Journal articles: 'Hypertension Patient education'

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Capraz, Mustafa, Melda Dilek, and Tekin Akpolat. "Garlic, hypertension and patient education." International Journal of Cardiology 121, no. 1 (September 2007): 130–31. http://dx.doi.org/10.1016/j.ijcard.2006.08.060.

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Grueninger, Ulrich J. "Arterial hypertension: lessons from patient education." Patient Education and Counseling 26, no. 1-3 (September 1995): 37–55. http://dx.doi.org/10.1016/0738-3991(95)00750-t.

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Stewart, T. "Pulmonary arterial hypertension (PAH) patient education strategy." Heart & Lung 39, no. 4 (July 2010): 374–75. http://dx.doi.org/10.1016/j.hrtlng.2010.05.045.

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&NA;. "Patient compliance in hypertension depends on good education." Inpharma Weekly &NA;, no. 808 (October 1991): 11. http://dx.doi.org/10.2165/00128413-199108080-00031.

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Palumbo, G. "Hypertension and patient education: can a booklet change anything?" American Journal of Hypertension 13, no. 6 (June 2000): S295. http://dx.doi.org/10.1016/s0895-7061(00)01068-2.

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Collins, Lucinda, and Agnes M. Ivey. "The Relationship of Patient Education and Hypertension Treatment Compliance." Journal of the American Academy of Nurse Practitioners 11, no. 8 (August 1999): 331–34. http://dx.doi.org/10.1111/j.1745-7599.1999.tb00588.x.

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Ghemigian, A., I. Popescu, E. Petrova, and A. Buruiană. "Endocrine secondary hypertension." Romanian Medical Journal 62, no. 3 (September 30, 2015): 222–28. http://dx.doi.org/10.37897/rmj.2015.3.2.

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The need to evaluate patients for secondary hypertension is common in clinical practice. Suspicion of endocrine hypertension occurs when the disease starts suddenly at young age, in cases with loss of blood pressure control in a patient with previously well-controlled blood pressure or labile blood pressure cases. Careful medical history and physical examination are very important to rule out other factors responsible for these patterns of hypertension (certain medications, alcohol, lack of compliance to treatment or dietary salt restriction, panic attacks etc). Pheochromocytoma and Cushing syndrome – the major endocrine diseases associated with secondary hypertension – are rare in clinical practice. Instead, primary hyperaldosteronism is becoming more frequently identified. It can go unnoticed because of nonspecific clinical presentation and of the fact that hypokalaemia, classically described, is actually rare in practice.

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Jolles, Emily P., Raj S. Padwal, Alexander M. Clark, and Branko Braam. "A Qualitative Study of Patient Perspectives about Hypertension." ISRN Hypertension 2013 (March 5, 2013): 1–10. http://dx.doi.org/10.5402/2013/671691.

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To understand hypertensive patients' perspectives regarding blood pressure and hypertension treatment, this qualitative study applied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at the University of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosed with hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in the analysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% were on target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating to diagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c) feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, which emphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, were important factors in home assessment of blood pressure. The absence of connections between control of hypertension and the identified domains indicates that current approaches could benefit from the development of a more personalized approach for education and communication.

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Deglin, Judith Hopfer, and Stuart Deglin. "Hypertension: Current Trends and Choices in Pharmacotherapeutics." AACN Advanced Critical Care 3, no. 2 (May 1, 1992): 507–26. http://dx.doi.org/10.4037/15597768-1992-2021.

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Many new choices exist in the management of hypertension. Armed with a basic understanding of the definition and causes of hypertension, the pharmacotherapeutics, and special patient populations, health care professionals should be able to optimally educate, treat, and follow up patients with hypertension. In the step-care approach, four different classes of agents may be used as Step 1 choices. Selection is determined by concurrent illnesses, patient age, or concomitant drug therapy. In emergency situations, additional choices exist. Tailoring therapy in hypertensive crises may prevent or minimize end-organ damage. These areas are reviewed, and guidelines for patient assessment and education are presented

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McGoon, Michael D., Pisana Ferrari, Iain Armstrong, Migdalia Denis, Luke S. Howard, Gabi Lowe, Sanjay Mehta, Noriko Murakami, and Brad A. Wong. "The importance of patient perspectives in pulmonary hypertension." European Respiratory Journal 53, no. 1 (January 2019): 1801919. http://dx.doi.org/10.1183/13993003.01919-2018.

