scholarly journals Role of adherence in prevention of hypertension

2019 ◽  
Vol 2 (30) ◽  
pp. 28-32
Author(s):  
Yu. N. Fedulaev ◽  
N. D. Karseladze ◽  
F. A. Evdokimov ◽  
A. Yu. Chuprakova ◽  
S. A. Sapozhnikov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Patient Adherence ◽  
Health Centers ◽  
Adherence To Treatment ◽  
Multicenter Studies ◽  
Prevention Of Hypertension ◽  
Significant Disease

Arterial hypertension remains a socially significant disease. Multicenter studies indicate low patient adherence to treatment. This article discusses the factors that influence commitment. Using the potentials of health centers and prevention departments can increase patient commitment. The study on the regular use of antihypertensive therapy indicates an improvement in cognitive functions and the quality of life of patients against the background of achieving target blood pressure.

scholarly journals Hypertension and dyslipidemia. Parallel risk factor control: role of fixed combination

2021 ◽  
Vol 27 (3) ◽  
pp. 376-383
Author(s):  
A. O. Konradi ◽  
A. S. Alieva
Keyword(s):  
Blood Pressure ◽  
Patient Adherence ◽  
Effective Control ◽  
Adherence To Treatment ◽  
Primary And Secondary Prevention ◽  
Risk Factor Control ◽  
Promising Strategy ◽  
Cardiovascular Continuum

The combined effect of dyslipidemia and high blood pressure largely contributes to the development and progression of cardiovascular diseases, and therefore the control of these risk factors should be a priority strategy both within primary and secondary prevention. A concept of a polypill, which provides effective control of both blood pressure and lipid profile, is a promising strategy. It allows of controlling several factors of the cardiovascular continuum, and contributes to a higher patient adherence to treatment. Therefore, the wider implementation of a polypill strategy will improve patients’ prognosis and quality of life.

scholarly journals The study of medication adherence in patients with arterial hypertension in the practice of a family doctor

2021 ◽  
pp. 76-82
Author(s):  
К. Vovk ◽  
O. Sokruto ◽  
A. Кratenko ◽  
R. Redkin ◽  
N. Orlovetska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Medication Adherence ◽  
Arterial Hypertension ◽  
Initial Level ◽  
Patient Adherence ◽  
Family Doctor ◽  
The Body ◽  
Brain Vessels

The treatment of arterial hypertension (AH) is one of the most significant problems of modern internal medicine. Elevated blood pressure (BP) is a major risk factor for atherosclerosis, mainly coronary heart disease and damage tothe brain vessels. Medication adherence (MA) is a complex problem in patients with chronic cardiovascular diseases, especially AH.Aim. To study MA when treating patients with AH in a real Ukrainian out-patient practice for 8 weeks.Materials and methods. The sample of 274 patients with AH included men and women over 18 years old with the initial level of office systolic blood pressure (SBP) of 140-179 mm Hg and diastolic blood pressure (DBP) of 99-100 mm Hg against the background of the antihypertensive therapy or without it. Initially, BP was measured at the doctor’s office (office blood pressure) in all patients who were enrolled in the study; the body mass index (BMI), as well as risk factors were calculated, and the concomitant therapy was assessed. The quality of life was determined by a visual analog scale (VAS score). Patient adherence to the drug therapy was evaluated using the Morisky Medication Adherence Scale (MMAS).Results and discussion. To conduct the study according the MMAS test all patients were distributed in two groups with low MA (MMAS = 3 or 4, n = 181) or high MA (MMAS ≤ 2, n = 93) by the psychometric scale. The results of the MMAS test obtained were confirmed by the reliability parameter used in psychometrics (Cronbach’s Alpha ˃ 0.7). It was found at the end of the study that BP levels less than 140/90 mm Hg of 50.6 % of the Low MA group patients and 47.7 % of the High MA group patients were reached. A decrease in SBP < 140 mm Hg or a decrease in 20 mm Hg and more from the initial level, as well as a decrease in DBP < 90 mm Hg or 10 mm Hg and more was observed in 98.8% of patients in the Low MA group and in 98.4 % in the High MA group. After 8 weeks of observation, the quality of life significantly improved in both groups; however, in the Low MA group this improvement was more pronounced – more than 85 points instead of 82.8 by the VAS scores for the High MA group.Conclusions. The effectiveness of the AH treatment and achievement in the target BP level depend on the patient’s MA. Regular visits to the family doctor’s clinic mobilize patients, and are one of the factors that increase adherence to the treatment, along with pharmaceutical care.

