Knowledge Of Hypertensive Patients Research Articles

Analysis of Family Support and Knowledge of Hypertension Patients with Drug Compliance in Posbindu Sentralsari Village and East Central Village Toili District, Banggai District

Hypertension is a chronic disease and is a major risk factor for Hypertensive patients must have compliance in order to avoid various risks of other diseases. The purpose of this study is to analyze the relationshipfamily support and knowledge of hypertension sufferers with medication adherence in Posbindu Sentralsari Village and East Sentral Village, Toili District, Banggai Regency. In this study using a correlational analytic design with a cross sectional approach.The sample is some of the pre-elderly and elderly hypertension sufferers in Posbindu, Sentralsari Villageand East Central VillageToili District, Banggai Regency in January 2022 as many as 80 respondents, sampling method using simple random sampling technique. Data collection by using a questionnaire. Bivariate analysis using the Spearman Rank statistical test with a significant level of = 0.05. The results of the study showed that from 80 respondents. Many as 35 respondents (43.8%), most of the respondents had less knowledge as many as 47 respondents (58.8%) and almost half of the respondents were obedient to taking hypertension medication as many as 38 respondents (47, 5%).The results of data analysis using the Spearman Rank statistical test obtained P value < 0.05 (0.000 < 0.05) which meansthere isconnectionfamily support and knowledge of hypertension sufferers with medication adherence in Posbindu Sentralsari Village and East Sentral Village, Toili District, Banggai Regency. Lack of family support and the level of knowledge of hypertension sufferers who are less will affect non-compliance in taking hypertension medication, while good family support and good knowledge of hypertension sufferers will affect compliance in taking hypertension medication.

The correlation between knowledge, attitude and family support on compliance of outpatients with hypertension in a healthcare centre in Indonesia

Background: Hypertension is a silent killer disease in the community. The success of hypertension therapy is influenced by adherence to medication. Three factors that shape compliance behaviour are knowledge and attitudes (these are predisposing factors) and family support (as a reinforcing factor). The majority of people in Indonesia choose healthcare centers when seeking hypertension treatment. Non-adherence to treatment has an impact on the incidence of complications. Objective: This current study was conducted on outpatients in the Tanggulangin Primary Healthcare Centre, Sidoarjo, Indonesia. Method: This study used a correlational design and a cross-sectional approach, involving 72 people in the sample. The variables measured were: knowledge, attitudes of patients, family support as well as patient compliance with hypertension treatment. Data was collected through a questionnaire instrument. Data analysis was done descriptively and correlatively. Results: The most widely accepted hypertension drug was amlodipine 78.6%, and a single therapy was given to 86.1% of patients. Most patients had suffered from hypertension for less than one year (38.9%); and half of the patients had family members who suffered from hypertension (52.1%). Patient knowledge of hypertension was moderate (69.4%). Most of the patients had a positive attitude (83.3%), good family support (76.5%), however, 94.5% did not comply with medication. The Spearman Rho test showed compliance with treatment was influenced by knowledge (5.9%) and attitude (14.8%). Meanwhile, the family support variable had no effect on compliance. Conclusion: This study concludes patient compliance to hypertension medication in the Tanggulangin Primary Healthcare Centre is only influenced by patient knowledge and attitudes.

PENDAMPINGAN HEALTH MANAGEMENT BERBASIS APLIKASI SEBAGAI MEDIA SELF-MANAGEMENT PENDERITA HIPERTENSI DI WILAYAH RW 07 KELURAHAN KAPASAN KECAMATAN SIMOKERTO SURABAYA

Introduction & Aim: Patients with hypertension have a tendency not to self-management of their disease. The method that can be used to improve self-management is to utilize existing digital technologies such as smartphone-based mobile health. This community service aims to improve the self-management of hypertension patients. Method of Activity: Implementation of assistance in the application of health management applications with a frequency of 3 times for 3 weeks. To measure the success of the activity, pre-test and post-tests were carried out which included data on the knowledge of hypertension patients in carrying out self-management. Data were presented descriptively to analyze the effectiveness of activities. Results: The intervention in providing education and assistance in using the application showed that most of the respondents had understood smartphone applications as a media for self-management. This was evidenced by the fact that the knowledge of the respondents increased from the beginning, the knowledge of the respondents was lacking by 17 people (51.52%) then became 18 people (54.55). %) with good knowledge. Discussion: The assistance implementation of application health management is to improve the knowledge of respondents regarding self-management to control his health effectively. Self-management in hypertension patients is the application of the DASH diet, blood pressure control, physical activity, and drug consumption. This intervention can provide motivation for people with hypertension to be able to do self-management in order to improve self-efficacy & quality of life.