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The assessment of objective measurement of cardiopulmonary status has helped us achieve better clinical outcomes for patients and develop new therapies through to the point of market access; however, patient surveys indicate that more can be done to improve holistic care and patient engagement. In this multidisciplinary review, we examine how clinical teams can acknowledge and embrace the individual patient's perspective, and thus improve the care for individual patients suffering from pulmonary hypertension by cultivating the importance and relevance of health-related quality of life in direct clinical care. At the individual level, patients should be provided with access to accredited specialist centres which provide a multidisciplinary approach where there is a culture focused on narrative medicine, quality of life, shared decision making and timely access to palliative care, and where there is participation in education. On a larger scale, we call for the development, expansion and promotion of patient associations to support patients and carers, lobby for access to best care and treatments, and provide input into the development of clinical trials and registries, focusing on the patients’ perspective.

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Stana, Daniela, Ana Maria Dascălu, Emil Ungureanu, Alexandra-Ioana Gherase, Ioana Sonia Ardeleanu, and Dragoş Şerban. "CORRELATIONS BETWEEN ARTERIAL HYPERTENSION AND DIABETIC RETINOPATHY IN PATIENTS WITH TYPE II DIABETES." Romanian Medical Journal 64, no. 2 (June 30, 2017): 104–9. http://dx.doi.org/10.37897/rmj.2017.2.2.

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Diabetic retinopathy is a well-known complication of diabetes, a major cause of vision loss worldwide. Purpose. The present study investigates the correlation between hypertension and evolution of diabetic retinopathy in patients with type II diabetes. Materials and methods. We conducted a prospective study between June and December 2016, on 24 patients hospitalized in Ophthalmology Clinic, Emergency University Hospital Bucharest, with AO: diabetic retinopathy and arterial hypertension under medical treatment. Patients were evaluated at baseline, 2 months, 4 months and 6 months through comprehensive eye examination and measuring the value of blood pressure (BP). Comparative data were analyzed in patients with compensated hypertension (BP<150 mmHg) and subcompensated hypertension (BP> = 150 mmHg). Results. Of the 24 patients, 15 had values offset BP (group A) and 9 associated hypertension subcompensated (group B). In group A proportion of patients (at baseline) with diabetic retinopathy absent or nonproliferative was higher than patients in group B (47% vs. 22%, p = 0.052995019518117). Patients in group B had a higher tendency to record an evolution of diabetic retinopathy (in group B, 55.55% of patients had a progression, and in group A, only 26.66%). Conclusions. Incomplete therapeutic control of hypertension may affect the retinal microvasculature impacting the progression of diabetic retinopathy. Maintaining a strict control of systolic BP of permanent value bellow 140 mmHg should be part of the patient management guide of the diabetic patient in order to prevent ophthalmic complications with major risk of vision loss.

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Kahan, Thomas. "Guest Editorial: Challenges in Resistant Hypertension." European Cardiology Review 11, no. 1 (2016): 18. http://dx.doi.org/10.15420/ecr.2016:20:1.

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Hypertension is the major risk factor for disease and premature death. Although the efficacy of antihypertensive therapy is undisputed, few patients reach target blood pressure. Steps to improve treatment and control include assessment of global cardiovascular risk for the individual patient, improving caregiver support, education and organisation, increasing treatment persistence, using out of office blood pressure monitoring more often, detecting secondary hypertension forms, and referring patients with remaining uncontrolled hypertension to a specialist hypertension centre. In conclusion, there is room for improvement of blood pressure control in hypertensive patients. The clinical benefit of improved blood pressure control may be considerable. This may be particularly true for patients with resistant hypertension.

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Brunström, Mattias, Nawi Ng, John Dahlström, Lars H. Lindholm, Göran Lönnberg, Margareta Norberg, Lennarth Nyström, Lars Weinehall, and Bo Carlberg. "Association of Physician Education and Feedback on Hypertension Management With Patient Blood Pressure and Hypertension Control." JAMA Network Open 3, no. 1 (January 8, 2020): e1918625. http://dx.doi.org/10.1001/jamanetworkopen.2019.18625.

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Shaya, FT, ND Samant, and E. Saunders. "PDB23 IMPACT OF PATIENT EDUCATION ON HBA1C REDUCTION IN DIABETIC PATIENTS WITH CONCOMITANT HYPERTENSION." Value in Health 10, no. 3 (May 2007): A66. http://dx.doi.org/10.1016/s1098-3015(10)68740-2.

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Graarup, Jytte, Pisana Ferrari, and Luke S. Howard. "Patient engagement and self-management in pulmonary arterial hypertension." European Respiratory Review 25, no. 142 (November 30, 2016): 399–407. http://dx.doi.org/10.1183/16000617.0078-2016.

