoszcz, Poland
4
Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(18), 6789; https://doi.org/10.3390/ijerph17186789
Submission received: 10 August 2020 / Revised: 11 September 2020 / Accepted: 13 September 2020 / Published: 17 September 2020
(This article belongs to the Section Global Health)

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.
Keywords: arterial hypertension; adherence; compliance; acceptance of illness arterial hypertension; adherence; compliance; acceptance of illness

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MDPI and ACS Style

Pluta, A.; Sulikowska, B.; Manitius, J.; Posieczek, Z.; Marzec, A.; Morisky, D.E. Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension. Int. J. Environ. Res. Public Health 2020, 17, 6789. https://doi.org/10.3390/ijerph17186789

AMA Style

Pluta A, Sulikowska B, Manitius J, Posieczek Z, Marzec A, Morisky DE. Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension. International Journal of Environmental Research and Public Health. 2020; 17(18):6789. https://doi.org/10.3390/ijerph17186789

Chicago/Turabian Style

Pluta, Agnieszka, Beata Sulikowska, Jacek Manitius, Zuzanna Posieczek, Alicja Marzec, and Donald E. Morisky. 2020. "Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension" International Journal of Environmental Research and Public Health 17, no. 18: 6789. https://doi.org/10.3390/ijerph17186789

APA Style

Pluta, A., Sulikowska, B., Manitius, J., Posieczek, Z., Marzec, A., & Morisky, D. E. (2020). Acceptance of Illness and Compliance with Therapeutic Recommendations in Patients with Hypertension. International Journal of Environmental Research and Public Health, 17(18), 6789. https://doi.org/10.3390/ijerph17186789

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