TY - JOUR
T1 - Factors associated with medication noncompliance in rural elderly hypertensive patients
AU - McLane, Christopher G.
AU - Zyzanski, Stephen J.
AU - Flocke, Susan A.
N1 - Funding Information:
any factors influence medication com-pliance in hypertensive patients includ-ing good physician-patient rapport and M understanding of the therapeutic regimen. In previous research, poor patient compliance has been associated with a lack of hypertensive symptoms, greater complexity of the medical prescription, and side effects derived from it. 1'2 Because hypertensive patients are usually asymptomatic, any medication that decreases quality of life by causing side effects, such as fatigue, cough, sexual impotence, will have a significant impact on adherence to medical treatment. However, research has shown that elderly hypertensive patients will try harder to adhere to their therapeutic regimen when compared Received April 29, 1994. Accepted September 26, 1994. From the Department of FamilyM edicine, Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, Ohio. This study was funded by a grant from the Ohio Academy of Family PhysiciansF oundation. Address correspondence and reprint requests to Stephen J. Zyzanski, PhD, Department of Family Medicine, Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH 44106-7136.
PY - 1995/2
Y1 - 1995/2
N2 - This study sought indicators of patient noncompliance with medications prescribed for hypertension. A sample of 62 elderly, rural hypertensive patients were interviewed regarding demographics, history and knowledge of hypertension, quality of life, the physician-patient relationship, drug use, and side effects encountered. A five-variable composite was able to detect the patients who were defined as noncompliant. The composite included: 1) number of chronic illnesses, 2) perceived amount of time the physician spends with the patient, 3) the patient's household composition, 4) family history of hypertension, 5) and whether hypertension affects work or home activities. More accurate identification of noncompliant patients sets the stage for interventions to improve compliance.
AB - This study sought indicators of patient noncompliance with medications prescribed for hypertension. A sample of 62 elderly, rural hypertensive patients were interviewed regarding demographics, history and knowledge of hypertension, quality of life, the physician-patient relationship, drug use, and side effects encountered. A five-variable composite was able to detect the patients who were defined as noncompliant. The composite included: 1) number of chronic illnesses, 2) perceived amount of time the physician spends with the patient, 3) the patient's household composition, 4) family history of hypertension, 5) and whether hypertension affects work or home activities. More accurate identification of noncompliant patients sets the stage for interventions to improve compliance.
KW - Drug compliance
KW - elderly
KW - hypertension
KW - rural
UR - http://www.scopus.com/inward/record.url?scp=0028958325&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028958325&partnerID=8YFLogxK
U2 - 10.1016/0895-7061(94)00194-G
DO - 10.1016/0895-7061(94)00194-G
M3 - Article
C2 - 7755952
AN - SCOPUS:0028958325
VL - 8
SP - 206
EP - 209
JO - American Journal of Hypertension
JF - American Journal of Hypertension
SN - 0895-7061
IS - 2
ER -