Related Experiment Video
Updated: Apr 6, 2026
05:57
Author Spotlight: Exploring Huotan Jiedu Tongluo Decoction as an Antihypertensive Drug
Published on: May 17, 2024
1.3K
NON-COMPLIANCE TO ANTI-HYPERTENSIVE MEDICATION AND ITS ASSOCIATED FACTORS AMONG HYPERTENSIVES
Journal of Ayub Medical College, Abbottabad : JAMC
|July 18, 2015
Summary
High rates of non-compliance to anti-hypertensive medications were observed in Karachi, Pakistan. Factors like gender, socioeconomic status, and healthcare system issues contribute to this problem.
Area of Science:
- Cardiology
- Public Health
- Pharmacology
Background:
- Non-compliance with anti-hypertensive drugs negatively impacts cardiovascular outcomes.
- Factors influencing medication adherence remain underexplored in Pakistan.
- This study addresses medication non-compliance in hypertensive patients in Karachi.
Purpose of the Study:
- To determine the frequency of non-compliance to anti-hypertensive medications.
- To identify factors associated with non-compliance in hypertensive patients in Karachi.
Main Methods:
- A descriptive cross-sectional study was conducted on 113 indoor hypertensive patients (≥30 years) in Karachi.
- Data collected via Urdu questionnaire included demographics, medical history, and factors affecting compliance.
- Purposive sampling was used in public sector tertiary care institutes from March to October 2011.
Main Results:
- A high rate of non-compliance (68.14%) was observed among hypertensive patients.
- Non-compliance was significantly associated with gender and socioeconomic status.
- Key contributing factors included duration of hypertension, physician visit frequency, number of medications, patient attitude, physician's role, and healthcare access.
Conclusions:
- Multiple patient, medicine, and healthcare system-related factors contribute to high anti-hypertensive medication non-compliance.
- Simple preventive measures can be implemented to improve adherence.
- Addressing these factors is crucial for better cardiovascular outcomes in hypertensive populations.
Related Concept Videos
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
851
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...
851
01:28Factors affecting Blood pressure
7.7K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
7.7K
01:23Hypertension V: Nursing Management
657
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.
657
01:18Hypertension and Regulation of Blood Pressure
4.8K
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...
4.8K
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
729
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...
729
01:25Errors occurring during blood pressure monitoring
1.8K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.8K