Adherence to treatment among Turkmen older women with hypertension in northern Iran. A randomized controlled trial

• Authors: Ghajari Ogholgol , Kaveh Mohammad Hossain , Abdolrahim Asadollahi

Title variants

PL

Adherence to treatment among Turkmen older women with hypertension in northern Iran. A randomized controlled trial

• Languages of publication: PL EN

Abstracts

PL

Wprowadzenie: Jednym z ważniejszych sposobów kontroli wysokiego ciśnienia krwi wśród osób starych jest stosowanie leków obniżających ciśnienie. Zatem nieprzestrzeganie zaleceń lekarskich może stanowić poważny problem. W Iranie przeprowadzono niewiele badań wśród populacji starszych kobiet zamieszkujących tereny wiejskie. Cele: Niniejsze badanie miało na celu ocenę skuteczności interwencji szkoleniowej w przestrzeganiu zaleceń lekarskich w leczeniu nadciśnienia tętniczego wśród starszych kobiet turkmeńskich żyjących na wsi w północno-wschodnim Iranie. Metody: Przeprowadzono randomizowane badanie kontrolowane na 116 starszych kobietach z nadciśnieniem tętniczym. Zastosowano dwuetapową metodę doboru zespołowego, w którym badani podzieleni byli na równoliczne grupy interwencyjne i kontrolne. Dla grupy interwencyjnej przeprowadzono cztery sesje szkoleniowe, których celem było podniesienie świadomości i wiedzy starszych osób na temat nadciśnienia tętniczego i jego powikłań. Badani wypełnili dwa kwestionariusze – pierwszy przed rozpoczęciem szkoleń (Hill Bon Drug Demographic Citizenship) oraz drugi, najpierw miesiąc, a potem dwa miesiące po zakończeniu interwencji (Hill Bon Drug). Wyniki poddane zostały analizie statystycznej a przy ich opracowaniu posłużono się oprogramowaniem SPSS w wersji 25 i AMOS w wersji 24. Wyniki: Mimo że na początku badania średnie wyniki przestrzegania zaleceń lekarskich związanych z leceniem nadciśnienia tętniczego nie różniły się istotnie pomiędzy grupą interwencyjną i kontrolną, to jednak w ciągu dwóch miesięcy od zakończenia szkoleń nastąpiła Wyniki: Mimo że na początku badania średnie wyniki przestrzegania zaleceń lekarskich związanych z leceniem nadciśnienia tętniczego nie różniły się istotnie pomiędzy grupą interwencyjną i kontrolną, to jednak w ciągu dwóch miesięcy od zakończenia szkoleń nastąpiła.

EN

Background: One of the most important ways to control high blood pressure is to follow a medication that has a low level among older people, and non-adherence to treatment is an essential issue among older adults in the world. Few studies have been conducted among rural older women in Iran. Objectives: This study aimed to evaluate the effectiveness of intervention training in adherence to hypertension treatment on blood pressure in the population of Turkmen rural older women in north-eastern Iran in a randomized cluster trial. Methods: This randomized controlled trial study was performed on 116 rural older adult women with hypertension in north-eastern Iran. Eligible rural older adult women were selected using a two-stage cluster random sampling method and were equally divided into intervention and control groups. For the intervention group, four training sessions were conducted using the educational approach to raise older adults› awareness and knowledge of hypertension and its complications. The Hill Bon Drug Demographic Citizenship Questionnaire for older adults was completed at the beginning of the intervention. The Hill Bon Drug Adherence Questionnaire was completed by older adults in the study one month after the intervention and then two months after the intervention. The data in the present study were statistically analyzed using SPSS software version 25 and AMOS version 24. Results: Although at the beginning of the study, the mean scores of drug adherence and blood pressure were not significantly different in the intervention and control groups, within two months after the intervention, there was a significant difference (p <0.001) in the intervention group following a significant increase in drug adherence. Blood pressure also dropped; however, it did not change significantly in the control group. The numerical value of the RMSEA index was less than 0.05; Cronbach’s alpha coefficient and Kapay-Flys coefficient were 0.88 and 0.80, respectively, and the fitness indices indicated the appropriate fitness of the Hill Bon bilingual questionnaire. Conclusion: Education with the approach of raising awareness about hypertension and its complications increases drug adherence among older adults. Therefore, its use is recommended in providing health counseling services in health centers. A sample of 160 older adults received four sessions of an educational program to control their hypertension. Data were collected at baseline, one-month post-training, and after two-month follow-up using questionnaires of Hill Bon drug adherence scale and monitoring Blood pressure among participants.

Keywords

PL

osoby stare; starzenie się; leki na nadciśnienie; przestrzeganie zaleceń lekarskich; kontrola ciśnienia tętniczego

EN

older adults; aging; antihypertensive drugs; medical adherence; blood pressure control

• Publisher: Wydawnictwo Naukowe Akademii WSB
• Journal: EXLIBRIS Biblioteka Gerontologii Społecznej
• Year: 2024
• Volume: 1(26) /2024 Exlibris. Biblioteka Gerontologii Społecznej
• Pages: 13-28

Dates

published

2024-09-30

Contributors

author

Ghajari Ogholgol

• University of Medical Sciences, Gorgan, Iran,

author

Kaveh Mohammad Hossain

• Shiraz University of Medical Sciences, Shiraz, Iran

author

Abdolrahim Asadollahi

• Corresponding Author, Shiraz University of Medical Sciences, Shiraz, Iran

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Identifiers

DOI

10.57655/EXLIBRIS_1_2024_1