Care Of Hypertensive Patients Research Articles

The use of herbal medicine for hypertension in rural and urban Thailand: a cross sectional study

IntroductionUsing herbal medicine to treat hypertension is common in Thailand. However, there is variation in the use of herbs between rural and urban areas. This study aims to observe the prevalence of herb use, describe herb users’ behaviours, and describe anti-hypertensive drug compliance among the users. MethodsA cross-sectional survey among hypertensive patients visiting primary care services in Tak (rural) and Chiang Mai (urban) provinces was conducted between March and April 2019. Patients were assessed by using questionnaires that gathered information about patient demographic data, history of hypertension, herb use behaviours, and the concurrent use of standard treatment. ResultsIn total, 400 participants were included in this study—200 from rural and 200 from urban areas. Sixty-two percent were female. The prevalence of herb use was 13.0% in urban areas and 17.5% in the rural areas. Rural participants reported a significantly longer duration of herb use (P < 0.01), and a significantly higher proportion of using unapproved herbal products (91% vs 54%, P < 0.001). Participants mostly use herbs along with standard treatment (86.9%); nevertheless, poor drug compliance was similar in both areas, with rural participants more frequently taking their medications at the wrong time (P = 0.03). ConclusionThere was a trend of higher use of unapproved herbals in rural participants. Drug compliance among herb users was poor. It is recommended that a comprehensive assessment of herb use is conducted during care for hypertensive patients in this and similar contexts.

The Implementation of Family Centered Care in Hypertensive Patients at Private Clinic

The Implementation of Family Centered Care in Hypertensive Patients at Private Clinic

Pembentukan Program Support System Injuri Spiritual dan Psikososial (Super Spesial) bagi Penderita Hipertensi

The increasing number of non-communicable diseases (NCDs) worldwide, makes it important to control and monitor patients with NCDs, especially hypertension. Handling Patients with Hypertension requires the role of a support system to be able to comply with the treatment. For this reason, it is necessary to form a Support System that knows and is able to provide solutions to family problems with hypertension, especially Spiritual, Psychological and Social. In this Community Service activity, it starts with screening the community with NCDs, meeting people with hypertension accompanied by their families and monitoring the evaluation of cadres, families as a support system. The results of this service activity are the formation of a family support system and cadres who know, understand and are able to provide education and support in the care of hypertension patients at home or in the community in spiritual, psychological and social aspects. This activity should be monitored continuously by health center and institutional staff.

MEDICATION ADHERENCE AND GENDER DIFFERENCE IN HYPERTENSIVE PATIENTS

Objective: One of the major clinical problems in the management of arterial hypertension (AH) is adherence to the medical regimen. Failure to adhere affects not only patients causing disease progression, reduced functional abilities as well as lower quality of life, but also the healthcare system due to medication waste and increased hospital visits and admissions. Data about hypertensive medication adherence in our region are lacking. Therefore, we aimed to assess medication adherence in our hypertensive patients in order to identify possible strategies to improve and enhance mentioned adherence. Design and method: This study included 324 participants with AH, of which 51.2 % were men, and with an overall median age of 64 years (IQR = 17). Along with the 24-hour ambulatory blood pressure measurement, each patient completed a medication adherence questionnaire, Morisky Medication Adherence Scale (MMAS-8). This self-reported questionnaire consists of 8 questions with a total score ranging from 0 to 8 and a lower score indicates lower adherence to the prescribed pharmacological antihypertensive therapy. Results: 51 (15.7%) participants had low, 114 (35.2%) had moderate and 159 (49.1%) had high medication adherence. There was no significant difference in MMAS-8 score regarding age (p = 0.334), however, men were found to have -higher adherence to antihypertensive therapy than women (58.5% vs. 41.5% had high adherence, respectively, p = 0.018). Conclusions: The results of our study showed that more than half of our hypertensive patients (50.9%) are not completely adherent to antihypertensive medication. Among all of them women were found to have lower adherence compared to men. Low medication adherence could lead to substantial worsening of disease as well as increased health care costs in care of hypertensive patients. Therefore, the presented results highlight the need for patient education and support to increase patient adherence in order to reduce cardiovascular risk.

