Factors related to compliance to high blood pressure therapy among patients with hypertensive crisis

Authors

  • Alyn Wattanaburapakul Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Sirirat Leelacharas Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Soontaree Jianvitayakij Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

Illness perception, hypertension, hypertensive crisis, hypertensive emergency

Abstract

Background: Non-compliance to antihypertensive medication is a factor associated with a failure in controlling high blood pressure (BP) in the patients with hypertension (HT). To date, patient factors associated with non-compliance in patients with hypertensive crisis have not been investigated in Thai population.

Objective: This study aimed to describe the factors related with compliance to the hypertensive therapy among the patients with hypertensive crisis who visited the emergency department (ED).

Methods: The descriptive-correlational study was conducted at the ED of an urban, tertiary-care hospital. The eligible subjects were asked to respond to a set of questionnaires.

Results: One hundred subjects were recruited to the study. The subjects had low scores on Brief Illness Perception Questionnaire (mean score = 38.5 gif.latex?\pm 12.3) and moderate scores of Hill-Bone Compliance to High Blood Pressure Therapy Scale (mean score = 33.1 gif.latex?\pm 10.1). However, they had inadequate perception on their HT as a health threat or were not sufficiently concerned on the importance of the treatment. Moreover, they tended not to take medicine (s) without proper instruction. The factors associated with better compliance to high BP therapy were old age and high educational levels.

Conclusion: Subjects had inadequate illness perception towards their underlying HT and the importance of its treatment. Better compliance of treatment of hypertension was associated with higher age group and higher educational level of the patients.

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References

World Health Organization. A global brief on hypertension silent killer, global public health crisis [Internet]. 2013 [cited 2017 Dec 4]. Available from:https://apps.who.int/iris/handle/10665/79059.

Aekplakorn W. Thai national health examination survey. 5th ed. Bangkok: Aksorn Graphic and Design Publishing House; 2014.

American Heart Association. Hypertensive Crisis: When You Should Call 9-1-1 for High Blood Pressure [Internet]. 2017 [cited 2018 Feb 4]. Available from: https://www.heart.org/en/health-topics/high-bloodpressure/understanding-blood-pressure readings/hypertensive-crisis-when-you-should-call-911-forhigh-blood-pressure.

Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Hypertension 2017;71:e65-6. https://doi.org/10.1161/HYP.0000000000000065

Bonaccio M, Bonanni AE, Di Castelnuovo A, De Lucia F, Donati MB, de Gaetano G, et al. Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: cross-sectional results from the Moli-sani study. BMJ Open 2012;2: e001685.

https://doi.org/10.1136/bmjopen-2012-001685

Krueger K, Botermann L, Schorr SG, Griese-Mammen N, Laufs U, Schulz M. Age-related medication adherence in patients with chronic heart failure: a systematic literature review. Int J Cardiol 2015;184:728-35. https://doi.org/10.1016/j.ijcard.2015.03.042

Ofoli J, Dankyau M, Sule JA, Lass DB. Relationship between family and social support and adherence to treatment among outpatient hypertensives in an urban hospital. NJFP 2017;8:45-52.

Leelacharas S. Illness representations in Thai women diagnosed with hypertension and relationships to medication-taking behavior [dissertation]. Ann Arbor, MI:University of Michigan; 2005.

Geographic information health system. Information for King Chulalongkorn Memorial hospital [Internet]. 2017 [cited 2018 Apr 07]. Available from:http://gishealth.moph.go.th/healthmap/infoequip. php?maincode=13756&id=80154.

Klein I, Danzi S. Thyroid disease and the heart. Circulation 2007;116:1725-35.

https://doi.org/10.1161/CIRCULATIONAHA.106.678326

Rooke TW, Hirsch AT, Misra S, Sidawy AN, Beckman JA, Findeiss LK, et al. 2011 ACCF/AHA Focused update of the guideline for the management of patients with peripheral artery disease (updating the 2005 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2011;58:2020-45.

https://doi.org/10.1016/j.jacc.2011.08.023

James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the eighth joint national committee (JNC8). JAMA 2014;311:507-20.

https://doi.org/10.1001/jama.2013.284427

Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res 2006;60:631-7. https://doi.org/10.1016/j.jpsychores.2005.10.020

Sowattanangoon N. Brief Illness Perception Scale (Thai Version) [Internet]. 2008 [cited 2018 Apr 23]. Available from: http://www.uib.no/ipq/html/b-ipq.html.

Toljamo M, Hentinen M. Adherence to self-care and social support. J Clin Nurs 2001;10:618-27.

https://doi.org/10.1046/j.1365-2702.2001.00520.x

Kim MT, Hill MN, Bone LR, Levine DM. Development and testing of the Hill-Bone Compliance to High Blood Pressure Therapy Scale. Prog Cardiovasc Nurs 2000;15:90-6.

https://doi.org/10.1111/j.1751-7117.2000.tb00211.x

Leelacharas S, Chontichachalalauk J, Sanongdej W. Dietary-taking, exercise, and medication adherence in Thais with hypertension based on gender, age, and education level. J Public Health Nurs 2015;29:56-70.

Burnier M, Egan B. Adherence in hypertension: a review of prevalence, risk factors, impact, and management. Circ Res 2019;124:1124-40. https://doi.org/10.1161/CIRCRESAHA.118.313220

Chen SL, Tsai JC, Chou KR. Illness perceptions and adherence to therapeutic regimens among patients with hypertension: a structural modeling approach. Int JNurs Stud 2011;48:235-45.

https://doi.org/10.1016/j.ijnurstu.2010.07.005

Rajpura JR, Nayak R. Role of illness perceptions and medication beliefs on medication compliance of elderly hypertensive cohorts. J Pharm Pract 2014;27:19-24.

https://doi.org/10.1177/0897190013493806

Caldwell JR, Cobb S, Dowling MD, de Jongh D. The dropout problem in antihypertensive treatment: a pilot study of social and emotional factors influencing a patient's ability to follow antihypertensive treatment. J Chronic Dis 1970;22:579-92. https://doi.org/10.1016/0021-9681(70)90034-2

Jaramillo PL, Lopez PC, Alvarado L, Molina D, Sanchez G, Arcos E, et al. Educational level influence in the prevalence, awareness, treatment and control of hypertension in Colombia. J Hypertens 2015;33:e392-3. https://doi.org/10.1097/01.hjh.0000468603.20917.d5

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Published

2023-07-19

How to Cite

1.
Wattanaburapakul A, Leelacharas S, Jianvitayakij S. Factors related to compliance to high blood pressure therapy among patients with hypertensive crisis. Chula Med J [Internet]. 2023 Jul. 19 [cited 2024 Oct. 8];65(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/150