Chapter title |
Adherence to Treatment in Hypertension
|
---|---|
Chapter number | 77 |
Book title |
Hypertension: from basic research to clinical practice
|
Published in |
Advances in experimental medicine and biology, January 2016
|
DOI | 10.1007/5584_2016_77 |
Pubmed ID | |
Book ISBNs |
978-3-31-944250-1, 978-3-31-944251-8
|
Authors |
Carlos Menéndez Villalva, Xosé Luís López Alvarez-Muiño, Trinidad Gamarra Mondelo, Alfonso Alonso Fachado, Joaquín Cubiella Fernández, Villalva, Carlos Menéndez, Alvarez-Muiño, Xosé Luís López, Mondelo, Trinidad Gamarra, Fachado, Alfonso Alonso, Fernández, Joaquín Cubiella |
Abstract |
The lack of adherence to treatment in hypertension affects approximately 30 % of patients. The elderly, those with several co-morbidities, social isolation, low incomes or depressive symptoms are the most vulnerable to this problem. There is no ideal method to quantify the adherence to the treatment. Indirect methods are recommended in clinical practice. Any intervention strategy should not blame the patient and try a collaborative approach. It is recommended to involve the patient in decision-making. The clinical interview style must be patient-centered including motivational techniques. The improvement strategies that showed greater effectiveness in the compliance of hypertension treatment were: treatment simplification, appointment reminders systems, blood pressure self-monitoring, organizational improvements and nurse and pharmacists care. The combination of different interventions are recommended against isolated interventions. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 98 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 16% |
Student > Bachelor | 14 | 14% |
Student > Ph. D. Student | 12 | 12% |
Librarian | 4 | 4% |
Student > Doctoral Student | 4 | 4% |
Other | 17 | 17% |
Unknown | 31 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 24% |
Nursing and Health Professions | 13 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 9 | 9% |
Psychology | 5 | 5% |
Social Sciences | 4 | 4% |
Other | 9 | 9% |
Unknown | 34 | 35% |