Implementation of Nursing Care in Hypertension Patients with a family approach: A Case Study

Hypertension is the number one cause of death in the world every year, including in Indonesia. It has been proven that in Indonesia alone in 2020 there will be around 80 million people with hypertension. For this reason, prevention and control of hypertension in the community must be strengthened and improved in terms of quality of service, health promotion, community empowerment in early detection and monitoring of hypertension risk factors at First Level Health Facilities through Integrated Services for non-communicable diseases. The role of nurses is very important in preventing and controlling hypertension in the community, especially in First Level Health Facilities. Objective: To determine the implementation of family nursing care in hypertensive patients with a family approach as an effort to reduce blood pressure. Objective: To determine the implementation of family nursing care in hypertensive patients with a family approach as an effort to reduce blood pressure. Research Method: The design of this study used a case study method that implemented the application of family nursing care in hypertensive patients with a family approach as an effort to reduce blood pressure. This research was conducted on hypertensive patients in Mr. S's family with hypertension problems in Pedurenan Village, RT 08 RW 02 Karang Tengah, Tangerang. Results: Implementation of family nursing care with a family approach for 3 days reduced hypertension from 160/100mmHg to 140/80 mmHg.

Asuhan Keperawatan Nyeri Akut pada Ny. S dengan Hipertensi di Puskesmas Kembaran 1 Banyumas

Introduction: Hypertension is abnormally high blood pressure. In general, a person who is said to have hypertension if his blood pressure is 140/90 mmHg. Some of the signs and symptoms that often appear in people with hypertension, namely headaches when awake, blurred vision due to hypertensive damage to the retina, the way of walking begins to be disturbed due to the beginning of damage to the nervous system. However, the typical signs and symptoms found in hypertensive patients are headaches Objectives: To describe nursing care in hypertensive patients with acute pain Method: This research uses qualitative descriptive methods in the form of case studies. Nursing care was provided to Mrs.S during 3 home visits. Data collection techniques obtained from the results of interviews, observations, and physical examinations Result: The results of the study found that Mrs. S patient was 57 years old, had an elementary school education, and worked as a housewife. Mrs. S was diagnosed with hypertension with a blood pressure value of 160/100 mmHg. During the assessment, Mrs.S complained of pain in her head 3 days ago. Mrs. S got the drugs amlodipine and antalgic. Based on the data obtained, the patient experiences acute pain. Researchers provided interventions in non-pharmacological administration of a warm compress for three days, as well as teaching and explaining to families related to a warm compress. Conclusion: The action of a warm compress for 3 days shows a decrease in pain complaints and the patient's pain level, so it can be concluded that the administration of a warm compress is effective for treating pain in patients

MUSIC THERAPY WITH HYPERTENSIVE PATIENTS DURING THE PANDEMIC PERIOD - ONLINE MEETINGS AS PART OF MULTIPROFESSIONAL TREATMENT

Objective: This paper aims to report the participation of the music therapist in the care of hypertensive patients, using information and communication technology during the pandemic period in Brazil. Design and method: Before the pandemic, Music Therapy interventions took place mainly in the waiting room of the outpatient service and in meetings called Hypertensive’s Club. The main resources used were the voice and the guitar, more accessible instruments for care in a hospital environment. With the arrival of the Pandemic, in March 2020, during the period of social removal, there was an interruption of in-person calls. During this period, the patients were invited to meetings by Google Meeting and the music therapist conducted the interventions using the voice and instruments, such as the guitar, keyboard and/or drum. Online interventions lasted one hour. Interactive Music Therapy techniques were used, using singing as the main activity, in addition to music listening activities, with guided relaxation and breathing activities. Results: Interventions were carried out online, with the participation of hypertensive patients and, in some cases, family members who helped with the handling of cell phones/equipment, since most patients are elderly people with little experience in technology. Music Therapy had a humanistic approach and a look at the patient’s integrality, welcoming all feelings arising from anxiety, fear, stress and grief experienced in the pandemic period. The techniques used provided the self-perception of the body (breathing, heartbeat, posture, etc.) and the self-expression of feelings through songs chosen by the participants or improvised with the guidance of the music therapist. Spirituality and/or religiosity also emerged through the choices of songs, bringing to light the hope of better days and the strength needed to face the losses suffered by many of the participants. Conclusions: The music therapist’s action, through online consultations with hypertensive patients, helped to maintain the quality of life, to improve the individual’s entirety, to reduce stress and to express the patients’ subjectivity. Therefore, the music therapist in the multidisciplinary team contributed to the humanization of collective health care, in line with the National Policies of the Ministry of Health.

