Predictors of poor medication adherence of older people with hypertension.
Jingjing Wan, Yinyin Wu, Yuan Ma and 2 others
PMID 35094495WHAT IT FOUND
Poor medication adherence affected 39.9% of 388 older inpatients with hypertension.
Poor adherence was associated with living with offspring, hypertension complications, recent falls and high admission blood pressure.
Key findings
0139.9% of the 388 participants had poor medication adherence.
02Co-living, hypertension complications, falls due to physical discomfort in the last 6 months and admission blood pressure were statistically significant independent predictors of medication adherence.
0341.8% of participants sometimes forgot to take pills, and 39.7% sometimes failed to take medication in time.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
All participants were recruited from one hospital, which may have caused selection bias. The study was cross-sectional, so it could not prove a causal relationship. Awareness of disease and psychological factors were not recorded. The sample was limited to geriatric department inpatients aged 60 years or older with hypertension. Medication adherence was measured with a self-reported four-item questionnaire.
Declared interests
All authors declared no conflict of interest.
The easy way to misread this
Do not conclude that living with offspring, hypertension complications, falls or high admission blood pressure cause poor medication adherence. The study was cross-sectional and did not test an intervention, so it cannot show that changing these factors improves adherence.