Eğitim Aile Sağlığı Merkezine Başvuran Hipertansiyon Hastalarının İlaç ve Hastalık Bilgi Düzeyi İle Tedaviye Uyumunun Karşılaştırılması


Thesis Type: Expertise In Medicine

Institution Of The Thesis: Ataturk University, Tıp Fakültesi, Dahili Tıp Bilimleri, Turkey

Approval Date: 2021

Thesis Language: Turkish

Student: MEHMET DEMİR

Consultant: Mehmet Demir, Suat Sincan

Abstract:

ABSTRACT

Comparison of Drug and Disease Knowledge Level with Treatment Compliance

of Patients with Hypertension who Referred Education Family Health Center

Aim: In our study, we aimed to investigate the relationship between treatment

compliance, which is an important determinant of the blood pressure levels of

hypertensive patients, with the disease and drug knowledge levels of the patients.

Materials and Methods: This research was conducted between January and

February 2021 in two family medicine units of the Saltuklu Education Type Family

Health Center, affiliated to Atatürk University Faculty of Medicine, Department of

Family Medicine. 240 patients who applied to the outpatient clinic who met the

inclusion criteria participated in the study. Sociodemographic Characteristics Form,

Drug Information Level Questionnaire (DILQ), Hypertension Knowledge-Level Scale

(HK-LS) and Hill–Bone Compliance To High Blood Pressure Therapy Scale (HBTS)

were applied to the participants during face to face meeting. The data were evaluated


in the SPSS 22.0 package program. In examining the distribution of socio-

demographic and disease-related characteristics of the patients in the study; descriptive


statistical methods (mean, standard deviation, median, number, percentage) were used.

Statistical significance level was taken as p <0.05.

Results: 240 people participated in the study. While 131 (56.4%) participants

are woman, 109 (45.4%) participants are man. Average age of the participants in the

study is calculated as 61.05±12.67 and the duration of HT disease calculated as

9.8±7.27 years. When we analyze the their educational and employment status, 163

(67.9%) participants were primary school graduates and 143 (59.6%) participants were

unemployed. The HBTS scores of the participants scores ranged between 0-17 and the

mean score was found to be 4.12±3.023. There was a statistically significant difference

between the DILQ score of the primary school graduate participants and the DILQ

score of the high school and university graduates (p = 0.001). A statistically significant

relationship was found between the HK-LS score of the participants and their

educational status and employment status (p = 0.05). Comparing the age of the

participants and scores of DILQ, HBTS, HK-LS, a statistically significant low level


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correlation was found. Comparing the participants' HBTS scores and DILQ scores, a

statistically significant low level negative correlation was found. Comparing the

participants' HK-LS scores and DILQ scores a statistically significant moderate

positive correlation was found.

Conclusion: In our study, it was found that as the drug knowledge level of the

participants increased, their treatment compliance increased, their level of knowledge

of their disease and drugs was correlated. It was determined that as the age of the

participants increased, their drug and disease knowledge levels decreased and their

treatment compliance increased. The results of our study show that the knowledge

levels of hypertensive patients about their medications affect their treatment

compliance. It may be useful to increase treatment compliance, more informative

trainings should be organized for hypertensive patients about the process, treatment,

follow-up and lifestyle changes of the disease.

Keywords: Hypertension, drug, treatment compliance