Telemedicine for hypertension management: where we stand, where we are headed

Hypertension is the leading cause of cardiovascular disease worldwide. Telemedicine may support doctors and health care professionals to raise awareness, increase detection, and improve the management of hypertension, by enhancing the connection with their patients. Given the growing popularity of telemedicine, the objective of the present review paper is to present the typical applications of telemedicine in hypertension management and available recommendations for use and summarize the evidence of their clinical efficacy before and during COVID-19 and the future trends and perspectives. Blood pressure telemonitoring (BPT), which enables remote transmission of BP and additional information on a patient’s health status from different settings to a healthcare facility, is the most common application of telemedicine for hypertension management. BPT is an integral component of a complex and multifaceted intervention, which includes video consultation, education on lifestyle and risk factors, antihypertensive medication review and management, and multidisciplinary team care. Several randomized controlled studies documented larger BP reduction and enhanced BP control with telemedicine compared to usual care. Telemedicine also helps optimize antihypertensive medications, improve treatment adherence, reduce office visits and resort to laboratory tests, and improve quality of life. At the time of COVID-19, telemedicine has helped to maintain adequate BP control in hypertensive patients under home confinement. Consequently, telemedicine is generally recommended to ensure continuity of care for hypertensive patients with uncontrolled BP, older patients, those at high risk of developing cardiovascular diseases, those with multiple comorbidities, medically underserved people, or patients isolated due to pandemics or national emergencies. Telemedicine applications relying on smart wearables, cuffless BP monitors, multiparametric devices, ambient sensors, and tools integrated with machine learning algorithms are particularly promising for telemedicine’s future development and diffusion since they may provide continuous surveillance of patients and remarkable support decision tools for doctors.

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice Abstract. The COVID-19 pandemic represents a major public health problem. A fraction of the population is at increased risk of developing complications of this disease, in particular older subjects as well as diabetic, obese and hypertensive patients. With regard to patients with high blood pressure, the existence of an increased risk remains to be confirmed in large controlled trials. So far the findings regarding this question are reassuring, whether these patients are treated or not. There seems to be no reason to worry when using blockers of the renin-angiotensin system. The observations available to date suggest that COVID-19 vaccine can be administered safely to hypertensive patients. In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice Abstract. The COVID-19 pandemic represents a major public health problem. A fraction of the population is at increased risk of developing complications of this disease, in particular older subjects as well as diabetic, obese and hypertensive patients. With regard to patients with high blood pressure, the existence of an increased risk remains to be confirmed in large controlled trials. So far the findings regarding this question are reassuring, whether these patients are treated or not. There seems to be no reason to worry when using blockers of the renin-angiotensin system. The observations available to date suggest that COVID-19 vaccine can be administered safely to hypertensive patients. In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.

Modalities of Prescription of Regular Physical Activity by Cardiologists in the Management of Hypertensive Patients at the Institute of Cardiology of Abidjan

Introduction-Objective: The clinical management of hypertension is well codified. It is based on drug and non-drug therapies, including regular physical activity. The aim was to evaluate the knowledge of physicians on the importance of regular physical activity (RPA) in the care of hypertensive patients at the Institute of Cardiology of Abidjan (ICA). Material and Methods: That was a prospective and descriptive study carried out from July 20, 2019 to September 7, 2019 at the Outpatient Department of the ICA. Our study population consisted of 32 physicians from the Outpatient Department of the ICA. To achieve our goal, we developed a questionnaire for the physicians, which included seventeen items related to the socio-occupational characteristics, to the level of knowledge of hypertension, to the attitudes and the practices in the management of hypertension, and to the factors limiting the accessibility to the practice of a physical activity. Results: The majority of the health professionals in our study were men (62.50%). Among 32 physicians, 56.25% were cardiologists and 75% had a seniority in position of 1 to 4 years. 81.25% of the physicians responded that the hypertensive patients could not only benefit from non-drug means. The suggestion of a complementary physical activity (jogging and brisk walking) to the hypertension treatment was found 137.5 times. Jogging and brisk walking were the main types of physical activity which were suggested to patients. All the physicians responded 3 times per week when they were asked about the frequency of activities proposed for the clinical management of patients with hypertension. Regarding the medical prescription on the type, frequency, and duration of RPA to patients, there was some discrepancy, although the majority of healthcare professionals recommended brisk walking and jogging. Their responses for a 60-minute physical activity were prevalent in 37.5% of cases. Regular physical activity ranked third in the management of the hypertensive patients. Nevertheless, all respondents proposed drug treatment associated with hygienic-dietary measures. 93.75% of health workers initially considered the physical condition of patients before they prepared them for the physical activity. The respondents regularly regarded the physical condition of the patient to evaluate the practice or not of an RPA at a frequency of 24 times in 57.89% of the cases. 93.75% of them confirmed that there was a positive relationship between the practice of the RPA and the improvement of the patient’s clinical state. Conclusion: The knowledge of physical activity and its benefits on the organism remains a problem for its application even though the health professionals know its positive impact on the prevention and the treatment of hypertension.