Increasing Awareness of Hypertensive Patients About Their Blood Pressure Readings During Clinic Visits in a Tertiary Hospital in Riyadh.

Introduction Hypertension(HTN) is one of the most important cardiovascular risk factors. It is associated with significant complications, such as coronary artery disease, stroke, and chronic kidney disease. Awareness among hypertensive patients regarding their blood pressure (BP) is low in the Kingdom of Saudi Arabia. Aim This study aimed to evaluate the awareness of patients regarding their BP readings and to identify which aspects of HTN they needed to be informed about. Patients and methods A descriptive cross-sectional study was conducted among hypertensive patients attending outpatient clinics at King Fahad Medical City, Riyadh, Saudi Arabia. An electronicquestionnaire was used by a trained physicianto collect datafrom patients during telephone interviews. The information included socio-demographic data (i.e., age, gender, and education), family history, compliance with medications, and BP measurements. Patients were asked to answer questions to assess their awareness of their BP readings. Results Of the 475 hypertensive patients included in this study, 32.7% were aged between 56 and 65 years and 60.4% were female. The proportion of patients who had knowledge of their target BP (systolic: 120-129 mmHg; diastolic: 80-84mmHg) was 74.4%. The significant independent predictors of increased knowledge about BP were a high level of education, regular measurement of BP, and having received education about a healthy lifestyle. The significant independent predictor of decreased knowledge about BP was having an acceptable or poor understanding of chronic BP. Conclusion Hypertensive patients visiting the outpatient clinic at King Fahad Hospital had a good understanding of their target BP readings. Educated patients who regularly measured their BP and who received education about a healthy lifestyle tended to exhibit a higher motivation to achieve their BP targets. More research is needed to gain more insights into the knowledge of hypertensive patients and into how they manage their BP to determine the factors that influence their knowledge.

A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Complementary Therapy on Management of Hypertension among Hypertensive Patients Attending to Shirur Primary Health Centre Bagalkot District

Background of the Study: Hypertension is a cardiovascular disorder in which a person having high blood pressure over time. Those who are new to illness deal with fear, sorrow, and also lack of knowledge of the family members leads to more complications like recurrence. A study to assess the effectiveness of Structure Teaching Programme on knowledge regarding complementary therapy on management of hypertension among hypertensive patients attending to shirur primary health center Bagalkot district. Objectives: A study to assess the Knowledge regarding complementary therapy on management of hypertension among hypertensive patient. To assess the effectiveness of Structure Teaching Programme regarding complementary therapy on hypertension among hypertensive patients To find out the association between post test knowledge score with selected socio-demographic variables. Methodology: The pre-experimental one group pre test post test design was adopted for the present study. The sample for the present study includes 40 people from selected primary health centre shirur at Bagalkot District using simple random sampling technique. The data collected using structure close ended questionnaire and data was analyzed using descriptive and inferential statistics. Results: The levels of knowledge regarding complementary therapy on management of hypertension among hypertensive patients. Reveals that, most of pre test people (92.5%) had average knowledge (7.5%) them had poor knowledge. Whereas in post test majority people (67.5) of the people had good knowledge level (32.5%) of them had very good knowledge Similarly significant association was found between knowledge of hypertensive patients and demographic variables like gender (c2=1.11; p<0.05) education (c2=5.19; p<0.05) occupation (c2=3.56; p<0.05) types of family (c2=0.80; p<0.05). Conclusion: Findings show that, there is significant difference in knowledge of management of hypertension among hypertensive patients. Thus it is concluded that structure teaching programme should be administered to the hypertensive patients enhance knowledge regarding management of hypertension. Keywords: Hypertension, Knowledge, Structure Teaching Programme.