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Improved care in pulmonary arterial hypertension has led to increased longevity for patients, with a paralleled evolution in the nature of their needs. There is more focus on the impact of the disease on their day-to-day activities and quality of life, and a holistic approach is coming to the front of pulmonary arterial hypertension management, which places the patient at the centre of their own healthcare. Patients are thus becoming more proactive, involved and engaged in their self-care, and this engagement is an important factor if patient outcomes are to improve. In addition, involvement of the patient may improve their ability to cope with pulmonary arterial hypertension, as well as help them to become effective in the self-management of their disease. Successful patient engagement can be achieved through effective education and the delivery and communication of timely, high-quality information. A multidisciplinary approach involving healthcare professionals, carers, patient associations and expert patient programmes can also encourage patients to engage. Strategies that promote patient engagement can help to achieve the best possible care and support for the patient and also benefit healthcare providers.

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Gusty, Reni Prima, and Leni Merdawati. "Self-Care Behaviour Practices and Associated Factors Among Adult Hypertensive Patient in Padang." Jurnal Keperawatan 11, no. 1 (February 15, 2020): 64. http://dx.doi.org/10.22219/jk.v11i1.10281.

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Introduction: Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. An Assessment of an individual hypertension self-care behavior may provide clinicians and practitioners with important information regarding how to control hypertension. Objective: The purpose of this study was to assess Hypertension self-care practice and associated factors among patients in public health facilities in Padang. Method: In this cross-sectional study design with proportional random sampling. 260 hypertensive patients. Self-care activities were measured using hypertension self-care activity level effects (H-Scale). Results: The mean age was 60 years old, women (65.8%), unemployed (88.1%), senior high school (47.7%), duration had hypertension for 5-10 years (49.6%). 67.3% normal body mass index, 83.5% nonsmoking, 72.3% had’ not central obesity. There were four components of self-care that had a low level. They were physical activity adherence, using a low salt diet, weight management, and medication adherence. 100% abstinence from alcohol, 73.8% nonsmoking. The results of Chi-square indicated that BMI (p=0.002), central obesity (p = 0,000) were significantly associated with treatment adherence; there were also a significant association between education (p=0.005), BMI (p=0.002) and central obesity (p=0,000) with diet adherence; the age (p = 0.008), education (p = 0.014) and central obesity (p = 0,000) with adherence to physical activity; sex (p = 0,000), work (p=0,000) and education (p=0.025) with nonsmoking. Discussion: It is crucial to implement a well- designed program to improve hypertension self-care behaviors.

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Chia, Karen S. W., Peter K. K. Wong, Senen Gonzalez, Eugene Kotlyar, Steven G. Faux, and Christine T. Shiner. "Attitudes towards exercise among medical specialists who manage patients with pulmonary hypertension." Pulmonary Circulation 10, no. 2 (April 2020): 204589402092280. http://dx.doi.org/10.1177/2045894020922806.

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Exercise training was not traditionally recommended for patients with pulmonary hypertension. However, recent work has demonstrated that exercise improves endurance and quality-of-life in patients with pulmonary hypertension. Unfortunately, patients with pulmonary hypertension are often sedentary. While some studies have examined patient attitudes to exercise, none have investigated physician perspectives on exercise in patients with pulmonary hypertension. This multinational survey of physicians involved in treating patients with pulmonary hypertension sought to ascertain physician attitudes to exercise and physician-identified barriers and enablers of exercise in this patient population. We collected cross-sectional survey data from a cohort of 280 physicians, including rehabilitation physicians, cardiologists, respiratory physicians and rheumatologists. We found that overall, 86% physicians recommended exercise, in line with current guidelines, although there were differences in the rationale for prescribing exercise and in the type of exercise prescription. Barriers to exercise included patient-related factors, such as patient ill health preventing exercise; poor patient motivation and lack of understanding regarding the benefits of exercise. Systemic barriers included cost/funding issues and limited availability of appropriate services. Perceived enablers of exercise included access to appropriate programmes, provision of education and supportive treating clinicians. Further research is required to identify and implement interventions to promote physical activity in patients with pulmonary hypertension.

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Gupta, Mansi, D. D. Gupta, and Atal Sood. "Impact of awareness about hypertension on compliance to antihypertensive medication." International Journal of Basic & Clinical Pharmacology 7, no. 2 (January 23, 2018): 244. http://dx.doi.org/10.18203/2319-2003.ijbcp20180093.

