A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

Shima, Razatul; Hairi, Farizah Mohd; Majid, Hazreen Abdul

doi:10.2147/ppa.s69680

Cited by 36 publications

(65 citation statements)

References 27 publications

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“…The present study showed that physicians and medical team's commitments, skills, and behaviors had special motivational effect on patients’ adherence behaviors. Similarly, earlier researches ( 9 , 10 , 12 , 15 , 17 , 38 , 40 , 44 – 46 ) reported that trust in a doctor and a mutual patient–provider relationship facilitated adherence to the treatment. Based on the findings, other Iranian healthcare organizational factors that affect treatment adherence included lack of accessible care, suitable medicines, and follow-up systems.…”

Section: Discussionmentioning

confidence: 51%

Being as an iceberg: hypertensive treatment adherence experiences in southeast of Iran

Nayeri

Dehghan

Iranmanesh

2015

Global Health Action

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BackgroundTreatment adherence is often an important issue in the management of hypertension. Deep understanding of adherence behavior as well as its influential factors can expand knowledge about treatment adherence among hypertensives.ObjectiveThe aim of this study was to explore patients, their families, and healthcare providers’ experiences about hypertension treatment adherence in southeast of Iran.DesignA qualitative study was conducted to explore the experience of patients, family members, and healthcare providers (n=18) by using a conventional content analysis. The purposive sampling method was used. Data were collected through semi-structured and deep interviews.ResultsData analysis showed that hypertensive treatment adherence in an Iranian context is like an iceberg with two subthemes. The first subtheme relates to the upper and clear part of this iceberg and it consists of two categories, including 1) healthy and 2) unhealthy regimens. The second subtheme associates with under-water and unanticipated part and it consists of four categories, including 1) the nature of disease and treatment, 2) the individual resources, 3) the healthcare organization, and 4) the socio-cultural environment.ConclusionsThe treatment adherence features emerged in this study can be useful in designing and developing context-based hypertension interventions. Further qualitative and quantitative studies with a closer collaboration between the social, natural, and medical sciences in other Iranian populations are needed to confirm the findings.

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Section: Discussionmentioning

confidence: 51%

Being as an iceberg: hypertensive treatment adherence experiences in southeast of Iran

Nayeri

Dehghan

Iranmanesh

2015

Global Health Action

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“…A significant correlation between beliefs about medication and MNA was found among hypertensive patients in Ghana and Nigeria [26] with patients who were worried about the adverse effects of antihypertensive drugs less likely to be adherent to their medications (r = −0.0347, P = 0.002). Qualitative studies in Pakistan [39] and Malaysia [51] also found patients hesitated to take medications continuously due to their lack of belief in medications. As one hypertensive patient in Pakistan commented: "Medications are hot (warm) in nature.…”

Section: Perceptions Regarding Hypertension and Its Severitymentioning

confidence: 99%

“…Qualitative studies in Malaysia [51] and Nigeria [40] also found perceived side effects were inhibitors of antihypertensive medication adherence. However, Praveen et al [30] in India did not find a correlation between adverse drug events and non-adherence.…”

Section: Mmas 4 Ethiopia; N = 384 Open Journal Of Epidemiologymentioning

confidence: 99%

A Systematic Review of Factors Influencing Medication Adherence to Hypertension Treatment in Developing Countries

Dhar¹,

Dantas²,

Ali³

2017

OJEpi

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Background: Coronary heart disease (CHD), a complication of hypertension, is one of the most important and common causes of morbidity, hospitalisation, and mortality among hypertensive population. In recent decades, increased urbanisation and changes to lifestyle, diet and physical activity in developing countries have led to a major increase in the population incidence of chronic diseases including CHD. Poor medication adherence is one of the leading causes of failure to achieve hypertension control. The objective of this systematic review is to describe the prevalence of non-adherence to antihypertensive medications among hypertensive population in developing countries and identify factors associated with it. Methods: A literature search was conducted using the following scholarly electronic databases: Proquest, PubMed, JSTOR and Science Direct. The online search engine, Google Scholar was also used to search for and identify relevant papers. Peer-reviewed fulltext articles published in English on hypertensive adults in developing countries that measured adherence to antihypertensive medications and their associations with different factors were eligible for inclusion. The review followed the PRISMA reporting and analytical guidelines for systematic reviews. Results: In all, 42 studies conducted across 19 developing countries were selected for the review. The mean prevalence of medication non-adherence (MNA) among the select hypertensive population was 47.34%. Very few studies were conducted in community settings and except for one, no study examined gender differences in MNA factors. The analysis revealed a range of factors that can influence MNA including low household income and socioeconomic status; knowledge and beliefs of hypertension and its management; avoiding side effects of medications; cost of medication; use of herbal preparations; absence of symptoms; irregular follow-up; and dissatisfaction with the treatment and health services provided. There was a general lack of consideration of role of health system in health care delivery, self-efficacy, cultural barriers, per- There was also a lack of gender-specific research which is necessary at community settings given the social and economic vulnerabilities faced by women in developing countries that may affect adherence to antihypertensive medications. Conclusions: Future research in developing countries should consider individual risk perceptions, cultural barriers, gender and the role of local health system in health care delivery when assessing MNA among hypertensive population at community settings.

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“…A qualitative study on patient perspective of hypertension done in Canada found that patients struggled to define hypertension; only half of them (54%) could recall their targeted blood pressure threshold 12. Other qualitative studies conducted in Malaysia13 and the USA14 reported that their patients were not aware that hypertension could be asymptomatic, and the asymptomatic patients considered themselves healthy. Furthermore, patients believed that hypertension can be cured and that they can discontinue medicine when their blood pressure is normal 6 15–17.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal

Shrestha

Koju

et al. 2018

Heart Asia

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A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

Cited by 36 publications

References 27 publications

Being as an iceberg: hypertensive treatment adherence experiences in southeast of Iran

Being as an iceberg: hypertensive treatment adherence experiences in southeast of Iran

A Systematic Review of Factors Influencing Medication Adherence to Hypertension Treatment in Developing Countries

Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal

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