Effects of medication knowledge on medication adherence among hypertensive patients at Matero level one hospital, Lusaka city, Zambia: a cross sectional study

Background: Medication adherence is the mainstay to good treatment outcomes. Failure to adhere to medication in hypertensive patients may lead to considerable deterioration of the disease resulting in increased costs of healthcare and mortality. Knowledge about the name of the drug, indications and side effects may enhance medication adherence. Therefore, the aim of this study was to assess effects of medication knowledge on medication adherence among hypertensive patients.Methods: This was a cross-sectional study that involved 120 hypertensive patients. A structured questionnaire was used to collect data on demographic characteristics. Adherence was assessed using the 8-item Morisky medication adherence scale while patient’s medication knowledge was assessed using a 7-item scale. Multiple logistic regression was used to assess factors associated with medication adherence.Results: The mean age of participants was 59 years (SD±14.9) and 10 (8.3%), 42 (35%) and 68 (56.7%) had adequate, average and poor medication knowledge respectively. The prevalence of adherence in this study was 37.5%. In multivariable logistic regression analysis, uncontrolled blood pressure (BP) (AOR: 0.38, CI: 0.16-0.90) was associated with lower likelihood of adhering to medication.Conclusions: The adherence level to treatment was low and medication knowledge of hypertensive patients was generally poor. Uncontrolled BP was associated with non-adherence. Patients with uncontrolled hypertension should be given health education and counselling regarding their condition to improve medication adherence.

A Descriptive Study to assess the knowledge regarding Transient Ischemic Attack among hypertensive patients

The study entitled “A descriptive study to assess the knowledge regarding transient ischemic attack among hypertensive patients in Bishop Benziger Hospital at Kollam”. The objectives of the study was to assess the knowledge regarding transient ischemic attack among hypertensive patients in Bishop Benziger Hospital at Kollam, to determine the association between knowledge regarding transient ischemic attack among hypertensive patients and selected demographic variables like age, gender, education, occupation, period of diagnosis. In this study, research approach was quantitative research Purposive sample was used. The sample size was 100. The investigator assessed the knowledge of hypertensive patients by using structured knowledge questionnaire regarding transient ischemic attack after taking consent from sample. The findings of the study have been discussed in relation to objectives and similar studies. In the present study 28% had very poor knowledge, 25% had poor knowledge, 30% had average knowledge, 15% had good knowledge and only 2% had very good knowledge regarding transient ischemic attack. Association was computed by chi square test. The present study shows significant association between knowledgeregarding transient ischemic attack among hypertensive patients with selected demographic variables such as age, gender, education and occupation (calculated value > tabulated value) at 0.05 level of significance.

Knowledge towards Prevention and Early Detection of Chronic Kidney Disease and Associated Factors among Hypertensive Patients at a Chronic Illness Clinic of Jimma Town Public Hospitals.

Background Morbidity and mortality due to chronic kidney disease are increasing among hypertensive patients in Sub-Saharan Africa. The majority of hypertensive patients with chronic kidney disease are not diagnosed at an early stage because of poor knowledge. However, to the best of our knowledge, there is no study conducted in Ethiopia about knowledge of hypertensive patients towards prevention and early detection of chronic kidney disease. Thus, the aim of this study was to assess knowledge towards prevention and early detection of chronic kidney disease and associated factors among hypertensive patients at Jimma town public hospitals, Ethiopia. Methods A hospital-based cross-sectional study was conducted among 332 hypertensive patients using an interviewer-administered questionnaire and medical record reviewing from April 5 to May 21, 2019. Study participants were selected using simple random sampling. Data were collected by using a standardized questionnaire. Data were entered into Epidata version 3.1 and analyzed by SPSS version 23. Descriptive statistics and bivariable and multivariable logistic regression were applied. To identify factors, a 95% confidence level and P value of less than 0.05 were considered. Results Over half (59.6%) were males, and the mean (±SD) age of participants was 54.92 (12.91) years. Among the total participants, more than half of them (47.9%) had good knowledge. Attending secondary education (AOR = 2.9, P = 0.014), higher education (AOR = 5.4, P = 0.001), working in private sectors (AOR = 4.3, P = 0.001), taking three and above drugs per day (AOR = 0.55, P = 0.016), and having a family history of kidney disease (AOR = 2.3, P = 0.012) were significantly associated with knowledge. Conclusion and Recommendation. Near to half of the study participants had good knowledge towards prevention and early detection of chronic kidney disease. Attending secondary education and above, working in private sectors, taking three and above drugs per day, and having a family history of kidney disease were independent predictors of knowledge. Hypertensive patients should be encouraged to be aware of risk factors of CKD, and health care providers should educate hypertensive patients about the prevention and early detection of chronic kidney disease.