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Background: Hypertension, a common cardiovascular disorder accounts for 20-50% of all deaths. This risk can be greatly ameliorated by creating awareness about disease and its effective treatment alongside regular medical check-ups. Therapeutic failures result from patient non-compliance, manifested as intentional or unintentional errors in dosage or schedule, overuse or underuse of prescribed drugs and early termination of therapy. Adherence is helpful for management of hypertension and cost minimization. Non-adherence to the drug treatment is an important factor for uncontrolled hypertension and its complications.Methods: Patients were interviewed individually after taking informed consent, using pretested, predesigned, self- administered and closed ended questionnaire both before and 4 weeks after creating awareness about hypertension and its complications. Compliance measured by self-reporting in which knowledge of the patient about number of antihypertensive drugs being used, formulations of drugs, frequency of administration, duration of taking the drugs and knowledge of complications due to uncontrolled and untreated hypertension were assigned 1 score each. Patient having score of at least 4 out of total 5 was considered compliant.Results: No significant association of compliance with demographic and other variables like age, sex, marital status, economic status, education, urbanization, duration of treatment and drug procurement were noted. A significant increase in compliance in patients on antihypertensive medication was found 4 weeks after creating awareness about hypertension and its complication. A significant increase in compliance scores was also seen in non-compliant patients showing their shifting from non-compliance to compliance group. Overall compliance increased from 59.38% to 84.38%. A percentage decrease from 58.82% to 25% in patients having uncontrolled hypertension was also observed after the awareness about hypertension.Conclusions: Demographic variables, duration of hypertension and drug procurement have no significant effect on compliance to antihypertensive medication. There is persistence and improvement in compliance to antihypertensive medications after an education of the patients about hypertension and its complications.

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Perera, Manuja, Chamini Kanatiwela de Silva, Saeideh Tavajoh, Anuradhani Kasturiratne, Nathathasa Vihangi Luke, Dileepa Senajith Ediriweera, Channa D. Ranasinha, Helena Legido-Quigley, H. Asita de Silva, and Tazeen H. Jafar. "Patient perspectives on hypertension management in health system of Sri Lanka: a qualitative study." BMJ Open 9, no. 10 (October 2019): e031773. http://dx.doi.org/10.1136/bmjopen-2019-031773.

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IntroductionUncontrolled hypertension is the leading risk factor for mortality globally, including low-income and middle-income countries (LMICs). However, pathways for seeking hypertension care and patients’ experience with the utilisation of health services for hypertension in LMICs are not well understood.ObjectivesThis study aimed to explore patients’ perspectives on different dimensions of accessibility and availability of healthcare for the management of uncontrolled hypertension in Sri Lanka.SettingPrimary care in rural areas in Sri Lanka.Participants20 patients with hypertension were purposively sampled from an ongoing study of Control of Blood Pressure and Risk Attenuation in rural Bangladesh, Pakistan, Sri Lanka.MethodWe conducted in-depth interviews with patients. Interviews were audio-recorded and transcribed into local language (Sinhala) and translated to English. Thematic analysis was used and patient pathways on their experiences accessing care from government and private clinics are mapped out.ResultsOverall, most patients alluded to the fact that their hypertension was diagnosed accidentally in an unrelated visit to a healthcare provider and revealed lack of adherence and consuming alternatives as barriers to control hypertension. Referring to the theme ‘Accessibility and availability of hypertension care’, patients complained of distance to the hospitals, long waiting time and shortage of medicine supplies at government clinics as the main barriers to accessing health services. They often resorted to private physicians and paid out of pocket when they experienced acute symptoms attributable to hypertension. Considering the theme ‘Approachability and ability to perceive’, the majority of patients mentioned increasing public awareness, training healthcare professionals for effective communication as areas of improvement. Under the theme ‘Appropriateness and ability to engage’, few patients were aware of the names or purpose of their medications and reportedly missed doses frequently. Reminders from family members were considered a major facilitator to adherence to antihypertensive medications. Patients welcomed the idea of outreach services for hypertension and health education closer to home in the theme ‘Things the patients reported to improve the system’.ConclusionPatients identified several barriers to accessing hypertension care in Sri Lanka. Measures recommended improving hypertension management in Sri Lanka including public education on hypertension, better communication between healthcare professionals and patients, and efforts to improve access and understanding of antihypertensive medications.Trial registration numberNCT02657746.

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Rahayu, Sri. "PENYULUHAN KESEHATAN: PENTINGNYA MELIBATKAN KELUARGA DALAM PERAWATAN HIPERTENSI." Jurnal Abdimas Kesehatan (JAK) 1, no. 3 (November 28, 2019): 170. http://dx.doi.org/10.36565/jak.v1i3.55.

