[Antihypertensive treatment compliance and obstacles to its improvement. Results of Russian program ARGUS-2].
OBJECTIVE
To study barriers made by the patients for adequate treatment of arterial hypertension.


METHODS
The ARGUS-2 trial was made in 15 centers of 13 cities of Russia. Anonymous questionnaire survey covered 1298 patients (796 outpatients and 502 inpatients). The patients answered the following questions: 1) what are basic problems of life with hypertension; 2) compliance with intake of antihypertensive drugs; 3) causes of missed intakes of the drugs; 4) opposition to intake of drugs by the patients. Questioning procedure was preset by the trial protocol.


RESULTS
Only 37.4% (38.9% outpatients, 34.6% inpatients) were the treatment adopters. Drug intake was missed most frequently because offorgetting. The problems of life with hypertension were differently interpreted by patients and physicians: for the latter main problems were financial and routine while AH complications were on the 6-7 place. The latter were of primary importance for the patients while financial problems took place 4-6 Barriers to regular intake for the patients were poor self-control and unawareness about side effects of the drugs.


CONCLUSIONS
Complience of the patient can be improved only by complex approach: improvement of education, higher motivation, active involvement of patients into the treatment process, better contacts between the physician and the patient.
Kobalova
Zh D
ZhD
Starostina
E G
EG
Kotovskaia
Iu V
IuV
Villeval'de
S V
SV
Baranova
E I
EI
Bogachev
R S
RS
Volkova
N I
NI
Drozdetskiĭ
S I
SI
Kisliak
O A
OA
Koziolova
N A
NA
Kolina
I G
IG
Krasnova
Iu N
IuN
Lopatin
Iu M
IuM
Maksimenko
V V
VV
Negoda
S V
SV
Tarlovskaia
E I
EI
Tiukalova
L I
LI
Khokhlov
R A
RA
Freĭdlina
M A
MA
D000959:Antihypertensive Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D054928:Validation Studies as Topic
D000959:Antihypertensive Agents