Factors Affecting Treatment Compliance of Hypertensive Patients in Erbil City

Abstract

Background: Non-compliance to treatment is the major obstacles to the success of the treatment of hypertension and poor control of hypertension in worldwide.

objectives: The objective of this study was to assess the level of compliance to treatment and identified factors contributing to poor compliance among hypertensive in Erbil city.

Methodology: a cross sectional study design was undertaken among 200 hypertensive in 2014, to collect the data, patients who met the inclusion criteria were selected and questionnaires were filled through interviewing. The questionnaire including demographic information and compliance to treatment, data analysis though descriptive and inferential statistical tests.

Result: shows that 45% of hypertensive patients were compliance to the treatment while 55% of them were non-compliance. Major factor for non-compliance is forgetfulness. There was a significant association between level of compliance and age (p=0.000), gender (p=0.003), level of education (p=0.000), duration of treatment (p=0.000), and duration of hypertension (p= 0.003) .also there was highly significant and positive relationship between compliance and benefit of treatment, barrier of treatment, severity of disease and susceptibility to complication. Finally the strongest predictor was reminder (cues of action) by advice of nurses.

Conclusion: According result of the study more than half of hypertensive patients were not compliance to treatment.

Recommendation: Nurses should give education program to hypertensive patients about treatment compliance