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Family involvement in family care becomes very essential. Refers to the patient's daily life, the family always accompanies the patient every day. Unfortunately, patients are less aware of family contributions in their care. Therefore, there is a need to make people aware of the importance the family care in hypertension cases. The targets are expected to increase the knowledge after health education and awareness of the importance the families in treating hypertension. Health education was used as a method. The results of this community service are expected to increase their knowledge and sensitize people with hypertension to involve the family in their care.

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Bijani, Mostafa, Banafsheh Tehranineshat, Fatemeh Ahrari, and Najimeh Beygi. "A Comparison between Multimedia and Traditional Education in Encouraging Adherence to Treatment Regimen in Patients with Hypertension." Open Hypertension Journal 12, no. 1 (February 11, 2020): 1–6. http://dx.doi.org/10.2174/1876526202012010001.

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Background: Adherence to treatment regimen plays a crucial part in the prevention of the consequences of hypertension, thus identification and employment of effective educational methods to enhance patients' adherence to their treatment plans is important. Objective: The present study compares the effectiveness of multimedia and traditional methods of patient education in persuading patients with hypertension to stick to their treatment regimens. Methods: Conducted in 2019, the present study is an experimental work of research which lasted for 5 months. A convenience sample of 160 patients who visited the clinic and cardiac sections of a hospital located in the south-west of Iran was selected and then randomly divided into an intervention and a control group. The intervention consisted of multimedia education provided in 6 sessions and telephone follow-ups. The control group was given the traditional care. The research instruments were a demographics questionnaire and a medication adherence scale. Data were collected before, immediately after, and one month after the intervention. The collected data were analyzed using SPSS v. 19, independent t-test, and chi-square test. Results: The difference between the adherence to treatment regimen scores of the two groups as calculated immediately after and one month after the intervention was found to be statistically significant (P<0.001). Conclusion: Patient education via multimedia can significantly increase patients' adherence to their treatment regimens. Accordingly, it is recommended that nurses and other healthcare providers utilize this new educational approach to facilitate patient education and enhance adherence to treatment plan in patients with hypertension.

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Trogdon, Justin G., Barbara Larsen, David Larsen, Wendy Salas, and Matt Snell. "Cost-Effectiveness Evaluation of a Collaborative Patient Education Hypertension Intervention in Utah." Journal of Clinical Hypertension 14, no. 11 (October 3, 2012): 760–66. http://dx.doi.org/10.1111/jch.12013.

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Nawaz, Mohammad, Rishabh Gulati, and Adnan Nawaz. "THE READABILITY OF ONLINE PATIENT EDUCATION MATERIALS ON HYPERTENSION, HYPERLIPIDEMIA, AND ATHEROSCLEROSIS." Journal of the American College of Cardiology 67, no. 13 (April 2016): 1992. http://dx.doi.org/10.1016/s0735-1097(16)31993-3.

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Howe, Carol J., Donelle M. Barnes, Griselle B. Estrada, and Ignacio Godinez. "Readability and Suitability of Spanish Language Hypertension and Diabetes Patient Education Materials." Journal of Community Health Nursing 33, no. 4 (October 2016): 171–80. http://dx.doi.org/10.1080/07370016.2016.1227210.

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Ben Nasr, Nesrine, Anne Rouault, Nicolas Cornillet, Marie Bruandet, Hélène Beaussier, Isabelle Tersen, Yvonnick Bezie, and Mathieu Zuber. "Evaluation of a hypertension-based patient education program in a stroke center." International Journal of Clinical Pharmacy 40, no. 6 (November 26, 2018): 1490–500. http://dx.doi.org/10.1007/s11096-018-0745-2.

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Divac, Nevena, Slavomir Veljkovic, Zorica Nesic, Radan Stojanovic, Milica Bajcetic, Zorana Vasiljevic, Milica Prostran, and Ranka Samardzic. "Pattern of utilization of benzodiazepines in patients with hypertension: A pilot study." Vojnosanitetski pregled 63, no. 4 (2006): 370–75. http://dx.doi.org/10.2298/vsp0604370d.

