Conference paper

PATIENT COMPLIANCE DURING THE REGULAR TAKING OF PRESCRIBED THERAPY IN PATIENTS ON HAEMODIALYSIS IN GENERAL COUNTRY HOSPITAL POŽEGA

Ivica Brizar orcid.org/0000-0002-7458-9415 ; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Ivan Vukoja ; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Nela Petrović ; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Jelena Kitanović ; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Marija Zapalac ; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Renata Đimoti ; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia

Abstract

When we talk about patient compliance, we distinguish between two concepts which may be called persistence and adherence, i.e. compliance. Although the said terms are used interchangeably as synonyms, usually for their use of the term compliance. It is especially a problem in chronic patients who have to take several drugs for years, and studies have shown
that patients on chronic haemodialysis (HD) take up to 19 different tablets a day, and their compliance is very bad. The objectives of this paper are: to determine whether there is a correlation between age and sex with a regular taking of prescribed therapy, to determine whether there is a connection between regular taking of prescribed therapy with well-controlled blood pressure. The survey instrument used was a questionnaire containing demographic information on age, sex, education, and the standardized questionnaire containing eight questions related to the regular use of therapy, Morisky Medication Adherence Scale (MMAS-8), translated into Croatian. The study was conducted on 61 subjects, of whom 28 (45.9%) women and 33 (54.1%) men. The median age was 67 years (interquartile range 58-74), and women were significantly older (Mann-Whitney test, P = 0.004). There was no statistically significant difference between women and men in compliance with the regular intake of prescribed therapy according to MMAS-8 test. According to the questionnaire on compliance of taking the prescribed therapy, 14 of them (23%) showed a low adherence to treatment, 31 (50.8%) sowed moderate adherence, and 16 (26.2%) showed a high compliance to taking the prescribed therapy. Furthermore, this study did not find that there is a significant difference in blood pressure regulation by sex and compliance with taking the prescribed therapy. During the research it has been found that there is statistical significance in a number of points obtained by the MMAS-8 questionnaire and compliance with taking prescribed therapy (P = 0.001, Kruskal-Wallis test). In patients treated with HD as a form of replacement of renal function, regular taking of prescribed treatment is especially important.

Keywords

haemodialysis; compliance; MMAS-8 questionnaire

Hrčak ID:

232993

URI

https://hrcak.srce.hr/232993

Publication date:

31.12.2019.

Article data in other languages: croatian

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