Rate of blood pressure control and its determinants among adult hypertensive patients at Jimma University Medical Center, Ethiopia: Prospective cohort study.

Introduction:Despite the fact that the goals for the management of hypertension are well-defined and effective therapies are available, control of hypertension remains poor in countries with low resources including Ethiopia. This study aimed to determine blood pressure control rate and its determinants among ambulatory adult hypertensive patients at Jimma University Medical Center.Methods:A general prospective cohort study was conducted among adult hypertensive patients who had regular follow-up at Jimma University Cardiac Clinic from 20 March to 20 June 2018. Hypertensive patients who fulfilled the inclusion criteria were selected in the first month of the data collection period. Then, only those patients who visited the clinic at the first month were consequently followed-up for the next 3 months. The Eighth Joint National Committee guideline was used to categorize controlled and uncontrolled blood pressures. Patients’ specific data were collected using a structured data collection tool. Data were analyzed using the statistical software package SPSS version 21.0. Bivariate and multivariable logistic regression analysis was used to identify independent variables influencing blood pressure control. p-values of less than 0.05 were considered statistically significant.Results:From a total of 416 patients, 237 (57.0%) were male with a mean age of 56.50 ± 11.96 years. Two hundred and fifty eight (62.0%) participants had comorbid conditions and 275 (66.1%) were on combination therapy. The rate of blood pressure control was 42.8%. Age ⩾60 years was negatively associated with uncontrolled blood pressure (adjusted odd ratio = 0.52, confidence interval = 0.31–0.88, p = 0.015). Medication non-adherence (adjusted odd ratio = 1.64, confidence interval = 1.04–2.58, p = 0.034) and non-adherence to international guidelines (adjusted odd ratio = 2.33, confidence interval = 1.49–3.64, p < 0001) were positively associated with uncontrolled blood pressure.Conclusion:The rate of blood pressure control among hypertensive patients was suboptimal. Age, clinicians’ non-adherence to international guidelines, and patients’ non-adherence to medications were independent predictors of blood pressure control. Physicians and clinical pharmacists should adhere to guidelines for better treatment and care of hypertensive patients.

Incorporating the patient-centered approach into clinical practice helps improve quality of care in cases of hypertension: a retrospective cohort study

BackgroundTreating hypertensive patients by integrating the patient-centered approach would influence the practice and outcome of treatment. Our purpose was to determine whether the implementation of a patient-centered approach in health care delivery can improve adhering to guidelines and the quality-of-care.MethodsA retrospective study was conducted using secondary data from the electronic medical records of the patients treated in the two primary care outpatient settings at the Family Medicine (FM) and Social Security (SS) clinics. A key feature of the FM clinic is the incorporation of a patient-centered approach in its service delivery. Individual information regarding initial assessment and treatment at the follow-up visits was reviewed for 1 year. Comparison of adherence to treatment guidelines between the two primary care clinics was performed by using chi-square, Fisher’s exact test or a t-test. To explore the difference in blood pressure and BP control between the two clinics, linear and logistic regression analysis respectively were performed with an adjustment for CV risk score in 2016 as a key confounder.ResultsThe evidence included 100 records from each clinic, showed variation between the two primary care sites. The FM clinic had more complete records regarding family history of hypertension, assessment for secondary causes, prescription for lifestyle modification and appropriate adjustment of medication. Higher levels of blood pressure control were recorded in the FM clinic, specifically systolic pressure 2.92 mmHg (p = 0.073) and diastolic pressure 5.38 mmHg (p < 0.001) lower than those recorded in the SS clinic. There was a 2.96 times higher chance for BP goals to be achieved in patients in receipt of hypertensive care at the FM clinic (p = 0.004).ConclusionsAdopting a patient-centered approach in service delivery could improve the quality of care for hypertension patients in primary care in Thailand.