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Background/Aim. The analysis of drug prescribing in general practice in Serbia showed that the use of benzodiazepines is most frequently associated with hypertension. The aim of this study was to establish the correlation of the characteristics of patients with hypertension to antihypertensive drug therapy, and the intake of benzodiazepines. Methods. A special questionnaire was used for interviewing the patients (n = 171) chronically treated for hypertenson. Statistical tests used were ?2-test and Student's t-test. Results. No differences were noted in terms of age, gender, education, body weight, smoking habits and blood pressure (155?4.9/100?2.7 mmHg vs. 160?2.2/105?3.7 mmHg), between the group I (antihypertensive drugs+benzodiazepines: n = 79), and the group II (antihypertensives only: n = 92). The patients taking benzodiazepines received a lower number of different antihypertensive drugs (2.3?0.09 vs. 2.7?0.10; p < 0.01), but the total antihypertensive drug load was significantly greater than in the group II (2.6?0.10 vs. 1.9?0.15 defined daily doses (DDD)/patient/day; p < 0.01). Benzodiazepines were taken for anxiety (62%) and hypertension (21%), rarely for insomnia, mostly once a day, at bedtime. About half the patients took benzodiazepines regularly for months or years aware of the risk for addiction. Diazepam was used by 82% of the patients. The average daily exposure to benzodiazepines was 0.45?0.05 DDD/patient/day. The drug was bought without prescription in 25% of the patients, and without consulting a physician in 12% of them. Conclusion. The study confirmed a close association of hypertension with the use of benzodiazepines. The frequent use of benzodiazepines in the patients with hypertension might be caused by an inadequate response to antihypertensive drug therapy, besides anxiety and insomnia. The therapeutic efficacy of a long-term use of low doses of benzodiazepines in hypertension requires further investigation.

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Ratnasari, Dwigita. "Hubungan Tingkat Pendidikan dan Self Efficacy Dengan Self Managemen pada Pasien Hipertensi di Puskesmas Tamanan." Jurnal Keperawatan Profesional 8, no. 2 (October 6, 2020): 1–15. http://dx.doi.org/10.33650/jkp.v8i2.1428.

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Background Degenerative disease is an increasing disease in Indonesia and the most common disease found in Indonesia is hypertension. Hypertension is a direct risk factor for the onset of myocardial infarction and cerebrovascular accidents (CVA). The purpose of this study was to determine the relationship between the level of education and self efficacy with self-management in hypertensive patients at Puskesmas Tamanan. This research method uses Cross Sectional research design. The sample in this study were all hypertensive patients at the Tamanan Puskesmas as many as 120 patients. The sampling technique used in this study was using simple random sampling. Data analysis using spearmen correlation test. The results of the analysis data obtained α 0.01, which means that there is a relationship between education, self efficacy and self management. Conclusion Low education levels in patients with hypertension do not become an influence on self efficacy and patient self-management.

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Zeng, Huijuan, Runsheng Jiang, Mei Zhou, Linxiong Wu, Bo Tian, Yao Zhang, and Fanwei Qu. "Measuring patient activation in Chinese patients with hypertension and/or diabetes: reliability and validity of the PAM13." Journal of International Medical Research 47, no. 12 (October 10, 2019): 5967–76. http://dx.doi.org/10.1177/0300060519868327.

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Objective Patient activation is important in the management of chronic diseases (CDs), especially hypertension and diabetes. The 13-item short form Patient Activation Measure (PAM13) is widely used, but data are lacking for China. The study aim was to assess the reliability and validity of the PAM13 in Chinese patients with hypertension and/or diabetes in a community management setting. Methods A cross-sectional survey was conducted at four community health centres in Kunming (Yunnan province, China) Participants were patients (n = 519) with hypertension and/or type 2 diabetes mellitus being managed at the community health centres. Patient activation was measured using the Chinese version of the PAM13. Reliability and validity were tested using Cronbach’s α and confirmatory factor analysis. Results The male to female ratio was 1:1.65. In total, 307 (60.3%) patients had ≤9 years of education and 213 (41.8%) had a low household income (≤5000 RMB/month). Cronbach’s α was 0.920 and item–total correlations ranged from 0.535 to 0.714. Confirmatory factor analysis showed a good fit to the data. Conclusions The PAM13 shows good reliability and validity for measuring patient activation in Chinese patients with CDs (hypertension and/or diabetes).

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Fury, Shawna, Kathleen Sparbel, and Bernard Tadda. "Interprofessional Collaboration With Pharmacist-Driven Education for Hypertension Control in Federally Qualified Health Center Patients." Journal of Doctoral Nursing Practice 11, no. 1 (2018): 43–51. http://dx.doi.org/10.1891/2380-9418.11.1.43.

