Patient compliance in the treatment of arterial hypertension.

作者: JM. Mallion , D. Schmitt

DOI: 10.1097/00004872-200112000-00024

关键词: Compliance (physiology)PopulationBlood pressureMedicineCerebrovascular riskMedical adviceInternal medicineTreatment resistancePatient complianceLack of efficacy

摘要: Introduction: Arterial hypertension (HT) is a major cardiovascular and cerebrovascular risk factor condition which very prevalent throughout the world involving 50% of those over 60 years age. Despite fact that there are constantly improving treatments available only one third patients who treated have normalisation blood pressure (BP). This worrying finding since it proven achieving normal BP can reduce consequent neurological, cardiac vascular effects. One explanation this lack efficacy undoubtedly poor therapeutic compliance with antihypertensive treatment. The sixth report Joint National Committe (14), on prevention detection, evaluation treatment HT stated 68% hypertensive population knew they had high but 27% their normalised. importance found during studies resistance. Thus Alderman et al. (1) reported prevalence resistant was 2.9% 1,781 individuals after year when eliminates were inobservant then percentage fell to 0.3%. Definition compliance: Compliance be defined as degree patient conforms medical advice about lifestyle dietary changes well keeping appointments for follow up taking prescribed. expressed quantitatively prescribed doses been taken. In minimum 80% generally need achieve an adequate reduction in (9). Methods

参考文章(15)
McColm Lm, Bailey Bj, Gillies Ah, Carney Sl, Smith Aj, Taylor M, Hypertension treatment compliance: what do patients want to know about their medications? Progress in Cardiovascular Nursing. ,vol. 12, pp. 23- 28 ,(1997)
Siegenthaler W, Greminger P, Groth H, Edmonds D, Vetter W, Foerster E, Does self-measurement of blood pressure improve patient compliance in hypertension? Journal of Hypertension. ,vol. 3, ,(1985)
D. Iorillo, Ch. Uldry, J. P. Zellweger, C.-L. Fallab-Stubi, A. Sauty, M. Burnier, Electronic monitoring of adherence to treatment in the preventive chemotherapy of tuberculosis. International Journal of Tuberculosis and Lung Disease. ,vol. 2, pp. 525- 530 ,(1998)
William S. Bond, Daniel A. Hussar, Detection methods and strategies for improving medication compliance American Journal of Health-System Pharmacy. ,vol. 48, pp. 1978- 1988 ,(1991) , 10.1093/AJHP/48.9.1978
Suzanne Heurtin-Roberts, Efrain Reisin, The relation of culturally influenced lay models of hypertension to compliance with treatment. American Journal of Hypertension. ,vol. 5, pp. 787- 792 ,(1992) , 10.1093/AJH/5.11.787
Mark Monane, Rhonda L Bohn, Jerry H Gurwitz, Robert J Glynn, Raisa Levin, Jerry Avorn, The Effects of Initial Drug Choice and Comorbidity on Antihypertensive Therapy Compliance Results From a Population-Based Study in the Elderly American Journal of Hypertension. ,vol. 10, pp. 697- 704 ,(1997) , 10.1016/S0895-7061(97)00056-3
Neville Bittar, Maintaining long-term control of blood pressure: The role of improved compliance Clinical Cardiology. ,vol. 18, pp. 12- 16 ,(1995) , 10.1002/CLC.4960181504
Frances B. Garfield, J. Jaime Caro, Compliance and hypertension. Current Hypertension Reports. ,vol. 1, pp. 502- 506 ,(1999) , 10.1007/S11906-996-0022-Y
George Gallup, Harry E. Cotugno, Preferences and practices of americans and their physicians in antihypertensive therapy The American Journal of Medicine. ,vol. 81, pp. 20- 24 ,(1986) , 10.1016/0002-9343(86)90524-3
D E Morisky, D M Levine, L W Green, S Shapiro, R P Russell, C R Smith, Five-year blood pressure control and mortality following health education for hypertensive patients. American Journal of Public Health. ,vol. 73, pp. 153- 162 ,(1983) , 10.2105/AJPH.73.2.153