MAPEC-Salta Project: A New Care Model for Hypertensive Patients in Primary Health Care in the City of Salta, Argentina

Background: Hypertension (HT) is the first cause of worldwide cardiovascular morbidity and mortality. However, it is often a poorlycontrolled disease, mainly because health care systems are oriented to the attention of acute diseases. The Argentine Ministry ofHealth proposed a new model for the care of hypertensive patients called MAPEC, based on the Chronic Care Model.Objective: The aim of this study was to evaluate the impact of MAPEC implementation to improve blood pressure (BP) control,changes in lifestyle, disease knowledge and treatment adherence in hypertensive patients treated in three primary health care centersof the City of Salta, Argentina.Methods: Blood pressure was measured with a digital blood pressure monitor and the Batalla and Morisky-Green-Levine tests wereused to evaluate disease knowledge and adherence to treatment, respectively.Results: The study included 232 patients. After model implementation, significant differences (p<0.0001) were found in bloodpressure control, disease understanding, treatment adherence and changes in hygienic-dietary measures. There was a decrease inmean BP with a reduction of 12.97 (95% CI: 9.52-16.42) mm Hg and 6.93 (95% CI: 4.70-9.16) mm Hg in systolic and diastolic BP,respectively.Conclusions: There was evident improvement in the analyzed health parameters after MAPEC implementation. This model canbe easily adapted to primary health care centers at a low cost. In addition, it agrees with the 25×25 WHO targets to reduce 25%cardiovascular premature deaths by 2025.

Assessment of Regular Physical Activity in the Care of Hypertensive Patients at the Cardiology Institute of Abidjan and at the National Police Hospital (Ivory Coast)

Aim: Physical activity and other lifestyle changes are an important part of the guidelines for anti-hypertensive therapy. The effect of physical activity on hypertension and heart disease has been well described. No study in our context has been done on this issue. The aim of this study was to evaluate regular physical activity in the management of hypertensive patients at the Cardiology Institute of Abidjan and the National Police Hospital. Material and methods: This was a prospective and descriptive study held in the External Consultations and Rehabilitation Departments of the aforementioned structures. It started on July 20, 2017 and ended on September 7, 2017. The data were analyzed on SPSS version 22. A p-value of less than 0.05 was considered to be statistically significant. Results: Out of the 190 hypertensive patients recruited and educated, only 70 actually participated in the physical activities that took place in the Rehabilitation Department of Heart Institute. The mean age of the patients was 52 years ± 15 years. The most affected age group was between 40 and 49 years of age (47.40%).There was a male predominance with a sex ratio of 1.11. 63.16% of the patients had a superior. The follow-up time for Hypertension was more than one year in 73.68% of the cases. Our study highlighted the knowledge of the virtues of regular physical activity on the body in 94.74% of cases. Physical activity was prescribed in 94.74% of cases. It was practiced in 63.16% of cases. The mains reasons given for those who did not practice physical activity were “lack of willpower” (90%) and physical activity considered “too tiring” (70%). Physically active patients had a significant decrease of 17.98 mmHg in systolic blood pressure (p Conclusion: The practice of physical activity in the control of hypertension remains insufficient at the Abidjan Heart Institute. Despite this insufficiency, physical exercise seems to have a positive effect on blood pressure control associated with antihypertensive pharmacological treatment.

Perception of nursing in Primary Health Care about patients with hypertension: does King explain?

to understand nurses' perceptions about Imogene King's concepts on CMIOS and its association with caring for patients with hypertension in Primary Health Care. a qualitative interventionist research with Family Health Strategy nurses who care for patients with hypertension at Primary Health Care in Maracanaú-CE. A focus group was held with seven nurses, in two audio-recorded and transcribed meetings, to analyze the production of meanings based on discursive practices. the categories personal system, interpersonal system, and social system emerged referring to the potentialities and difficulties found both for understanding concepts, but also in the interaction with oneself, with hypertensive patients and health organization, with a view to adequate care for hypertensive patients. it was verified the understanding of nurses' knowledge in relation to King's concepts, associating its application in the context of care for patients with hypertension.