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Introduction:Providing collaborative care is essential to decrease cardiovascular complications of hypertension (HTN). Care coordination models, including the Patient Centered Medical Home (PCMH), are advocated to manage chronic diseases. However, they offer no guidance on collaborative strategies to improve patient outcomes. This project enhanced the PCMH model at a Federally Qualified Health Center (FQHC) through application of interprofessional collaboration (IPC) concepts including role optimization, shared decision making, shared power, and care expertise.Methods:Application of IPC concepts with the key addition of a pharmacist education component was instituted at a Midwestern FQHC over a 60-day period with a single care team. Inclusion criteria included adult patients with a diagnosis of uncontrolled primary HTN (>140/90). Blood pressure, perception of IPC, and patient and care team satisfaction were measured. Descriptive statistics, paired t-test, and unpaired t-test were used for analysis.Results:Twenty-two patients participated in the process change. Mean BP demonstrated a statistically significant decline. Care team perception of IPC improved. Care team members and patients reported satisfaction with the overall process change.Conclusion:This project offers support to increase knowledge of how IPC competencies and concepts can be incorporated into an FQHC and the effect it may have on hypertensive patients being treated under a PCMH model.

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Waszyk-Nowaczyk, Magdalena, Weronika Guzenda, Beata Plewka, Michał Michalak, Magdalena Cerbin-Koczorowska, Łukasz Stryczyński, Michał Byliniak, and Anna Ratka. "Screening Services in a Community Pharmacy in Poznan (Poland) to Increase Early Detection of Hypertension." Journal of Clinical Medicine 9, no. 8 (August 8, 2020): 2572. http://dx.doi.org/10.3390/jcm9082572.

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Background: Community pharmacies in many countries around the world provide healthcare services for patients. Pharmacists trained as medication experts provide a wide range of patient care services related to medication therapy, patient education, disease prevention, and health promotion. Professional training, expertise, and skills qualify pharmacists to engage in health screenings. These screening programs performed by community pharmacists can help to identify risk factors, facilitate early detection of common diseases, and assist physicians with making effective diagnoses. Objectives: In this study, we created and tested a novel model to provide professional monitoring and counseling on blood pressure by community pharmacists. The aims of the study were to identify the prevalence of elevated blood pressure among patients visiting a community pharmacy and describe the demographic characteristics of patients with hypertension (sex, age, education, body weight, and hypertension risk factors). Methods: The research project was conducted in an accredited community pharmacy in Poznan, Poland, from January to April 2019. A total of 118 anonymous patients (30.5% men and 69.5% women) participated in this study. To qualify for this study, participants had to be older than 18 years of age and have no previous diagnosis of hypertension or other cardiovascular disease. Results: Based on the blood pressure screenings, 61.9% of patients were qualified for the standard consultation (SC: normal blood pressure), 21.2% for the intensive consultation (IC: normal blood pressure and hypertension risk factor), 16.9% patients with elevated blood pressure for the high-risk consultation (HRC: referred to a physician), and 3.4% received a diagnosis of hypertension. We qualified 35.6% with a high-pressure value (greater than 140/90 mmHg). Conclusions: The novel model for blood pressure control screening and counseling implemented in a generally accessible community pharmacy may help with early detection of hypertension problems, lead to initiation of effective patient counseling by a community pharmacist, and result in early referral of the patient to a physician.

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Kurniawan, Andi, and Rusjiyanto Rusjiyanto. "Gambaran Penilaian Status Malnutrisi dan Lama Rawat Inap Pasien Hipertensi di RSUD Ir. Soekarno Sukoharjo." Jurnal Gizi 8, no. 2 (November 11, 2019): 70. http://dx.doi.org/10.26714/jg.8.2.2019.70-80.

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Hypertension disease in Indonesia are increasing every year. Manifestation of hypertension’s symptom can affect to malnutrition status and indirectly affect to length of stay. The objective of this research to know the overviews of malnutrition and length of malnutrition and length of stay of hypertension patient at RSUD Ir. Soekarno, SukoharjoThe research description research with observational approach andcross sectional study design. The sampling techniqueused is consecutive sampling as much as 24 respondents. The assessment of malnutrition using Subjective Global Assessment, while the patient’s length of stayis obtained by calculating the difference between date of attendance and date of left the hospital. Respondent with female gender is 58,9%. Most respondents are middle age (50%). Level of education elementary school is 41% respondents. The job of respondents 41% are labor. Respondent with hypertension stage 2 with length of stay are 52%. Hypertension stage 2 respondent with length of stay that classified medium as much as 52%. Respondent’s nutritional status that classified as bad nutrition 10,5% and poor nutrition 21,2%. The majority of SGA score of patients is A or not malnutrition.Keywords : Hypertension, Malnutrition, Length of Stay

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Herbst, Austin Gregory, Peter Olds, Gabriel Nuwagaba, Samson Okello, and Jessica Haberer. "Patient experiences and perspectives on hypertension at a major referral hospital in rural southwestern Uganda: a qualitative analysis." BMJ Open 11, no. 1 (January 2021): e040650. http://dx.doi.org/10.1136/bmjopen-2020-040650.

