Natalia ?wi?toniowska-Lonc|Jacek Pola?ski|Wojciech Ta?ski|Beata Jankowska?Pola?ska
Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study
Wroclaw Medical University|Wroclaw Medical University|Wroclaw Medical University
hypertension ht requires patients continuously monitor blood pressure strictly adhere therapeutic recommendations selfmanage illness studies indicate physicianpatient communication patients satisfaction therapeutic relationship may affect course outcomes treatment process research still lacking association satisfaction physicianpatient communication adherence treatment selfcare chronically ill patients aim study evaluate relationship satisfaction physicianpatient communication selfcare adherence patients ht undergoing chronic treatmentthe following instruments used adherence refills medication scale arms evaluating adherence 1248 points selfcare hypertension inventory schi selfcare level 0100 points communication assessment tool cat evaluating satisfaction physicianpatient communication sociodemographic clinical data obtained patients medical records research crosssectional observational study design inclusion criteria follows age 18 years hypertension diagnosed per european society hypertension esh guidelines treatment least one antihypertensive drug past 6 months informed consent cognitively impaired patients unable complete surveys without assistance excluded mmse 18 correlations quantitative variables analyzed using pearsons spearmans correlation coefficient linear regression performed variable distribution normality verified using shapirowilk testthe study included 250 patients 110 male mean age 6123 1434 ht treated hypertension clinic cat questionnaire individual questions pertaining satisfaction physician communication cat rated excellent 284504 time bestrated aspects communication included letting patient talk without interruptions 504 excellent ratings speaking way patient understand 476 paying attention patient 472 according patient reports physicians commonly omitted aspects encouraging patient ask questions 284 involving decisions 292 discussing next steps 352 respondents low level adherence pharmaceutical treatment 1663 46 terms selfcare scored highest selfcare management 6417 2118 lowest selfcare maintenance 5673 1857 correlation analysis satisfaction physicianpatient communication total cat score positively correlated schi domains selfcare maintenance 0276 selfcare management 0208 selfcare confidence 0286 p 005 negatively correlated arms scores indicating better adherencesatisfaction physicianpatient communication significant impact selfcare pharmaceutical adherence patients hypertension satisfied patient communication better adherence selfcaresimple ridz50119016