PMID- 30122913
OWN - NLM
STAT- MEDLINE
DCOM- 20181105
LR  - 20220318
IS  - 1178-1998 (Electronic)
IS  - 1176-9092 (Print)
IS  - 1176-9092 (Linking)
VI  - 13
DP  - 2018
TI  - Relation between cognitive impairment and treatment adherence in elderly 
      hypertensive patients.
PG  - 1409-1418
LID - 10.2147/CIA.S162701 [doi]
AB  - BACKGROUND: Nonadherence to medical treatment and lack of cooperation in 
      hypertensive patients >65 years of age are believed to be caused by a number of 
      age-related problems, such as cognitive impairment. Numerous epidemiological and 
      prospective studies have demonstrated that hypertension that remains untreated 
      for many years or is unsuccessfully treated for reasons such as poor compliance 
      and adherence of the patient may lead to cognitive impairment. OBJECTIVE: The 
      objective of this study was to investigate the occurrence of cognitive impairment 
      and its effect on treatment compliance and adherence in elderly hypertensive 
      patients. DESIGN: This study was an analytical cross-sectional study. PATIENTS 
      AND METHODS: The study was conducted on 300 patients aged 65-91 years (mean 
      age=71.8 years, SD=7.8 years) diagnosed with hypertension. The following research 
      tools were used: 1) Hill-Bone High Blood Pressure Compliance Scale (HBCS) and 2) 
      Mini-Mental State Examination (MMSE). We also analyzed medical documentation to 
      obtain basic sociodemographic and clinical data. The study was approved by the 
      Bioethics Committee of the Medical University of Wroclaw (no KB-144/2016). 
      RESULTS: Cognitive impairment occurred in 60% of the patients. A group of 63% 
      patients complied with antihypertensive therapy, with the mean score of 20.8 
      points. Cognitive impairment was strongly correlated with the total score of the 
      HBCS questionnaire (p<0.001) and two of its subscales: "appointment keeping" 
      (p<0.001) and "medication taking" (p<0.001). CONCLUSION: Compliance and adherence 
      levels are higher in patients with a higher educational level, whereas male sex 
      adversely affects treatment adherence in elderly hypertensive patients.
FAU - Chudiak, Anna
AU  - Chudiak A
AD  - Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical 
      University, Wroclaw, Poland, izabella.uchmanowicz@am.wroc.pl.
FAU - Uchmanowicz, Izabella
AU  - Uchmanowicz I
AD  - Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical 
      University, Wroclaw, Poland, izabella.uchmanowicz@am.wroc.pl.
FAU - Mazur, Grzegorz
AU  - Mazur G
AD  - Department and Clinic of Internal and Occupational Diseases and Hypertension, 
      Wroclaw Medical University, Wroclaw, Poland.
LA  - eng
PT  - Journal Article
DEP - 20180806
PL  - New Zealand
TA  - Clin Interv Aging
JT  - Clinical interventions in aging
JID - 101273480
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cognition Disorders/complications/*diagnosis
MH  - Cognitive Dysfunction/complications
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Hypertension/complications/*psychology/*therapy
MH  - Male
MH  - Patient Compliance/psychology
MH  - Poland
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - Treatment Adherence and Compliance/*psychology/statistics & numerical data
PMC - PMC6084089
OTO - NOTNLM
OT  - cognitive impairment
OT  - compliance
OT  - hypertension
OT  - old age
OT  - treatment adherence
COIS- Disclosure The authors report no conflicts of interest in this work.
EDAT- 2018/08/21 06:00
MHDA- 2018/11/06 06:00
PMCR- 2018/08/06
CRDT- 2018/08/21 06:00
PHST- 2018/08/21 06:00 [entrez]
PHST- 2018/08/21 06:00 [pubmed]
PHST- 2018/11/06 06:00 [medline]
PHST- 2018/08/06 00:00 [pmc-release]
AID - cia-13-1409 [pii]
AID - 10.2147/CIA.S162701 [doi]
PST - epublish
SO  - Clin Interv Aging. 2018 Aug 6;13:1409-1418. doi: 10.2147/CIA.S162701. eCollection 
      2018.