A longitudinal study of symptoms beliefs in hypertension

Gámez, Genoveva Granados; Roales-Nieto, Jesús Gil; Gil-Luciano, Ana; Pedro, Emilio Moreno San; Márquez-Hernández, Verónica V.

doi:10.1016/j.ijchp.2015.07.001

Cited by 11 publications

(21 citation statements)

References 30 publications

(43 reference statements)

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“…The misconceptions about appearance of symptoms is a notable cause of non-adherence in patients with hypertension. Therefore, medication adherence could negatively be affected, if patients believe in appearance of symptoms as indication of rising blood pressure [29]. The effect of the high perceptions of symptoms in this study is that patients are likely to stop treatment when symptoms appear to subside…”

Section: Discussionmentioning

confidence: 87%

Effects of Patients’ Perceptions on Hypertension Treatment in the Cape Coast Metropolis, Ghana

Adong

2019

IJTDH

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Background: The rising levels of hypertension related complications in Ghana are perceived to be associated with low anti-hypertensive medication adherence, which is attributable to patient wrong perceptions of hypertension. Aim: To explore the effects of patients’ perceptions on hypertension treatment in cape coast, Ghana. Study Design: Cross sectional survey. Place and Duration of Study: Cape Coast, Ghana. December 2013 to March 2014. Methodology: Eight out of 350 patients were selected from a baseline quantitative survey conducted at the Cape Coast Metropolis. The purposive sampling technique was used after baseline analysis with the Morisky Medication Adherence Scale, to select four adherents and four non-adherents to anti-hypertensive medication. In-depth interviews were conducted for the eight patients, data was processed using content analysis procedure based on three specific themes. Results: Perceived appearance of symptoms was misinterpreted as sign of rising blood pressure. Combination of anti-hypertensive and herbal preparations was prevalent among non-adherents. Perceived side effects of anti-hypertensive particularly, sexual weakness was intense among non-adhering patients. Conclusion: Hypertensive patients in the Cape Coast Metropolis of Ghana, were at a higher risk of medication non-adherence and uncontrolled blood pressure. The findings underscore the need to change patient orientation about hypertension, by addressing misconceptions of symptoms and medication side effects, whiles discouraging the use of herbal preparations.

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Section: Discussionmentioning

confidence: 87%

Effects of Patients’ Perceptions on Hypertension Treatment in the Cape Coast Metropolis, Ghana

Adong

2019

IJTDH

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“…According to the census of 2012; the population shows a pattern between the groups in reporting the symptoms according to time since diagnosis, confirming that a longer history of hypertension is related to a higher probability of belief in symptoms. The percentage of symptomatic patients in the initial assessment is significantly less in the groups with a shorter time since diagnosis, and the bigger the difference in time since diagnosis, the bigger the differences between the groups in relation to the presence of symptoms (29) In this study, we assessed the prevalence of common modifiable and non modifiable risk factors. : 10.14302/issn.2641-5518.jcci-17-1806 Vol-1 Issue 1 Pg.…”

Section: Discussionmentioning

confidence: 99%

The Socio-Demography, Clinical Characteristics and the Prevalence of Cardiovascular Risk Factors Among a Group of Elderly Hypertensive Patients Followed Up at A Tertiary Care Hospital in Sri Lanka.