scholarly journals Relationship Between Social Capital and Life Quality of Female Patients with High Blood Pressure in Health Centers of Khalkhal in Iran

2020 ◽  
pp. 140-144
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Social Capital ◽  
High Blood Pressure ◽  
Life Quality ◽  
Health Centers ◽  
Survey Method ◽  
Statistical Population ◽  
Female Patients

Background: High blood pressure has become a major problem in developing countries. A method of controlling blood pressure is to improve the life quality of patients. Studies have emphasized the importance of examining the role of social capital in patients’ quality of life. The present study aimed to investigate the relationship between social capital and life quality of female patients with high blood pressure. Materials and Methods: The present correlative study was carried out using the survey method. The statistical population included all women referring to the health centers of Khalkhal in Iran with care reports within January 2018 to December 2019. The current study was carried out on a total of 3,684 individuals. The sample size consisted of 357 female patients with high blood pressure who were determined using Cochran’s formula and random sampling technique. In addition, to compare high blood pressure patients with other individuals, 357 subjects were selected from other referrals as the study subjects. The data collection tool was a researcher-designed questionnaire for social capital and 36-Item Short Form Survey (SF-36) for life quality. Moreover, the data were analyzed using Pearson’s correlation coefficient and t-test by SPSS software (version 22). Results: The obtained results of the current study showed that there was a significant relationship between social capital dimensions (i.e., social trust, social support, strong relationship, and associative membership) and life quality of patients with hypertension (P<0.05). It was also indicated that the average social capital of healthy individuals was higher than that reported for those with high blood pressure (P<0.05). Conclusion: By increasing social capital in patients with hypertension, their quality of life will improve.

Gender differences in hypertension-free life expectancy in Bangladesh

2017 ◽  
Vol 3 (1) ◽  
pp. 110 ◽  
Author(s):  
Md. Ismail Tareque ◽  
Yasuhiko Saito
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Gender Differences ◽  
Life Expectancy ◽  
Health Expectancy ◽  
Nationally Representative ◽  
And Control ◽  
Sullivan Method

In Bangladesh, although some research on health expectancy exists, life expectancies with and without hypertension (HTN) have never been computed. We examined gender differences in the prevalence of hypertension and Hypertension-Free Life Expectancy (HFLE) in Bangladesh. We used data from a nationally representative survey of 7,864 people aged 35 and older. We classified an individual as having HTN if s/he had blood pressure levels ≥140 mmHg systolic blood pressure or ≥90 mmHg diastolic blood pressure, or s/he was at the time on antihypertensive medication. The Sullivan method was employed to compute HFLE. We found that women have HTN in significantly higher percentages (32% of women vs. 19% of men), and the prevalence of HTN increases as age increases for both men and women. Among individuals with HTN, individuals unaware of HTN make up the largest group, followed by those with uncontrolled HTN, controlled HTN, and those who are aware of HTN but not in treatment. Compared with men, women could expect shorter HFLE at all ages, in terms of both number and proportion of years. To increase HFLE as well as quality of life and to prevent and control HTN in general and unawareness of HTN and uncontrolled HTN in particular, special care and attention should be given to women and older adults. The findings shed important light on the role of HTN in lowering the quality of life in Bangladesh. 

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