The Influence of the Hypertensive Patient's Education in Compliance with Their Medication

Saounatsou, Maria; Patsi, Ourania; Fasoi, Georgia; Stylianou, Maria; Kavga, Anna; Economou, Ourania; Mandi, Panagiota; Nicolaou, Maria

doi:10.1046/j.1525-1446.2001.00436.x

Cited by 58 publications

(38 citation statements)

References 18 publications

(20 reference statements)

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“…Poor adherence to treatment has been identified as the most important cause of uncontrolled blood pressure. [24][25][26] Some reasons for non-adherence to antihypertensive treatment as reported in the literatures include poor socioeconomic status, illiteracy and unemployment 27,28 lack of understanding and acceptance of the disease, perception of the health risk, and the cost of treatment. These factors are more prevalent among urban poor than the general population.…”

Section: Prevalence Of Hypertension Among Urban Slum Dwellers In Lagomentioning

confidence: 99%

Prevalence of Hypertension among Urban Slum Dwellers in Lagos, Nigeria

Daniel

Adejumo

et al. 2013

J Urban Health

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Urban slum dwellers are not only prone to develop communicable diseases but also to non-communicable disease (NCDs). The extent and magnitude of NCDs among slum dwellers is largely unknown in Nigeria. A total of 964 adults aged 20-81 years (male 330 and female 634) residing in the urban slum of Ajegunle in Lagos State, Nigeria were studied to determine the prevalence of hypertension and associated factors. The overall prevalence of hypertension was 38.2 %. Of the 368 respondents identified as having hypertension, only 50 (5.2 %) respondents were previously aware of their diagnosis. Of the 50 known hypertensive patients, 48(96 %) had poor control of their high blood pressure. The socio-demographic factors significantly associated with hypertension status were age, sex, education, religion, BMI, and marital status. The study concludes a high prevalence of hypertension among urban slums dwellers in Lagos. The need for government to develop policies for the control of hypertension, improve access to early diagnosis and provide an enabling socioeconomic environment while promoting healthy living.

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Section: Prevalence Of Hypertension Among Urban Slum Dwellers In Lagomentioning

confidence: 99%

Prevalence of Hypertension among Urban Slum Dwellers in Lagos, Nigeria

Daniel

Adejumo

et al. 2013

J Urban Health

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“…From the patients' perspective, male sex [39,46], obesity [39,40], alcohol [18] and patient education [51] have been suggested to explain poor control. In our study, we also found that increased age, duration of diabetes, BP levels, lipid concentrations and the presence of more complications, as well as obesity at baseline partly explained the reasons for poor control at follow-up.…”

Section: Observational Studies On Hypertension Treatment and Controlmentioning

confidence: 99%

Trends in hypertension management in Type I diabetes across Europe, 1989/1990 – 1997/1999

et al. 2002

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Aims/hypothesis Our aim was to examine the change in the management of hypertension in patients with Type I (insulin-dependent) diabetes mellitus in Europe, between 1989Europe, between -1990Europe, between and 1997Europe, between -1999.Methods Seven-year changes in hypertension treatment and control (defined as blood pressure <130/85 mmHg) were examined in a large sample of Type I diabetic patients recruited from 26 centres involved in the EURODIAB Prospective Complications Study. Hypertension was defined as a systolic and/or diastolic blood pressure greater than 140 and/or 90 mmHg respectively, and/or use of blood pressure lowering drugs. 1Results Of 1866 Type I diabetic patients, 412 had hypertension at baseline and 631 at follow-up.A greater proportion of hypertensive patients were treated at follow-up (69% vs 40%, p<0.0001), which persisted after adjustment for age or centre. Of those who were treated, a modest increase in the proportion of those controlled for hypertension was found (41% vs 32%, p=0.048), which disappeared after adjustment for age. Among hypertensive patients with albuminuria, the proportions treated also increased, from 35% to 76% (p<0.0001) in microalbuminuric and 64% to 95% (p<0.0001) in macroalbuminuric patients. Control of hypertension in albuminuric patients did not change significantly and was below 50%. The use of more than one anti-hypertensive drug increased over a 7-year period, from 19% to 33% (p<0.0001), and a marked increase was shown in the proportion of those taking an ACE inhibitor (from 57% to 82%, p<0.0001). Conclusion/interpretationThe management of hypertension in Type I diabetic patients acrossEurope has improved over a 7-year follow-up period. Optimal levels of blood pressure treatment and optimal levels of control have not yet been achieved.Keywords Hypertension · Type I diabetes mellitus · albuminuria · control · blood pressure · treatment Abbreviations CCB Calcium channel blockerAn erratum to this article can be found at http://dx.doi.org/10.1007/s00125-003-1210-9In Type I (insulin-dependent) diabetes mellitus, raised blood pressure has been shown to be related to an increased risk of retinopathy [1,2,3], and cardiovascular disease [4,5] in several prospective studies independent of other risk factors. It is estimated that 30 to 75% of diabetic complications can be attributed to hypertension, which is twice as common in diabetic patients than in non-diabeticSeveral BP lowering trials have shown a reduction in microvascular and macrovascular complications in patients with Type II (non-insulin-dependent) diabetes mellitus [7,8]. Other recent trials have shown that, independent from BP lowering effects, the progression of diabetic nephropathy can be reduced by angiotensin II receptor blockers in Type II diabetic patients with hypertension and albuminuria [9,10,11]. In Type I diabetes, the progression of retinopathy [12]

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“…Relacionou-se o conteúdo de cada um ao contexto abordado (12) . Os dois artigos selecionados para o presente estudo foram obtidos na íntegra sendo ambos na língua inglês, sendo identificados pelos seus autores.…”

Section: Resultsunclassified

Eficácia de programas de educação para adultos portadores de hipertensão arterial

et al. 2006

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RESUMOÉ importante conhecer como estratégias de educação em saúde, utilizadas por enfermeiros, para portadores de hipertensão arterial vêem se desenvolvendo, e se são realmente eficazes para esses indivíduos. Objetivou-se analisar estudos que enfocassem estratégias para desenvolver educação em saúde com adultos portadores de hipertensão arterial. Pesquisa bibliográfica, utilizando a base de dados MEDLINE. Obteve-se uma relação de resumos, utilizando os descritores: hipertensão, educação e enfermagem. Ao final, dois artigos na língua inglesa atenderam aos critérios estabelecidos. Pôde-se verificar que programas estruturados levam a melhorias nas condições de saúde, tanto no que se refere aos fatores de risco para hipertensão como para a adesão ao tratamento instituído, havendo considerável mudança de comportamento e melhoria da adesão ao tratamento medicamentoso. Descritores: Pressão alta; Enfermagem; Educação em saúde. ABSTRACT It is of great importance to acknowledge health education strategies nurses use on patients with highblood pressure, seeing how they respond and if the method is eficient for for them. The aim was to analise researches

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The Influence of the Hypertensive Patient's Education in Compliance with Their Medication

Cited by 58 publications

References 18 publications

Prevalence of Hypertension among Urban Slum Dwellers in Lagos, Nigeria

Prevalence of Hypertension among Urban Slum Dwellers in Lagos, Nigeria

Trends in hypertension management in Type I diabetes across Europe, 1989/1990 – 1997/1999

Eficácia de programas de educação para adultos portadores de hipertensão arterial

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