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Adherence to Treatment in Hypertension
Carlos Menéndez Villalva1, Xosé Luís López Alvarez-Muiño2, Trinidad Gamarra Mondelo3
1Mariñamansa-A Cuña Health Center, Galician Health Service, Centro de Saúde Marinamansa - A Cuña, Dr. Peña Rey 2b, SERGAS (Servicio Galego de Saúde), CP 32005, Ourense, Spain. carlos.menendez.villalva@sergas.es.
Advances in Experimental Medicine and Biology
|October 21, 2016
Summary
Improving hypertension treatment adherence is crucial, as around 30% of patients struggle with it. Patient-centered, collaborative strategies focusing on simplification and support are most effective.
Area of Science:
- Cardiology
- Public Health
- Behavioral Medicine
Background:
- Hypertension treatment non-adherence impacts ~30% of patients.
- Vulnerable groups include elderly, those with comorbidities, social isolation, low income, or depression.
- Quantifying adherence accurately remains challenging; indirect methods are clinically recommended.
Purpose of the Study:
- To review effective strategies for improving hypertension treatment adherence.
- To emphasize patient-centered and collaborative intervention approaches.
Main Methods:
- Review of indirect methods for adherence assessment.
- Analysis of intervention strategies proven effective in clinical practice.
Main Results:
- Patient-centered clinical interviews incorporating motivational techniques are advised.
- Effective strategies include treatment simplification, appointment reminders, self-monitoring, organizational improvements, and enhanced care from nurses and pharmacists.
- Combined interventions demonstrate greater effectiveness than isolated approaches.
Conclusions:
- Collaborative, non-blaming strategies are essential for hypertension adherence.
- Multifaceted interventions, involving patients in decision-making and leveraging healthcare professionals, improve treatment compliance.
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