Blood Pressure Treatment Adherence and Control Through 24-Hour Ambulatory Monitoring

Grezzana, Guilherme Brasil; Stein, Airton Tetelbom; Pellanda, Lúcia Campos

doi:10.5935/abc.20130046

Cited by 7 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2,6 Several studies conducted in countries such as China, Taiwan, Ethiopia and India to assess patients' adherence to medication treatment by using different methods report that adherence rates vary between 48% and 86%, and that non-adherence both to pharmacological and to non-pharmacological treatment methods is the most important obstacle to blood pressure control. [7][8][9][10][11][12][13] Health personnel play a key role in patients' adherence to pharmacological and non-pharmacological treatment methods used for blood pressure control. It is possible to ensure patients' adherence to pharmacological and nonpharmacological treatment methods by monitoring the patient meticulously, determining the factors affecting patients' adherence to the treatment and planning attempts to eliminate these factors.…”

Section: Introductionmentioning

confidence: 99%

Hypertensive patients’ adherence to pharmacological and non-pharmacological treatment methods, in Turkey

Selçuk

Çevik

Mercan

et al. 2017

Int J Community Med Public Health

View full text Add to dashboard Cite

Background: The present study was aimed at determining hypertensive patients’ adherence to pharmacological and non-pharmacological treatment methods and factors affecting their adherence. Methods: This cross-sectional study was conducted with 418 patients aged 18 and over who met the inclusion criteria. Adherence to pharmacological and some non-pharmacological treatment methods is the dependent variable of the study. Data were collected using the personal information form, Morisky medication adherence scale. In the analysis, descriptive statistics, the chi square test, and logistic regression analysis were used. The significance level was accepted as p<0.05. Results: The rate of adherence to the pharmacological treatment was 78.2%. The rates of adherence to smoking cessation, diet and physical activity were 49.0%, 55.7% and 20.6% respectively. Age, employment status and perceived health status were associated with the adherence to smoking cessation; perceived income, resort to complementary alternative treatment methods and having regular controls (check-ups) were related to the adherence to the diet, and gender and perceived economic status were related to the adherence to physical activities (p<0.05). Conclusions: While approximately four out of five patients complied with the pharmacological treatment, rates of adherence to non-pharmacological treatment methods were low. Multidisciplinary intervention programs should be planned in order to regularly monitor patients at family health centers, to assess their adherence to treatment modalities and to promote adherence.

show abstract

Section: Introductionmentioning

confidence: 99%

Hypertensive patients’ adherence to pharmacological and non-pharmacological treatment methods, in Turkey

Selçuk

Çevik

Mercan

et al. 2017

Int J Community Med Public Health

View full text Add to dashboard Cite

show abstract

“…From January 2013 to October 2014, data from a sample of 143 hypertensive patients, with a mean followup period of 3 years and 8 months, were collected and evaluated from a previous cross-sectional study sample (standard deviation 0.27 = 3.77 ± 0.27) 13 . Of this sample, 16 patients were not located and nine dropped out of the study protocol, although they did not report any clinical outcome before leaving the study during this period.…”

Section: Resultsmentioning

confidence: 99%

“…Patients who were not able to answer the questionnaire, pregnant women, those with electrocardiograms showing non-sinus rhythm, those who lived outside the coverage area of the PHC centers, those who moved to another city or were not contacted, and/or did not tolerate the use of ABPM, or had technical difficulty during the method application were excluded from the study. 13 All patients who agreed to participate in the study signed the Free and Informed Consent form. The results obtained from the biochemical analyses and ABPM assessment during the study were delivered to the patients.…”

Section: Participantsmentioning

confidence: 99%

“…However, the diagnostic accuracy of hypertension based on conventional BP measurements is low, 13 and there is a scarcity in prospective studies evaluating the impact of 24-hour ABPM on hypertension control in PHC. In most PHC settings, 24-hour ABPM is still a scarcely used tool, and additional studies are needed to increase its implementation.…”

mentioning

confidence: 99%

“…The assessment also included validated tools to estimate smoking/nicotine dependence (Fagerström Test), Alcohol Use Disorder Identification Test (AUDIT) and the self-reported scale, indicating adherence to the proposed treatment (Morisky). 13 All tests performed, both ABPM and biochemical exams were made available to patients and their PHC physicians.…”

mentioning

confidence: 99%

See 2 more Smart Citations

24-Hour Ambulatory Blood Pressure Monitoring Predicts Outcomes of Hypertensive Patients in Primary Care: A Cohort Study

