Study of Morisky scale on medication compliance and influencing factors of elderly patients with hypertension in community

ObjectiveTo investigate the medication compliance of elderly hypertension patients in the community and put forward feasible suggestions for the health management of hypertension patients.

MethodsA total of 120 elderly hypertension patients over 60 years old in Yijishan community from July to September 2020 were selected.Information was collected through questionnaires and interviews.One hundred and nineteen cases were effectively surveyed, but 1case was invalid.The Morisky scale questionnaire was used to evaluate patients' medication compliance, and the influencing factors of medication compliance were analyzed.

ResultsAmong the 119 patients, 52 patients(43.7%) had good medication compliance, 67 patients(56.3%) had poor medication compliance, among which 23 cases(34.33%)had poor compliance due to forgetting to take medication, followed by 21 cases(31.34%)who stopped medication without taking medication because of symptom improvement, and 23 cases(34.33%)who stopped medication and did not pay attention to taking medication because of conscious symptom worse.Age, times of medication, residence status and blood pressure monitoring were the main influencing factors for low compliance(P < 0.05).Logistic regression analysis showed that living alone and having no blood pressure monitoring increased the risk of decreased medication compliance by 16.9% and 10.4%.

ConclusionsMedical staffs and pharmacists should strengthen the publicity of the relevant knowledge of hypertension patients, carry out systematic health education for patients, improve their compliance, and improve the standardization of hypertension treatment and blood pressure control level.