[Antihypertensive treatment compliance and obstacles to its improvement. Results of Russian program ARGUS-2]

Autor: Zh D, Kobalova, E G, Starostina, Iu V, Kotovskaia, S V, Villeval'de, E I, Baranova, R S, Bogachev, N I, Volkova, S I, Drozdetskiĭ, O A, Kisliak, N A, Koziolova, I G, Kolina, Iu N, Krasnova, Iu M, Lopatin, V V, Maksimenko, S V, Negoda, E I, Tarlovskaia, L I, Tiukalova, R A, Khokhlov, M A, Freĭdlina
Rok vydání: 2008
Předmět:
Zdroj: Terapevticheskii arkhiv. 80(3)
ISSN: 0040-3660
Popis: To study barriers made by the patients for adequate treatment of arterial hypertension.The ARGUS-2 trial was made in 15 centers of 13 cities of Russia. Anonymous questionnaire survey covered 1298 patients (796 outpatients and 502 inpatients). The patients answered the following questions: 1) what are basic problems of life with hypertension; 2) compliance with intake of antihypertensive drugs; 3) causes of missed intakes of the drugs; 4) opposition to intake of drugs by the patients. Questioning procedure was preset by the trial protocol.Only 37.4% (38.9% outpatients, 34.6% inpatients) were the treatment adopters. Drug intake was missed most frequently because offorgetting. The problems of life with hypertension were differently interpreted by patients and physicians: for the latter main problems were financial and routine while AH complications were on the 6-7 place. The latter were of primary importance for the patients while financial problems took place 4-6 Barriers to regular intake for the patients were poor self-control and unawareness about side effects of the drugs.Complience of the patient can be improved only by complex approach: improvement of education, higher motivation, active involvement of patients into the treatment process, better contacts between the physician and the patient.
Databáze: OpenAIRE