Grezzana

Stein

Pellanda

2017

International Journal of Cardiovascular Sciences

Self Cite

View full text Add to dashboard Cite

Background: Arterial hypertension is an important risk factor for cardiovascular outcomes. However, in most Primary Health Care centers, blood pressure remains at inadequate control levels. Ambulatory Blood Pressure Monitoring (ABPM) is a useful tool in predicting cardiovascular morbidity and mortality. The implementation of 24-hour ABPM and evaluation of cardiovascular outcomes in Primary Health Care may be effective in improving strategies for monitoring hypertensive patients in this setting.Objective: To evaluate uncontrolled arterial hypertension detected by 24-hour ABPM as a predictor of cardiovascular outcomes in hypertensive patients from Primary Health Care in a low-resource environment. Methods:Cohort study based on primary health care centers. The study was carried out with 143 hypertensive patients, who underwent 24-hour ABPM at baseline. Therapeutic targets were based on the Eighth Joint National Committee, the Brazilian Hypertension Guideline, and the European Hypertension Guideline. Medical records of emergency care, hospital admissions, and death certificates were reviewed. Results:The sample consisted of 143 patients who met the inclusion criteria. After 4 years of follow-up, there were 17 deaths, 12 new cases of atrial fibrillation and 37 hospital admissions related to cardiovascular outcomes. During the follow-up period, the 24-hour ABPM showed a predictive result for new cases of atrial fibrillation (p = 0.015) and a combination of cardiovascular outcomes, mortality, and hospital admissions (p = 0.012). Conclusion:The 24-hour ABPM was an important predictor of cardiovascular outcomes in a hypertensive population that seeks assistance in Primary Health Care centers. (Int J Cardiovasc Sci. 2017;30(4):285-292)

show abstract

The role of psychosocial determinants in predicting adherence to treatment in patient with hypertension

Asgari

Bouraghi

Mohammadpour

et al. 2018

Interventional Medicine and Applied Science

View full text Add to dashboard Cite

Introduction Non-adherence in patients with hypertension directly exacerbates clinical outcomes. The purpose of the present research is to study the recognition of the relationships between the perceived social support and self-efficacy and the satisfaction of health care agents and the interaction of the patient with therapeutic personnel and access to health care and the behaviors of adherence to treatment in the patients who suffer hypertension. Materials and methods This descriptive cross-sectional correlation study recruited 250 patients from a specialized hypertension clinic in Semnan, who completed the following questionnaires: Multidimensional Scale of Perceived Social Support, self-efficacy, adherence to treatment, access to and satisfaction with health care, and the patient’s interaction with treatment personnel. Results An overall statistical description of the sample consists of 89 (35.6%) men and 161 (64.4%) women (SD = 10.41, range = 51.98). Regression coefficient of previous variables (three steps) shows that self-efficacy share, consent form civil services, and job could demonstrate with 99% certainty in the changes of treatment conformity in a meaningful way. Conclusions High self-efficacy, satisfaction with health care, and a favorable job have a high direct effect on adherence to treatment in patients with hypertension and controlling hypertension. Social support and education do not have a significant impact on adherence to treatment.

show abstract

Blood Pressure Treatment Adherence and Control Through 24-Hour Ambulatory Monitoring

Cited by 7 publications

References 19 publications

Hypertensive patients’ adherence to pharmacological and non-pharmacological treatment methods, in Turkey

Hypertensive patients’ adherence to pharmacological and non-pharmacological treatment methods, in Turkey

24-Hour Ambulatory Blood Pressure Monitoring Predicts Outcomes of Hypertensive Patients in Primary Care: A Cohort Study

The role of psychosocial determinants in predicting adherence to treatment in patient with hypertension

Contact Info

Product

Resources

About