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Are blood pressure values compatible with medication adherence in hypertensive patients?
A Uludag1, E M Sahin1, H Agaoglu1
1Department of Family Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Insights
Medication adherence in hypertension management is crucial. This study found a positive link between patient adherence, well-being, and better 24-hour blood pressure control, highlighting the need for objective assessments.
Area of Science:
- Cardiology
- Clinical Pharmacy
- Public Health
Background:
- Medication adherence is critical for effective hypertension management, yet many patients do not achieve target blood pressure (BP) values.
- This study investigates the relationship between patient adherence to medication, BP control, and overall well-being.
Purpose of the Study:
- To examine the correlation between medication adherence, clinical BP, 24-hour ambulatory BP, and general well-being in primary hypertension patients.
- To assess the utility of self-efficacy scales and objective BP measurements in clinical decision-making for hypertension management.
Main Methods:
- A cohort of 259 primary hypertension patients participated in the study.
- Data collected included the Medication Adherence Self-Efficacy Scale-Short Form 13, World Health Organization-5 well-being index, and 24-hour ambulatory BP monitoring using a Holter device.
Main Results:
- A negative correlation was observed between medication adherence scores and clinical systolic BP (r = -0.171; P = 0.006).
- Positive correlations were found between medication adherence scores and World Health Organization-5 well-being index scores (r = 0.141; P = 0.023).
- Positive correlations were also noted between medication adherence and ambulatory BP readings (systolic: r = 0.141; P = 0.023; diastolic: r = 0.123; P = 0.049).
Conclusions:
- Clinicians should integrate objective BP measurements with subjective adherence scales for comprehensive patient assessment.
- Both objective and subjective findings are essential for informed clinical decisions in managing hypertension and improving patient outcomes.
Background And Aim:
In the management of hypertension (HT), maintaining the medication adherence with treatment is as important as starting treatment. Studies have shown that the majority of patients taking medication do not reach their target values. This study aimed to investigate the relationship between the patient medication adherence and blood pressure (BP) values and reflection to general well-being.
Material And Methods:
The study included 259 primary HT patients. The patients with BP measurements completed the Medication Adherence Self-Efficacy Scale-Short Form 13 and the World Health Organization-5 (WHO-5) well-being index. A Holter device was attached, and 24 h BP monitoring was completed.
Results:
The mean points for medication adherence scale was 29.2 ± 10.3 (1-40) and mean WHO-5 points was 13.7 ± 4.6 (4-25) for patients. Clinical mean systolic BP was 140.0 ± 12.6 and diastolic 84.8 ± 9.0 mm Hg, while 24 h mean BP was systolic 119.5 ± 10.6 and diastolic 73.3 ± 8.1 mm Hg. While there was negative correlation between medication adherence scale scores and clinical systolic BP (r = -0.171; P = 0.006), there was no correlation with other BP readings. There was no correlation with the WHO-5 score and clinical readings, though there was a positive correlation between ambulatory mean systolic and diastolic BP (r = 0.141; P = 0.023 and r = 0.123; P = 0.049, respectively). There was positive correlation between the patient's medication adherence scores and the WHO-5 scores (r = 0.141; P = 0.023).
Conclusion:
When clinicians assess medication adherence of patients, they should benefit from objective BP measurements and scales. Subjective and objective findings are important while making clinical decision.
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