| Title |
The influence of frailty syndrome on medication adherence among elderly patients with hypertension
|
|---|---|
| Published in |
Clinical Interventions in Aging, December 2016
|
| DOI | 10.2147/cia.s113994 |
| Pubmed ID | |
| Authors |
Beata Jankowska-Polańska, Krzysztof Dudek, Anna Szymanska-Chabowska, Izabella Uchmanowicz |
| Abstract |
Hypertension affects about 80% of people older than 80 years; however, diagnosis and treatment are difficult because about 55% of them do not adhere to treatment recommendations due to low socioeconomic status, comorbidities, age, physical limitations, and frailty syndrome. The purposes of this study were to evaluate the influence of frailty on medication adherence among elderly hypertensive patients and to assess whether other factors influence adherence in this group of patients. The study included 296 patients (mean age 68.8±8.0) divided into frail (n=198) and non-frail (n=98) groups. The Polish versions of the Tilburg Frailty Indicator (TFI) for frailty assessment and 8-item Morisky Medication Adherence Scale for adherence assessment were used. The frail patients had lower medication adherence in comparison to the non-frail subjects (6.60±1.89 vs 7.11±1.42; P=0.028). Spearman's rank correlation coefficients showed that significant determinants with negative influence on the level of adherence were physical (rho =-0.117), psychological (rho =-0.183), and social domain (rho =-0.163) of TFI as well as the total score of the questionnaire (rho =-0.183). However, multiple regression analysis revealed that only knowledge about complications of untreated hypertension (β=0.395) and satisfaction with the home environment (β=0.897) were found to be independent stimulants of adherence level. Frailty is highly prevalent among elderly hypertensive patients. Higher level of frailty among elderly patients can be considered as a determinant of lower adherence. However, social support and knowledge about complications of untreated hypertension are the most important independent determinants of adherence to pharmacological treatment. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 2 | 50% |
| Unknown | 2 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 3 | 75% |
| Members of the public | 1 | 25% |
Mendeley readers
The data shown below were compiled from readership statistics for 136 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 1 | <1% |
| Unknown | 135 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 19 | 14% |
| Student > Master | 17 | 13% |
| Student > Doctoral Student | 13 | 10% |
| Student > Bachelor | 11 | 8% |
| Researcher | 7 | 5% |
| Other | 21 | 15% |
| Unknown | 48 | 35% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 29 | 21% |
| Medicine and Dentistry | 20 | 15% |
| Pharmacology, Toxicology and Pharmaceutical Science | 13 | 10% |
| Social Sciences | 6 | 4% |
| Psychology | 4 | 3% |
| Other | 10 | 7% |
| Unknown | 54 | 40% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 January 2017.
All research outputs
#15,879,822
of 25,584,565 outputs
Outputs from Clinical Interventions in Aging
#1,044
of 1,962 outputs
Outputs of similar age
#232,562
of 417,676 outputs
Outputs of similar age from Clinical Interventions in Aging
#26
of 39 outputs
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