COMPLIANCE TO ANTIHYPERTENSIVE MEDICATIONS IN OUTPATIENT TREATMENT PRIOR TO BE AD- MITTED TO DEPARTMENT OF INTERNAL MEDICINE, HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Introduction: Hypertension is a global problem with large prevalence and rapidly increasing. Hypertension is a chronic disease that causes damage to targeted organs, results in morbidity or mortality affecting the patient and the burden of public health. Effective blood pressure management helps reduce the risk of complications and reduce morbidity, bringing quality of life to patients. This demanding requires long-term, continuous treatment and combined solutions, in which compliance with drug therapy plays a very important role. Objectives: To investigate the current status of compliance with hypertension medication and the relationship between compliance to drug therapy and related factors. Methods: Cross-sectional study. The subjects included 224 hypertensive patients with a history of outpatient management who were being received treatment at the Department of Internal Medicine, Hue University of Medicine and Pharmacy Hospital. Results: The compliance rate for the use hypertension medication was 72.3%, corresponding to a good level of 39.1% and an average of 33.2%. The rate of poor compliance and non-compliance was 27.7%. Conclusions: Many factors, including demographic characteristics (gender, age, geography, job, education), disease-related traits (circumstance of diagnosis, duration of disease), patient knowledge of hypertension (BP, medication, diet, activities, periodic examination) and the provision of medical information (risks, treatments, reminder, health insurance), were found to be significantly associated with compliance to drug therapy. Key words: Compliance to drug therapy, hypertension, Morisky mediation adherence scale-8 (MMAS-8)

HUBUNGAN TINGKAT PENGETAHUAN PASIEN HIPERTENSI DENGAN UPAYA PENGENDALIAN HIPERTENSI DI UPTD PUSKESMAS PEMBANTU BERNGAM BINJAI

WHO (World Health Organization) noted that in 2013 at least 839 million cases of hypertension occurred worldwide. In Indonesia there was an increase in the prevalence of hypertension. Overall the prevalence of hypertension in Indonesia in 2013 was 26.5% 1. And in North Sumatra, the prevalence of hypertension in 2013 was 24.7%. People with hypertension are increasing every year almost all over the world and cause global public health problems that contribute to the burden of heart disease, stroke, kidney failure, disability and premature death. This type of research is an analytical quantitative study with cross-sectional design, with a total sample of 56 people with hypertension and the sampling technique used is simple random sampling. Data analysis using chi square test. The results of the study were 45-54 years old (35.7%), female gender (53.6%), high school education (42.9%) and the work of farmers / fishermen / laborers 37.5%). Good level of knowledge (67.9%), adequate hypertension control efforts (64.3%) Chi square test results showed variables related to hypertension control efforts were education, occupation, knowledge of hypertensive patients (p <0.05). It is recommended for the puskesmas to improve health implementation programs, especially early detection of hypertension so that prevention programs can be done quickly to avoid more severe hypertension. It is hoped that the community will participate in the Healthy Living Movement (GERMAS) program, which focuses on three activities, namely: doing 30 minutes of exercise a day, eating fruits and vegetables; and check health regularly.

Hypertensive Patients' Knowledge of Risk Factors and Warning Signs of Stroke at Felege Hiwot Referral Hospital, Northwest Ethiopia: A Cross-Sectional Study.

Background Stroke is a neurological condition which is a major cause of death and disability in many low- and middle-income countries. However, several modifiable risk factors are becoming significant. Hypertension is the most common stroke risk factor globally as well as in our country, Ethiopia. Objective The aim of this study was to assess hypertensive patients' knowledge of risk factors and warning signs of stroke at Felege Hiwot Referral Hospital, Northwest Ethiopia, 2018. Method An institutional based cross-sectional study design was conducted in May 01–30/2018. A total of 278 hypertensive patients were enrolled and systemic random sampling technique was employed to select the study participants. Data was collected through an interviewer-administered questionnaire. The collected data was entered into Epi info 7 and exported to SPSS version 22 for analysis. Binary and multivariable logistic regressions were used and P value ≤ 0.05 was considered as statistically significant. Result Out of the total 284 selected hypertensive patients, 278 of them responded completely with a response rate of 97.9 %. Of these, more than three fourths, 214 (77%) and 201 (72.3%), of them did not identify any risk factors and warning signs of stroke, respectively, with an overall proportion of only 18.3% of them having good knowledge towards stroke. Risk factor of stroke most commonly known to the respondents was physical inactivity (21.58%), whereas hypertension was the least described risk factor (3.6%). Regarding stroke warning signs, sudden weakness on one side of the body (35.97%) was the most commonly known warning sign of stroke to the respondents. Being able to read and write, being young, urban residence, and having sufficient monthly income were significantly associated with the overall knowledge of hypertensive patients towards stroke. These findings suggest the need for emphasizing on stroke education regarding its risk factors and warning signs through public or social media and health education targeting to low-income high risk subjects.

