Key result
Good regimen compliance in ~69% of hypertensive patients is linked to better blood pressure control.
Why the study?
Therapeutic regimen compliance is essential for optimal blood pressure control and preventing cardiovascular complications in essential hypertension, but adherence remains a major challenge especially in low- and middle-income settings.
What is the level of therapeutic regimen compliance among patients with essential hypertension and what factors influence it?
Cross-Sectional (n=300)
Yes
What is the level of therapeutic regimen compliance among patients with essential hypertension and what factors influence it?
Most patients with essential hypertension have good medication compliance, but adherence to sodium restriction and follow-up appointments remains poor and requires targeted interventions.
Compliance linked to better BP control in cross-sectional data; leaves open causal effects and need for prospective trials.
Background: Therapeutic regimen compliance is essential for achieving optimal blood pressure control and preventing cardiovascular complications among patients with essential hypertension. However, adherence remains a major challenge, particularly in low- and middle-income settings.Aim: To assess the level of compliance with the therapeutic regimen among patients with essential hypertension and identify factors associated with treatment compliance.Methods: A descriptive cross-sectional study was conducted among 300 patients diagnosed with essential hypertension attending Kewarash Primary Healthcare Center and Chwarqurna General Hospital in Rania District, Iraq, between October 30, 2024, and January 28, 2025. Participants were selected using purposive sampling. Data were collected through face-to-face interviews using a structured questionnaire and the validated Hill-Bone Compliance to High Blood Pressure Therapy Scale. Descriptive statistics and Chi-square tests were performed using SPSS version 27, with statistical significance set at p < 0.05.Results: The participants had a mean age of 61.7 ± 10.5 years, and 52% were male. Overall, 69% demonstrated good compliance with the therapeutic regimen, including medication adherence, sodium restriction, and follow-up attendance. Good medication compliance was observed in 74% of participants, while 59.3% demonstrated good dietary sodium restriction. Educational level (p = 0.035), monthly income (p = 0.018), and regular clinic follow-up (p = 0.003) were significantly associated with compliance. Furthermore, both systolic and diastolic blood pressure levels showed a highly significant association with treatment compliance (p < 0.001), indicating better blood pressure control among patients with higher adherence.Conclusion: Most patients exhibited good compliance with their therapeutic regimen. Educational attainment, socioeconomic status, and regular follow-up visits significantly influenced adherence, which was strongly associated with better blood pressure control. Strengthening patient education and promoting regular follow-up may further improve therapeutic compliance and hypertension management.
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Hamadamin et al. (2026) conducted a cross-sectional in Essential hypertension (n=300). Therapeutic regimen compliance vs. Poor or moderate compliance was evaluated on Good overall therapeutic regimen compliance. Good overall therapeutic regimen compliance was observed in 69.0% of patients with essential hypertension, which was significantly associated with better blood pressure control (p<0.001).
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