Related Experiment Video
Updated: May 21, 2026
08:35
Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
[Barriers to hypertension treatment]
Maria Vilani Cavalcante Guedes1, Thelma Leite de Araujo, Marcos Venícios de Oliveira Lopes
1Universidade Estadual do Ceará, Curso de Graduação em Enfermagem, Mestrado Acadêmico em Cuidados Clínicos em Saúde, Fortaleza-CE, Brasil. vilani_guedes@hotmail.com
Revista Brasileira De Enfermagem
|June 6, 2012
Summary
Financial struggles, complex medication regimens, and physical activity pose significant barriers to hypertension treatment compliance. Addressing these factors is crucial for better blood pressure control in patients.
Area of Science:
- Cardiology
- Public Health
- Health Management
Context:
- Hypertension management in basic health units in Fortaleza-Ceará, Brazil.
- Study population: 246 patients in a hypertension control program for at least one year.
- Cross-sectional, descriptive study design.
Purpose:
- To identify barriers to treatment non-compliance in hypertensive patients.
- To explore factors affecting blood pressure control.
- To understand challenges in managing hypertension within a primary care setting.
Summary:
- 69 out of 246 patients achieved normal blood pressure levels.
- Key barriers identified: poor financial condition, polypharmacy, and challenges with physical activity.
- Treatment adherence is influenced by patient-related, environmental, and healthcare access factors.
Impact:
- Highlights the multifaceted nature of hypertension treatment barriers.
- Informs strategies for improving patient adherence and blood pressure management.
- Provides insights for healthcare providers and policymakers in primary care settings.
Related Concept Videos
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
01:18Hypertension and Regulation of Blood Pressure
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
01:23Hypertension V: Nursing Management
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
01:28Hypertension I: Introduction
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
01:29Hypertension II: Pathophysiology
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...