PENGETAHUAN PASIEN TENTANG UPAYA PENCEGAHAN STROKE DENGAN TERAPI NON-FARMAKOLOGI DI POLI DALAM RSU DR. SLAMET GARUT

Hypertension that occurs for years can cause various problems. Effort to measure blood pressure regularly and treat it effectively, aim to prevent complications. Someone who usually smoke and let high cholesterol levels in the blood more at risk of complications. One of the complications caused by hypertension is stroke, so it is necessary to control the hypertensive patients because hypertension control can be the key prevention of stroke. This study aims to find out how the knowledge of hypertensive patients about stroke prevention efforts by way of non-pharmacologic therapy, Non-pharmacological therapies here include regular exercise, low-salt diet and lifestyle changes.The type of research is descriptive research, the polpulation in this study is all hypertensive patients who come to the Poly In dr. Slamet Garut in August 2012. The sample in this research using non probability method with accidental sampling with 25 samples. Obtained that the knowledge of hypertensive patients about the effort of stroke prevention by non-pharmacological therapy in Poli In dr. Slamet Garut from 25 respondents, have the best knowledge as much as 28.00%, knowledge enough 36.00%, have knowledge less 36.00%.Most of the respondents who studied about the knowledge of hypertensive patients about stroke prevention efforts by non-pharmacological therapy in Inner Polyclinic dr. Slamet Garut has less knowledge and enough knowledge respectively that is 36.00% (9 persons).

Appraisal of the Knowledge of Hypertensive Patients Regarding Blood Pressure Control and Comorbidities: Results of a French Regional Survey.

Knowledge about hypertension might influence blood pressure (BP) control and adherence to treatment. This study was conducted in collaboration with 11 pharmacies to assess the level of knowledge about hypertension and BP targets among the hypertensive population in the French region of Alsace. Study participants (N=380) were hypertensive adult patients visiting a pharmacy spontaneously from June to October, 2013, to get their regular prescribed medications including at least one antihypertensive agent. After filling a questionnaire, they were asked to record their BP themselves. The participants were 66years of age, mostly women (51%), non smokers (80%), with an education level lower than A-level (70%). Of them, 35% were obese and 74% reported being hypertensive for more than 12years. Almost half of them used a home BP monitor. When queried about BP targets, 78% of participants gave values under 140/90mm Hg. Heart disease and stroke were reported to be associated with hypertension by 78 and 66% of participants, respectively. Participants were taking two pharmacological classes mostly administered as fixed-combination drugs and 39.5% were compliant. Optimal BP targets (135/85) were achieved by 43%. A better BP control was observed significantly (p=0.02) more often when BP targets were known. Uncontrolled participants were more likely (p=0.006) to be aware of being hypertensive and less satisfied with BP control (p=0.003). This study highlights the impact of patient knowledge and BP self-monitoring as well as the role of pharmacists to improve hypertension control.

Prevalence of Hypertension among Post Stroke Patients in Africa: A Case-Control Study (P04.069)

