Medication adherence in patients with hypertension: Does satisfaction with doctor-patient relationship work?

Ahmad, Mahmood; Zamani, Ahmadreza; Tavakoli, Nasim; Farajzadegan, Ziba; Fathollahi-Dehkordi, Fariba

doi:10.4103/jrms.jrms_205_16

Cited by 34 publications

(14 citation statements)

References 22 publications

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“…MMAS-8 is known as a valid and reliable tool for measuring adherence to medications and its psychometric properties previously confirmed different languages and cultures including Persian (14,16,19). In Iran, the majority of studies regarding this issue have been carried out in a tertiary health care center, except one of them recently done in primary health care settings, however, with a sample size less than the one in the present study (8,10,12,16,20).…”

Section: Discussionsupporting

confidence: 58%

Treatment Adherence in Patients with Hypertension: A Cross Sectional Study from Southeast of Iran

Sadeghi

Ahmadipour

2018

Shiraz E-Med J

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Background: Poor adherence to antihypertensive treatment has been a global challenge. It is necessary for health care providers to identify the factors affecting treatment adherence. Objectives: The present study aimed to investigate the adherence to treatment and its related factors in patients with hypertension. Methods: A cross sectional study carried out from September 2017 to March 2018 on 600 patients with hypertension who were covered by urban community health centers in Kerman, Iran. The Persian version of Morisky medication adherence scale (P-MMAS-8) and hypertensive treatment adherence scale (HTAS) were used for assessing adherence to the medication and treatment, respectively. Data was analyzed by SPSS software version 19.0 using Independent t-test, ANOVA and logistic regression. Results: The mean age of participants was 56.44 ± 12.3 years, with the majority of them (70.0%) being female. Poor adherence to medication and treatment was found in 304 (50.7%) and in 238 (39.7%) patients, respectively. Age, level of education, and the presence of concurrent medical disease and psychological disorder significantly predicted the adherence to treatment. Conclusions: Poor adherence was common among hypertensive patients in our primary health care setting. Therefore, it is necessary for our health care providers to identify the factors associated with poor adherence to be intervened timely.

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Section: Discussionsupporting

confidence: 58%

Treatment Adherence in Patients with Hypertension: A Cross Sectional Study from Southeast of Iran

Sadeghi

Ahmadipour

2018

Shiraz E-Med J

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“…23 The benefits of adherence to treatment are needed to establish relation and promote appropriate treatment. 24,25 Comparing with the results obtained, participants with low adherence have higher rates of uncontrolled BP, and they have higher average of SBP and DBP. Thus, it can be verified that low adherence to therapy is an important risk factor for uncontrolled blood pressure.…”

Section: Arterial Hypertension Among Elderly In Primary Care Santana mentioning

confidence: 72%

Arterial hypertension in the elderly accompanied in primary care: profile and associated factors

et al. 2019

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Objective: to analyze blood pressure control in elderly hypertensives accompanied by a Basic Health Unit of the Federal District, determining the sociodemographic profile and the associated risk factors. Method: this is a cross-sectional study with 133 elderly hypertensive patients. Variables related to sociodemographic factors, life habits, clinical factors and adherence to drug therapy were evaluated through the application of semistructured instruments and validated scales. Results with p <0.05 were considered significant. Results: the elderly presented controlled blood pressure (56.4%) predominantly. The majority of the participants were female and women also had a higher rate of uncontrolled blood pressure (86.2%). Older age was associated with higher blood pressure values (p = 0.031). Alcoholism (p = 0.020) and mean body mass index of 33.0 (p <0.000) were factors associated with hypertension adherence to therapy had more controlled values of systolic and diastolic blood pressure. Conclusion and implications for the practice: it was verified that there is a strong association between the risk factors discussed and the lack of control of the blood pressure of elderly hypertensive, especially with regard to advanced age, alcoholism, obesity and overweight, and it is necessary to reorient the planning and strategies of promotion of health and prevention of diseases directed at the elderly hypertensive in the scope of primary health care.

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“…The role patient–physician relationship plays in hypertension care and medication adherence is well established in the literature[ 28 , 29 ]. Patients' satisfaction resulting from building the relationship and empathy with physicians appears to be associated with medication adherence among hypertensive patients[ 30 ]. Moreover, a patient-centered, multidisciplinary team has proved to be a key feature of effective care models that have been found to improve care processes and control rates globally[ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Patients' perceptions of self-management of high blood pressure in three low- and middle-income countries: findings from the BPMONITOR study

Al‐Rousan

Pesantes

Dadabhai

et al. 2020

Glob. Health Epidemiol.

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Hypertension is the leading risk factor for global disease burden. Self-management of high blood pressure (BP) through self-monitoring and self-titration of medications, has proved to be one successful and cost-effective tool to achieve better BP control in many high-income countries but not much is known about its potential in low- and middle-income countries (LMICs). We used semi-structured questionnaires and focus groups in three LMICs; Peru, Cameroon and Malawi to examine perceptions and attitudes of patients diagnosed with essential hypertension towards living with hypertension, BP measurement and treatment, patient–physician relationship and opinions about self-management of high blood pressure. Results in all three countries were comparable. Patients showed varied levels of health literacy related to hypertension. BP measurement habits were mostly affected by resources available and caregiver support. Treatment and adherence to it were primarily affected by cost. Most patients were welcoming of the idea of self-management but skeptical about the ability to do self-monitoring accurately and the safety involving self-titration of medications.

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Medication adherence in patients with hypertension: Does satisfaction with doctor-patient relationship work?

Cited by 34 publications

References 22 publications

Treatment Adherence in Patients with Hypertension: A Cross Sectional Study from Southeast of Iran

Treatment Adherence in Patients with Hypertension: A Cross Sectional Study from Southeast of Iran

Arterial hypertension in the elderly accompanied in primary care: profile and associated factors

Patients' perceptions of self-management of high blood pressure in three low- and middle-income countries: findings from the BPMONITOR study

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