&lt;b&gt;Factors related to blood pressure control in a prospective cohort of hypertensive outpatients

Wachholz, Patrick Alexander; Masuda, Paula Yoshiko; Ferrari, Ana Carolina; Boas, Paulo José Fortes Villas

doi:10.4025/actascihealthsci.v38i1.29379

Cited by 4 publications

(7 citation statements)

References 28 publications

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“…An inverse association between polypharmacy and blood pressure control was found, so that individuals with three or more prescribed antihypertensive drugs were less adherent to the medications. This result corroborates with other studies on adherence to the treatment of AH carried out in the context of primary care 9,15 and indicates the need to simplify as much as possible complex therapeutic regimens.…”

Section: Discussionsupporting

confidence: 90%

“…3 The mean age in this study, below the 6 th decade of life, was similar to that found in another study in Brazil that evaluated adherence to the treatment of AH. 9 Mean ages over 65 years old are verified in studies of developed countries and in some regions of the country with better socioeconomic conditions. 15,[21][22] Such contrasts reinforce the premature aging of the Brazilian population, especially in the North and Northeast regions, and the increasingly frequent reach of CNCDs at younger ages.…”

Section: Discussionmentioning

confidence: 92%

“…This percentage was higher than that evidenced by other studies. [8][9] A Brazilian study found different means of systolic and diastolic pressure between two groups: one with the "lack of adherence" Nursing diagnosis and the other without that diagnosis. Systolic pressure was approximately 10 mmHg higher in the first group.…”

Section: Discussionmentioning

confidence: 99%

“…However, a Brazilian study found that the change in blood pressure was associated with the female gender, attributing to this result a possible relationship between pressure control and sympathetic nervous muscle activity. 9 The uncontrolled blood pressure associated with older individuals is probably due to the older adults' difficulty in managing their health treatments. However, even with this difficulty, it is reported that the older adults have been more adherent to the antihypertensive medication, 25 perhaps due to the feeling of little vulnerability of younger people.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

Nascimento

Bezerra

2020

Texto contexto - enferm.

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Objective: to evaluate adherence to antihypertensive medication, blood pressure levels, and associated factors in hypertensive individuals monitored by primary health care. Method: a cross-sectional, descriptive and analytical study, carried out in Family Health Strategies in the city of Recife, Brazil. Data collection took place from April to August 2018. To assess adherence, the Morisky Medication Adherence Scale was used, an 8-item scale that addresses some behaviors when taking antihypertensive medication, such as: forgetfulness, non-intentional intake, reduced dose, interruption of treatment, and discomfort following the prescription. In the data analysis, the Chi-square and Kruskal-Wallis tests were used. Results: a total of 421 hypertensive individuals participated in the study. Low, medium and high adherence was observed, respectively, at 48.5%, 38.7% and 12.8%. High/Medium adherence was associated with single individuals (p=0.005), without work activity (p=0.043), who did not report stress (p=0.001) and hypertensive urgency/emergency (p=0.037), without side effects of antihypertensive drugs (p=0.012), and who made continuous use of other drugs (p=0.001). Blood pressure control was verified in 205 hypertensive individuals and an association was established with females (p=0.033), younger age (p=0.041), higher schooling (p=0.008), use of up to 2 antihypertensive drugs (p=0.006) and absence of side effects (p=0.026). Conclusion: the predominance of low adherence and uncontrolled pressure in some groups show the need to redirect health promotion actions in primary care, especially in the program for people with arterial hypertension and diabetes mellitus.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Nascimento

Bezerra

2020

Texto contexto - enferm.

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Consenso de expertos sobre el manejo clínico de la hipertensión arterial en Colombia. Sociedad Colombiana de Cardiología y Cirugía

Moya¹,

Moreno²,

Lombo³

et al. 2018

Revista Colombiana de Cardiología

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Associations between Socio-Demographic Factors and Hypertension Management during the COVID-19 Pandemic: Preliminary Findings from Malaysia

Elnaem

Kamarudin

Syed

et al. 2021

IJERPH

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The perspectives of hypertensive patients on the state of hypertension control during the ongoing pandemic restrictions have not been extensively studied in Malaysia. Therefore, this study aimed to assess the impact of socio-demographic factors, health literacy, and adherence on the overall hypertension management in a group of Malaysian hypertensive patients during the COVID-19 pandemic. An anonymous, online cross-sectional study was conducted over three months that involved a group of Malaysian adults with hypertension. A validated, self-administered 30-item questionnaire was prepared in Malay and English languages on Google Forms. The link was then distributed to participants on social media (Facebook and WhatsApp). Following survey validation, a pilot study with 30 participants who met the inclusion criteria was carried out. The total scores for health literacy, adherence, and pandemic impact on hypertension control were calculated and compared across all independent variables. In a total of 144 study participants, controlled blood pressure was reported in 77% (N = 111). There were good levels of adherence and health literacy scores but moderate levels of pandemic impact scores. The total adherence scores showed a statistically significant difference between age groups (χ2 = 6.48, p = 0.039) and those who reported having controlled and uncontrolled blood pressure (U = 1116, p = 0.001). Moreover, the analysis revealed statistically significant differences in total pandemic impact scores based on the age group (χ2 = 15.008, p = 0.001), household income (χ2 = 6.887, p = 0.032), employment (U = 1712, p = 0.006), and marital status (U = 520.5, p < 0.001). The youngest age group (18–39) years, the lowest income group, unemployed and unmarried individuals, had significantly higher pandemic impact scores. This denotes that those individuals were more prone to be negatively affected by the pandemic regarding their hypertension management. Most participants reported relatively controlled blood pressure and good levels of health literacy as well as adherence amidst the pandemic. To a moderate extent, study participants perceived that the pandemic had a negative effect on hypertension management. The perceived negative impact of the pandemic was attributed to several socio-demographic factors, such as age, household income, employment, and marital status.

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<b>Factors related to blood pressure control in a prospective cohort of hypertensive outpatients

Cited by 4 publications

References 28 publications

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

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

Consenso de expertos sobre el manejo clínico de la hipertensión arterial en Colombia. Sociedad Colombiana de Cardiología y Cirugía

Associations between Socio-Demographic Factors and Hypertension Management during the COVID-19 Pandemic: Preliminary Findings from Malaysia

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