High rate of hypertension control among treated patients attending a teaching primary healthcare centre in Jordan

Abstract

IntroductionThe purpose of this study was to determine the hypertension control rate and its associated factors among treated patients attending a teaching primary healthcare centre in Jordan.Study designWe conducted a retrospective cohort study of 286 patients with HTN, treated with medications, who attended Jordan University of Science and Technology primary healthcare centre in Irbid, Jordan, from July through September 2018. Data were abstracted from the patient's medical records and personal interviews. Multivariate logistic regression analysis was used to examine independent factors associated with hypertension control.ResultsBlood pressure control rate was 90.9% and was significantly higher among patients who were married (p=0.02), with higher income level (p<0.01), non-smokers (p=0.01), free of diabetes mellitus or dyslipidaemia (p=0.048), highly consuming fruits and vegetables (p<0.01), non-obese (p<0.01), adherent to blood pressure medications (p=0.02) and among patients on lower number of antihypertensive medications (p=0.01). Multivariate analysis with adjusted OR of factors associated with hypertension control were higher fruit and vegetable intake (p<0.01), higher income level (p=0.02) and medication adherence (p<0.01).ConclusionParticipants in this study achieved a relatively high rate of blood pressure control. Associated factors with this rate were higher fruit and vegetable intake, higher income level and medication adherence. For better hypertension control, patients should be advised to adhere to their medications and consume more fruits and vegetables besides other lifestyle changes.

Factors associated to the adherence to the non-pharmachological treatment of hypertension in primary health care

“…In short, when the systolic and diastolic pressure levels were evaluated, separating participants in groups according to the adherence or non-adherence to pharmacological components, the participants who adhered to the weight control and to a limited alcohol consumption had lower levels of diastolic pressure, reiterating the positive impact of these measures to reduce pressure (4,29) .…”

Adherence to Antihypertensive Medication, Pressoric Control and Associated Factors in Primary Health Care

“…In addition, some studies have associated to the adherence to the antihypertensive treatment factors such as gender, number of medications in use, adverse reactions, comorbidities, schooling level, marital status, income and age. [9][10][11][12][13][14][15][16] In view of the current epidemiological scenarios and of the magnitude of AH, as well as the complications arising from the disease, non-adherence to the treatment is an aspect that must be considered in its management. Thus, as a way of directing health care with effective clinical repercussions in the treatment of AH in a population, it becomes relevant to evaluate the hypertensive individuals monitored in primary health care, from the perspective of the adherence to antihypertensive medication, the control of pressure levels and of the factors associated with them, which is the objective of this study.…”