Ralapanawa¹,

Tennakoon

Jayalath³

et al. 2017

JCCI

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Background Hypertension is one of the most prevalent risk factors for myocardial infarction, strokes, congestive cardiac failure and chronic kidney disease (CKD)and its prevalence is significantly higher inthe elderly population. Objectives To assess the demography, various presentations and the prevalence of risk factors among elderly hypertensive patients followed up in a tertiary care hospital in Sri Lanka. Materials and Methods This was a cross sectional descriptive study involving 250 patients whoseage was 60 years or above onantihypertensives for at least 6 months. Results Approximately 65.2% of the study population was female. The mean age was 70.17.Dizziness and chest pain were the most prevalent symptoms.The mean age at first detection was 58.17 years.Mean SBP and DBP were 128.5mmHg and 81.14mmHg respectively. The prevalence of alcohol consumption and smoking among men were 70.1% and 72.4% respectively. Approximately 54.7% were either overweight or obese.Approximately 81.6% females and 41.4% males had a waist circumference ofmore than therisk level with p-value<0.05. Approximately 36% had diabetes mellitus and 27.6% of the patients had at least one parent and 36.8% had at least one sibling diagnosed with hypertension. Approximately 61.3% of the patients hadadequate levels of physical activity while 31.8% had IHD,11.5% had stroke and 3.8% had CKD. Conclusion Dizziness and chest pain were the most disturbing symptoms while abdominal obesity among females,and alcohol consumption and smoking among males were the major risk factors in elderly hypertensive patients

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“…So, where does this qualitative analysis come from? Hypertension is widely considered to be an asymptomatic condition, many studies since the seventies have focused on patients' beliefs about hypertension [8]. Although unorthodox to evaluate a condition such as this through patient intuition, the case of hypertension treatment has always been a difficult one without tangible concrete data.…”

Section: Background Of Hypertensionmentioning

confidence: 99%

“…This sort of methodology would greatly affect the consistency or effectiveness of treatment, if it were based on an arbitrary feeling of comfort or discomfort. Symptoms related to hypertension that stem from a thought or belief will greatly impact the adherence of hypertension treatment [8]. Some studies have found that there is no significant relationship between reported symptoms, mood, and fluctuations in blood pressure [8][9][10][11].…”

Section: Background Of Hypertensionmentioning

confidence: 99%

Managing hypertension: relevant biomarkers and combating bioactive compounds

Singharaj¹,

Pisarski²,

Martirosyan³

2017

FFHD

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Hypertension is one of the most common chronic diseases which affects many people who belong to a higher age range. The standard definition that is offered to the general public has a minimum age of 18 years to be diagnosed with hypertension. Many studies have been conducted in the hopes of finding consistent data that provides information on the biomarkers of hypertension and effective forms of treatment. However, there is a tendency for skewed data due to the ineffectiveness of diagnosing hypertension, due to variability in technique or even negligence. Interestingly, research has indicated that there are connections to certain biomarkers of hypertension. However, the results have been deemed inconclusive. Moreover, the results provide promising data for future studies that have an emphasis on biomarkers. The biomarkers that have been consistently brought to researchers’ attention include the following: circulating C-reactive protein (CRP), plasminogen activator inhibitor-1 (PAI-1), urinary albumin:creatinine ratio (UACR), and aldosterone:renin ratio (ARR). These four biomarkers have become the foundation of multiple hypertension studies, even though the only formal conclusion drawn from these studies is that there is a wide range of variables that have some kind of influence on hypertension. More recently, treatment options for hypertension have increasingly become an emphasis for studies, with research predicting that nutrition plays a key role in the managing of diseases. Furthermore, the role of bioactive compounds has gained traction in hypertension research, being loosely correlated to managing specific biomarkers. Ultimately, these correlations to bioactive compounds like antioxidants would demonstrate that certain functional foods have the capacity to help treat hypertension. The modality is to find an alternative option for managing or treating hypertension through natural sources of food or food products fortified with ingredients to combat the known biomarkers. Accordingly, the research of functional foods will provide hypertensive patients with an opportunity to affordably manage their chronic disease.Keywords: hypertension, bioactive compounds, functional foods, vitamins

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A longitudinal study of symptoms beliefs in hypertension

Cited by 11 publications

References 30 publications

Effects of Patients’ Perceptions on Hypertension Treatment in the Cape Coast Metropolis, Ghana

Effects of Patients’ Perceptions on Hypertension Treatment in the Cape Coast Metropolis, Ghana

The Socio-Demography, Clinical Characteristics and the Prevalence of Cardiovascular Risk Factors Among a Group of Elderly Hypertensive Patients Followed Up at A Tertiary Care Hospital in Sri Lanka.

Managing hypertension: relevant biomarkers and combating bioactive compounds

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