Objective: To determine whether the level of blood pressure (BP) control in post stroke patients is related to patient knowledge of hypertension. Background Stroke is the 2nd leading cause of death worldwide with 2/3 of stroke deaths occurring in developing countries. Design/Methods: For this case-control study, patients with stroke history (n=157) were compared with randomly selected stroke-free controls (n=149). Subject demographics and clinical characteristics were recorded and hypertension-related knowledge assessed by questionnaire. Knowledge was quantified by the number of correct answers in response to questions on hypertension symptoms and methods of BP control; 75% correct responses were rated as knowledgeable. Multiple logistic regression was used to determine factors associated with hypertension knowledge, hypertensive-range BP at the time of clinic visit, and poor control among those with a history of hypertension. The study was Institutional Review Board approved and all subjects provided consent. Results: The mean age of the cases was 58.4 16.0 years vs. 52.1 13.3 years for controls (p=0.0001); 69.4% of cases vs. 54.4% of controls were hypertensive at the time of the visit (p=0.071). Having history of hypertension (p=0.015), lack of stroke history (p=0.0001) and higher levels of adherence to antihypertensive medication were independently associated with greater hypertension knowledge. A history of hypertension (p=0.0001) and older age (p=0.044) were independently associated with hypertensive-range BP at time of visit whereas known hypertensive patients with poor BP control more commonly had greater hypertension knowledge (p=0.033), history of hypertension (p=0.0001) and were more commonly men (p=0.034). Conclusions: Hypertension is common among Ugandans with and without a history of stroke. Those without prior stroke who had a history of hypertension and were more adherent to control medications were more knowledgeable about their condition although this was not reflected in their BP control. Barriers to effective treatment other than patient knowledge need to be identified. Supported by: Fogarty International Center of the US National Institutes of Health; Makerere College of Health Sciences, Uganda and Duke University, USA. Disclosure: Dr. Kaddumukasa has nothing to disclose. Dr. Goldstein has received personal compensation for activities with Medoc, Merck & Co., Inc., Bristol-Myers Squibb Company as a consultant. Dr. Goldstein has received personal compensation in an editorial capacity for Medical Tribune Japan and UptoDate. Dr. Goldstein has received (royalty or license fee or contractual rights) payments from Henry Stewart Talks. Dr. Goldstein has received research support from AGA Medical and Abbott Laboratories, Inc. Dr. Duncan has received personal compensation for activities with NIH, Allergan, Wyeth, NIH-NINDS Center for Rehabilitation, and Accordia as a consultant. Dr. Ddumba has nothing to disclose.

Evaluation of Blood Pressure Control Levels and Treatment Compliances of Hypertensive Patients

Purpose: The aim of the study is to evaluate the knowledge of patients about hypertension (HT), compliance with lifestyle changes and to determine their blood pressure levels under antihypertensive therapy. Method: Hypertensive patients that applied to Family medicine outpatient clinics of Diskapi Yildirim Beyazit Education and Research Hospital for the first time, in 2012 (between February 1 to April 30), were included in our cross-sectional study. Patients are evaluated primarily for the control and the factors that can affect high blood pressure and the rate on achieving treatment goals. Results: Three hundred and forty patients were included in the study. The mean age of the patients was 60.5±10.7 years and 222 of them (65.3%) were female. The blood pressure was not under control in 108 (31.8%) patients. The mean body weight of male patients was statistically higher than females (p=0.015). The number of the patients that knew the normal blood pressure value was 249 (73.2%). Among those 155 (62.2%) were women and 179 (71.9%) were younger than 65 years of age (p=0.0001). Forty one patients (12.1%) were still smoking, 46 (13.5%) patients were exercising regularly and 32 (9.4%) were consuming regular diet. Blood pressure was better controlled in the group that was exercising regularly (p=0.001). The rate of male patients that were on regular exercise and diet, were higher than females (p=0.09). Only 86 patients (25.3%) knew the name of their antihypertensive medication and 65 of patients (19.1%) knew the dose of their medication. Female patients knew the name of their medication better than males (p=0.002). 156 patients (45.9%) were using two kinds of antihypertensive medication. 58 patients (17.1%) were skipping doses a few times a week. Conclusion: The knowledge of hypertensive patients on their illness and their compliance on non-drug treatments were inadequate. The compliance of patients should be improved by development of patient-doctor should be improved by development of patient-doctor relationship according to up-to-date guidelines

Knowledge of Hypertensive Patients With or Without HIV on Hypertension and Their Experience in Using Their Medicines in Dar es Salaam, Tanzania: The Role of the Pharmacist

