OP-034 : Blood pressure values are not compatible wıth medication adherence in hypertensive patients

Aysegul Uludag, Erkan Melih Sahin, Hasret Agaoglu, Selen Gungor, Yusuf Haydar Ertekin, Murat Tekin Department of Family Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
In management of hypertension maintaining the medication adherence with treatment is as important as starting treatment. Studies have shown that the majority of patients taking medication do not reach their target values. This study aimed to investigate the relationship between the patient medication adherence and blood pressure values and reflection to general well-being. METHOD: The study included 259 primary hypertension patients applying to the outpatient clinic. The patients with blood pressure measurements completed the medication adherence self-efficacy scale-short form 13 and the WHO-5 Well-Being Index. A Holter device was attached and 24-hour blood pressure monitoring was completed. RESULTS: The mean points for medication adherence scale was 28.2±9.3 [0-39] and mean WHO-5 points were 13.7±4.6 [4-25] for patients. Clinical mean systolic blood pressure was 140.0±12.6 and diastolic 84.8±9.0 mm Hg, while 24 hour mean blood pressure was systolic 119.5±10.6 and diastolic 73.3±8.1 mm Hg. While there was a negative correlation between medication adherence scale scores and clinical systolic blood pressure (r=-0.171; p=0.006), there was no correlation with other blood pressure readings. There was no correlation with WHO-5 score and clinical readings, though there was a positive correlation between ambulatory mean systolic and diastolic blood pressure (r=0.141; p=0.023 and r=0.123; p=0.049, respectively). There was a positive correlation between the patients medication adherence scores and WHO-5 scores (r=0.141;p=0.023). CONCLUSION: It was observed that the scales used in the study did not add benefit to hypertension monitoring. When clinicians assess medication adherence of patients they should benefit from objective blood pressure measurements and not scales. Keywords: medication adherence, hypertensive patients, well being, ambulatory blood pressure, treatment
Keywords: Patient adherence, hypertension, well-being