Factors affecting medication adherence in patients with hypertension

Karakurt, Papatya; Kaşıkçı, Mağfiret

doi:10.1016/j.jvn.2012.04.002

Cited by 54 publications

(60 citation statements)

References 29 publications

(30 reference statements)

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“…1996, Eryonucu et al. 1999, Karakurt 2004), reliability and comparability of their results are limited because of the lack of standardised instruments used in the surveys. In a study by Ogedegbe et al.…”

Section: Discussionmentioning

confidence: 99%

The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting

Hacıhasanoğlu

Gözüm

2011

Journal of Clinical Nursing

108

118

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Section: Discussionmentioning

confidence: 99%

The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting

Hacıhasanoğlu

Gözüm

2011

Journal of Clinical Nursing

108

118

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“…Inadequate knowledge about hypertension and its management, on one hand, is also a barrier to effective treatment management (Karakurt & Kasikci, ; Thomas et al, ). Kilic, Uzunçakmak, and Ede () even noted that in their study, majority of the respondents have knowledge deficiency on hypertension and two‐third were unable to adjust to behavioural changes to control their blood pressure.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a community‐based health programme on the blood pressure control, adherence and knowledge of adults with hypertension: A PRECEDE‐PROCEED model approach

Calano

Cacal

Cal

et al. 2019

Journal of Clinical Nursing

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Aims and Objectives To determine the effectiveness of a community‐based health programme grounded on the PRECEDE‐PROCEED model, on the knowledge, adherence and blood pressure control of community‐dwelling adults with hypertension. Background Hypertension has consistently been a leading cause of morbidity and mortality in different countries and has continuously increased in prevalence. Albeit manageable with lifestyle modification and anti‐hypertensive medications, adequate knowledge and poor adherence to these treatment regimens are issues that have led to poor blood pressure control. Design Quasi‐experimental, one‐group pretest–post‐test design. Methods The PRECEDE‐PROCEED model was used to develop and evaluate the effectiveness of the community‐based health programme. From August to October 2017, a total of 50 community‐dwelling adults with hypertension participated in the programme which included blood pressure monitoring, targeted health educations, motivational interviews, individualised lifestyle modification plans and house‐to‐house visits. Knowledge, adherence and blood pressure were assessed at the start and at the end of the 2‐month programme. Gathered data were analysed using descriptive statistics and RM‐MANOVA. The TREND checklist was followed in reporting this study (See Appendix S1). Results After 2 months, the mean adherence, systolic blood pressure and diastolic blood pressure significantly improved, attributing more than 25% of the change. Although knowledge scores were significantly higher after the programme, it only accounted 9% of the improvement. Conclusion This study provides evidence on the effectiveness of a community‐based health programme grounded on the PRECEDE‐PROCEED model on the knowledge, adherence and blood pressure control of community‐dwelling adults with hypertension. Relevance to Clinical Practice The community‐based health programme is beneficial to community‐dwelling adults with hypertension in promoting knowledge and adherence to treatment regimen and improving BP control. This study also provides a framework for developing new or enhancing existing programmes on hypertension in the Philippines.

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“…Corroborando com o fator idade, no estudo em que a aposentadoria esteve associada com pior adesão, cabe ressaltar que 48% tinham acima de 60 anos, o que pode minimizar o efeito isolado da aposentaria, neste caso a pior adesão pode ter sido em decorrência da idade mais avançada. 30 A complexidade da farmacoterapia 30 se constitui em um importante fator para a não adesão ao tratamento medicamentoso pelas questões gerais de acesso, como distribuição precária e precificação, 30 ou por oscilações no uso quando da responsabilidade do próprio doente, seja por esquecimento 30 ou por horários irregulares. 35 No presente estudo ainda verificamos que a hipertensão e diabetes estão associadas.…”

Section: Resultsunclassified

Adesão ao tratamento na hipertensão e diabetes mellitus: revisão integrativa

et al. 2016

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RESUMO: Objetivo: analisar as evidências disponíveis na literatura sobre as causas de adesão ou não ao tratamento de pacientes hipertensos e/ou diabéticos. Método: revisão integrativa, que selecionou artigos publicados entre 2005 e 2015, localizados por meio dos descritores "adesão à medicação", "cooperação do paciente", "diabetes mellitus tipo 2", "enfermagem" e "hipertensão". As bases consultadas foram Biblioteca Virtual em Saúde (Enfermagem), LILACS e PubMed. Resultados: selecionou-se 26 artigos, fatores associados à adesão foram: menor idade, ter estilo de vida saudável e itens relacionados à terapêutica. Dentre os fatores que levaram à pior adesão, destaca-se menor renda, pouco conhecimento sobre a doença e tratamento complexo. Conclusões: os fatores de adesão ao tratamento na hipertensão e diabetes foram relacionados ao paciente, ao tipo de terapêutica e ao sistema de saúde; os quais se constituem em importantes questões a serem abordadas pelos enfermeiros. Descritores: Adesão à medicação; Cooperação do paciente; Diabetes mellitus tipo 2; Enfermagem; Hipertensão.ABSTRACT: Aim: to analyze the scientific literature on the main causes of adherence or not to the treatment of hypertension and type 2 diabetes mellitus. Method: an integrative literature review, which selected full articles published between 2005 and 2015, detected by the descriptors "medication adherence", "patient compliance"," type 2 diabetes mellitus", "hypertension" and "nursing". The searches were conducted in the Virtual Health Library (Nursing), LILACS and PubMed databases. Results: Twenty-six articles were selected, the factors associated with adherence were: young age, to have a healthy lifestyle and items related to therapy. On the other hand, among the factors that lead to poor adherence, there are lower income, little knowledge about the disease and complex treatment. Conclusions: the adherence factors to the treatment of hypertension and diabetes are related to the patient, to the type of treatment and health system, which constitute important issues to be approached by nurses.

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Factors affecting medication adherence in patients with hypertension

Cited by 54 publications

References 29 publications

The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting

The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting

Effectiveness of a community‐based health programme on the blood pressure control, adherence and knowledge of adults with hypertension: A PRECEDE‐PROCEED model approach

Adesão ao tratamento na hipertensão e diabetes mellitus: revisão integrativa

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