Purpose: The study assessed the knowledge of both HIV and non-HIV hypertensive patients on hypertension and the role of pharmacists in their pharmaceutical care.Methods: The study was conducted at the hypertension and HIV clinics in government hospitals in Dar es Salaam, Tanzania. Patients were interviewed using a structured questionnaire and pharmacists were assessed using a self-administered questionnaire and by observation.Results: Few patients in both groups knew the names of antihypertensive medicines they were taking. Information on the use of antihypertensive and antiretroviral (ARV) medicines was mostly provided by doctors. Adverse drug reactions were significantly more when patient used both ARVs and antihypertensive medicines than when they used only antihypentsives. Only 20 % of hypertensive-HIV patients informed the pharmacist dispensing antihypertensive medicines that they were using ARVs, and only 19 % of the pharmacists knew the drug interactions between ARVs and antihypertensive medicines. During dispensing, about 2 % of the patients were asked about other medicines being used. Conclusion: There is a need to improve patients’ knowledge of hypertension. The pharmacists should also have up-to-date knowledge of hypertension-HIV co-morbidity. Proper coordination between HIV and hypertension clinics and the full integration of a pharmacist in the health care team can help to improve patient care.Keywords: Hypertension, HIV/AIDS, Antiretroviral medicines,  Antihypertensive medicines, Adverse drug reaction, Dispensing, Knowledge

Analysis of kidney related knowledge of hypertension patients

Analysis of kidney related knowledge of hypertension patients

Drug Compliance Among Hypertensive Patients; an Area Based Study

Aim: To estimate the compliance rate, associated factors, status of blood pressure control and reasons for non-compliance among patients on treatment for hypertension. Methods: Patients attending the hypertension clinic of Hadiya center were followed up for at least 6 months. They are labeled as uncontrolled if the mean of three consecutive measures of systolic blood pressure was ≥140 mm Hg and /or mean diastolic blood pressure was ≥90 mmHg.Hadiya family practice center in Ahmadi health district in Kuwait. One hundred fifty four hypertensive patients were included in the study.Compliance, demographic variables, duration of hypertension, presence of complications, patient knowledge of hypertension, status of blood pressure control and reasons for non-compliance. Results: Out of 154 subjects recruited, 132 completed follow-up of 6 months, of whom 84 (64%) had uncontrolled hypertension. Seventeen percent of the uncontrolled hypertensives were non-compliant by pill count as compared to 2% of the controlled hypertensives (p<0.05). The compliance rate was 88.6%. Non- compliance was associated with lack of knowledge about hypertension (p<0.05). There was no statistically significant difference in the demographic variables, duration of hypertension and presence of complication rates between compliant and non-compliant hypertensives. Reasons for non-compliance included forgetfulness, drugs side effects, shortage of drugs, poly pharmacy and the asymptomatic nature of hypertension.. Conclusion: The compliance rate was high in this study and was accompanied by inadequate blood pressure control among non-compliant subjects. Non- compliance was associated with lack of knowledge about hypertension. This calls for increasing the patient’s awareness of the diagnosis and the need for compliance with medication to achieve control of hypertension in the community.

Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors.

Addressing the epidemic of poor compliance with antihypertensive medications will require identifying factors associated with poor adherence, including modifiable psychosocial and behavioral characteristics of patients. Cross-sectional study, comparing measured utilization of antihypertensive prescriptions with patients' responses to a structured interview. Four hundred ninety-six treated hypertensive patients drawn from a large HMO and a VA medical center. We developed a survey instrument to assess patients' psychosocial and behavioral characteristics, including health beliefs, knowledge, and social support regarding blood pressure medications, satisfaction with health care, depression symptom severity, alcohol consumption, tobacco use, and internal versus external locus of control. Other information collected included demographic and clinical characteristics and features of antihypertensive medication regimens. All prescriptions filled for antihypertensive medications were used to calculate actual adherence to prescribed regimens in a 365-day study period. MAIN OUTCOME OF INTEREST: Adjusted odds ratios (ORs) of antihypertensive compliance, based on ordinal logistic regression models. After adjusting for the potential confounding effects of demographic, clinical, and other psychosocial variables, we found that depression was significantly associated with noncompliance (adjusted OR per each point increase on a 14-point scale, 0.93; 95% confidence interval [95% CI], 0.87 to 0.99); in unadjusted analyses, the relationship did not reach statistical significance. There was also a trend toward improved compliance for patients perceiving that their health is controlled by external factors (adjusted OR per point increase, 1.14; 95% CI, 0.99 to 1.33). There was no association between compliance and knowledge of hypertension, health beliefs and behaviors, social supports, or satisfaction with care. Depressive symptoms may be an underrecognized but modifiable risk factor for poor compliance with antihypertensive medications. Surprisingly, patient knowledge of hypertension, health beliefs, satisfaction with care, and other psychosocial variables did not appear to consistently affect adherence to prescribed regimens.