CHANGES IN STRESS LEVELS IN PATIENTS FOR AGE HYPERTENSION AFTER GETTING MUSIC THERAPY

Background: Stress is the response of the body and mind to everything that disturbs a person's balance. Stress can also be experienced by anyone without knowing the age limit and has a long-term effect, it also results in to increase in disease conditions one of which is hypertension in every stage of human life, especially in the elderly (Elderly). One of non-pharmacological method that can reduce blood pressure is by providing music therapy. Aims: This study to determine music therapy for changes in stress levels in elderly hypertensive patients. The design of this study is analytic operational using the cross-sectional approach. Methods: was analytic correlation using a cross-sectional approach. The population in this study amounted to 214 people. A sample of 21 respondents was obtained using a purposive sampling technique, and data were collected using the DASS (Depression Anxiety Stress Scale) questionnaire and a blood pressure measurement tool for sphygmomanometers. Result: Chi-Square analysis with an alternative test is the Exact Test using SPSS. The results of the study stress levels in elderly hypertensive patients are in the mild category that is 81%. This shows that there is a significant relationship between stress levels and hypertension in elderly hypertension patients with significance level α = 0.05 or 95% value ρ = 0.012 &lt;α = 0.05. Conclusion: The conclusion is the relationship of music therapy to changes in stress levels in elderly hypertensive patients in the working area of ​​the Tateli Health Center in Mandolang District. Suggestions for future researchers This study can be used as a reference to increase knowledge in carrying out nursing care in hypertensive patients, especially it is recommended that you use an audiometry device in order to know the level of hearing.

Kajian Proses Asuhan Gizi Terstandar (PAGT) Pada Pasien Hipertensi Di Rumah Sakit Umum Daerah Ende

The process of standardized nutrition care is an activity carried out on patients who are at risk of malnutrition, already experiencing malnutrition and special conditions with certain diseases. As for the steps of nutrition care process is namely nutrition assessment, diagnosis and intervention. Based on medical records at Ende Regional Hospital the number of inpatient hypertension patients was 442 in 2018. Nutrition services especially nutrition care process in hospital have been done well, but the implementation is still not optimal due to luck of nutritionists. This research was conducted to determine the process of standardized nutrition care in hypertensive patients in RSUD Ende. This research is a descriptive study with a qualitative approach. Informants key in this study are nutritionist and supporting informants is nutrition workers and hypertensive patients. The results of the study had been carried out well in Ende Regional Hospital,but the implementation was not optimal due to lack of nutritionists and nurses’ knowledge about nutrition. Standarduzed nutrition care can provide a good change for hypertensive patients, giving the right diet can reduce the hypertensive patient’s blood pressure. The results of this study are expected to further improve well-standarduzed nutrition care services to patients in accordance with the steps of nutrition care process so that it can help the healing process of disease.

Team-based care for hypertensive patients is essential in low- and middle-income countries.

Team-based care for hypertensive patients is essential in low- and middle-income countries.

Adaption and validation of Nijmegen continuity questionnaire to recognize the influencing factors of continuity of care for hypertensive patients in China

BackgroundContinuity of care (COC) has become a primary point of concern for care providers in both developed and developing countries, which is regarded as the “cornerstone of care” and an “essential element” of good health care. A robust and proper instrument is of necessity to identify problems and evaluate intervention aimed at improving continuity of care. This study aimed to adapt Nijmegen continuity questionnaire (NCQ) into a Chinese version (NCQ-C) and to delineate the status of COC as well as explore its influencing factors for hypertensive patients in China.MethodsA forward-back-translation procedure was adopted for the determination of the adaption of NCQ. Then a total of 448 patients completed questionnaires and 24-h ambulatory blood pressure monitoring (ABPM). Proper indexes were calculated to test the reliability and validity of NCQ-C. Logistic analysis were used to detect the influencing factors of COC.ResultsThe NCQ-C had excellent intraclass correlation coefficient of 0.855 and internal consistency of seven dimensions varied from 0.907 to 0.944. The item-content validity index ranged from 0.71 to 1.00. For construct validity, seven-factor structure was confirmed as original questionnaire and all the fit indices indicated acceptable levels. Gender, education level, medical insurance and frequency of family visits, blood pressure level, depression status as well as general health perception were demonstrated to be statistically related to COC.ConclusionsIn addition, all the parameters of ABPM were negatively significant with COC. The NCQ-C has shown acceptable level of reliability and validity. The related factors of COC should arouse care providers’ attention.