Therapeutic adherence in hypertension: Current evidence and expert opinion from India

Dalal, Jamshed; Kerkar, Prafulla; Guha, Santanu; Dasbiswas, Arup; Sawhney, J.P.S.; Sivakadaksham, Natarajan; Maddury, Srinivasa Rao; Kumar, Amit; Chandra, Nishith; Suryaprakash, G; Thomas, Joy; Juvale, N.I.; Sathe, Sunil; Khan, Aziz; Kumar, Viveka; Reddi, Rajshekhar

doi:10.1016/j.ihj.2021.09.003

Cited by 13 publications

(14 citation statements)

References 54 publications

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“…The SEM results show that trust positively influences self-care compliance among hypertensive patients for the whole sample, in line with existing studies ( 2 , 6 , 57 ). An adequate level of trust leads patients to share more information with doctors about their concerns.…”

Section: Discussionsupporting

confidence: 90%

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

Zhou

Chen

Tan

et al. 2023

Front. Public Health

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IntroductionHypertension is a growing public health concern worldwide. It is a leading risk factor for all-cause mortality and may lead to complications such as cardiovascular disease, stroke, and kidney failure. Poor compliance of hypertensive patients is one of the major barriers to controlling high blood pressure. Compliance is not ideal among Chinese patients, and increasing patient self-care compliance with hypertension is necessary.MethodsThis article analyzes the status of self-care compliance, trust, and satisfaction among Chinese hypertensive patients using cross-sectional data from Zhejiang Province. We use a multi-group structural equation model (MGSEM) to compare the interrelationships across genders.ResultsThe study's findings show that the average trust, satisfaction, and compliance scores are 3.92 ± 0.55, 3.98 ± 0.61, and 3.33 ± 0.41, respectively. Female patients exhibit higher average total scores for trust and compliance than male patients. The SEM results indicate that trust has a direct positive association with compliance [β = 0.242, 95% CI: (0.068, 0.402)] and satisfaction [β = 0.260, 95% CI: (0.145, 0.367)], while their satisfaction is not directly associated with compliance. The results of MGSEM show that trust has an indirect effect on compliance in the male group through satisfaction [β = 0.051, P < 0.05, 95% CI: (0.012, 0.116)]. In the female group, trust has a direct effect on satisfaction [β = 0.235, P < 0.05, 95% CI: (0.041, 0.406)] and compliance [β = 0.319, P < 0.01, 95% CI: (0.086, 0.574)].DiscussionThis study reveals the mechanisms of self-care compliance, trust, and satisfaction among Chinese hypertensive patients. Its findings may serve as a reference for guiding primary healthcare providers to improve hypertension patients' compliance and implement gender-targeted health interventions.

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Section: Discussionsupporting

confidence: 90%

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

Zhou

Chen

Tan

et al. 2023

Front. Public Health

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“…Studies on adherence of patients with hypertension have shown that adherence was positively influenced by disease acceptance, a good doctor-patient therapeutic relationship [27], longer duration of medi-cation [26], awareness of hypertension and the consequences of not treating it, taking one pill a day, motivation for treatment, and regular visits to a cardiologist [32]. Dalal et al, indicated also other factors that determine the adherence among hypertensive patients such as health literacy, lower socioeconomic status, cost of medications, and forgetfulness as much as the asymptomatic nature of disease [33].…”

Section: Discussionmentioning

confidence: 99%

Adherence to treatment and quality of life of patients with hypertension during the COVID-19 pandemic

Willamowska¹,

Szwamel²

2023

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Introduction:Reduced accessibility to routine follow-up visits in GP surgeries during the COVID-19 pandemic as well as the failure to report to health care facilities for fear of infection may have disrupted doctor-patient cooperation and worsened adherence to therapeutic recommendations. Aim of the research:To examine the quality of life of patients with arterial hypertension and their assessment adherence to therapeutic recommendations during the COVID-19 pandemic. Material and methods: A total of 103 hypertensive patients of the Independent Public Healthcare Centre of the Ministry of Interior and Administration in Wroclaw were examined. The World Health Organization Quality of Life Instrument Short Form (WHOQOL-BREF) and the Adherence in Chronic Diseases Scale (ACDS) were used. Results:The mean score for perception of quality of life was 3.64 ±0.73. Quality of life was rated best in the psychological domain (M = 15.05, SD = 2.42) and worst in the physical domain (M = 13.25, SD = 2.67). 57.28% (59/103) of the respondents had medium adherence, 23.30% (24/103) had low adherence, and 19.42% (20/103) had high adherence. The level of adherence was significantly better among patients keeping a self-monitoring diary compared to those who did not keep such a diary (24.19 ±2.86 vs. 21.86 ±4.56, p = 0.007). Patient age (r = 0.323, p = 0.001) and systolic blood pressure value (r = -0.193, p = 0.05) significantly correlated with adherence level. The higher the level of adherence, the better the quality of life in the psychological (r = 0.197, p = 0.046) and social (r = 0.198, p = 0.045) domains. Conclusions: Adherence to the therapeutic plan and good patient-doctor cooperation are extremely important for the level of quality of life of hypertensive patients. StreszczenieWprowadzenie: Ograniczenie dostępności do rutynowych wizyt kontrolnych w gabinetach lekarskich w czasie pandemii COVID-19, jak również niezgłaszanie się pacjentów z nadciśnieniem tętniczym do placówek ochrony zdrowia w obawie przed zakażeniem mogło zaburzyć współpracę lekarza z pacjentem i pogorszyć przestrzeganie zaleceń terapeutycznych. Cel pracy: Zbadanie jakości życia pacjentów z nadciśnieniem tętniczym oraz ocena przestrzegania przez nich zaleceń terapeutycznych podczas pandemii COVID-19.

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“…82,83 Improved patient education, enhanced doctor-patient relationships and communication, and increased accessibility and affordability to healthcare can improve therapeutic adherence in patients. 84 A family history of CAD or premature CAD is an independent risk factor for developing premature CAD in young adults. A positive family history of CAD increased the risk of premature CAD twofold in the Iranian population.…”

Section: Discussionmentioning

confidence: 99%

Risk factors, lab parameters, angiographic characteristics and outcomes of coronary artery disease in young South Asian patients: a systematic review

Agrawal,

Lamichhane,

Eghbali

et al. 2023

J Int Med Res

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This systematic review provides a qualitative summary of the risk factors, angiographic characteristics, treatment, and complications of young South Asians with coronary artery disease (CAD). PubMed, Embase, and Google Scholar were searched to identify research articles published between 1 January 2010 and 13 November 2022. Studies in patients aged 18 to 45 years that were conducted in South Asian countries, were published in the English language, and included information on patients’ clinical profiles and at least two risk factors for young CAD were included in the review. Smoking, dyslipidemia, high body mass index, increased high-sensitivity C-reactive protein, and hyperhomocysteinemia were observed in high proportions in young patients with CAD. Single-vessel disease was more common than multi-vessel disease in young CAD. The complications of CAD such as arrhythmias, cardiogenic shock, and heart failure were also commonly observed in young patients. Large-scale health promotion activities that curb modifiable risk factors such as smoking, obesity, and a sedentary lifestyle should be conducted in South Asian countries.

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Therapeutic adherence in hypertension: Current evidence and expert opinion from India

Cited by 13 publications

References 54 publications

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

Adherence to treatment and quality of life of patients with hypertension during the COVID-19 pandemic

Risk factors, lab parameters, angiographic characteristics and outcomes of coronary artery disease in young South Asian patients: a systematic review

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