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ObjectivesNovel care models are needed to address the large burden of hypertension globally. We aimed to explore how patients in rural Uganda experience and perceive hypertension in order to understand factors that may inform development of a patient-centred care model for hypertension management in this setting.DesignWe conducted one-time, in-depth qualitative interviews focusing on participants’ experiences and perceptions of the meaning and management of hypertension.SettingOutpatient clinic at Mbarara Regional Referral Hospital in Uganda.ParticipantsWe enrolled patients who had hypertension and had used antihypertensive medication for at least 1 month. We used purposive sampling to recruit 30 participants with similar representation by gender and by absence or presence of comorbid conditions.ResultsParticipants had been diagnosed and initiated care at various clinical stages of hypertension, which impacted their understanding of hypertension. Several participants saw hypertension as a chronic disease that can lead to complications if not controlled, while others attributed symptoms typically associated with other diseases to hypertension. Participants described inconsistent access to antihypertensive medications and difficulty with transport to the clinic (time needed and expense) as the major barriers to access to care. Initiation and maintenance of care were facilitated by family support and ready access to health facilities. Many participants identified an understanding of the important lifestyle and dietary changes required to control hypertension.ConclusionsPatients with hypertension in rural Uganda demonstrated a varied understanding and experience with hypertension. Interventions leveraging family support may help with patient education and clinical management. Integration of patient perspectives into the care model, patient-centred care, may serve as a successful model for hypertension and potentially delivery of care for other non-communicable diseases in Uganda and other similar resource-limited settings.

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Bahar, Meiskha, Hany Yusmaini, and Sri Wahyuningsih. "Use Of Anti Hypertension And Factors That Affect The Compliance Of Drinking Anti Hypertension In Hypertension Patients In Cisalak Pasar Depok Health Center." PUINOVAKESMAS 1, no. 1 (October 7, 2020): 54–61. http://dx.doi.org/10.29238/puinova.v1i1.287.

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Compliance with treatment is an important factor in the health of hypertensive patients. Compliance is a prerequisite for the effectiveness of hypertension therapy, whereas patient non-compliance with antihypertensive drugs is one of the main factors in the failure of therapy. There are several factors that influence medication adherence and some basic principles of therapy that need to be considered to reach the target of therapy and reduce complications of hypertension. Hypertension sufferers in the Cisalak Pasar Community Health Center are quite numerous, they are generally elementary school and not schooled (74.2%). Kidney complications and a combination of heart and kidney are also quite large, which is 40%. This study aims to determine the pattern of antihypertensive administration and the relationship of age, education level, degree of hypertension, complications and type of therapy with the level of adherence to taking medication for hypertensive patients at the Cisalak Pasar Community Health Center. The research design used in this study was a descriptive cross-sectional. The subjects of the study were essential hypertension patients at the Cisalak Pasar Health Center, Depok who met the inclusion and exclusion criteria. The results of this study are that the pattern of antihypertensive administration is in accordance with JNC 8, there is no relationship between age, education level, hypertension degree and the number of drugs taken with medication compliance, and there is a relationship between the presence or absence of complications with medication compliance

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Gruesser, M., P. Hartmann, N. Schlottmann, FW Lohmann, PT Sawicki, and V. Joergens. "Structured patient education for out-patients with hypertension in general practice: a model project in Germany." Journal of Human Hypertension 11, no. 8 (August 1997): 501–6. http://dx.doi.org/10.1038/sj.jhh.1000508.

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Drevenhorn, Eva. "A Proposed Middle-Range Theory of Nursing in Hypertension Care." International Journal of Hypertension 2018 (2018): 1–11. http://dx.doi.org/10.1155/2018/2858253.

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Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related to the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with Orem’s theory of nursing. Clinical and research implications of the theory are discussed.

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Asgari, Mohammad Reza, Hamid Bouraghi, Ali Mohammadpour, Mina Haghighat, and Raheleh Ghadiri. "The role of psychosocial determinants in predicting adherence to treatment in patient with hypertension." Interventional Medicine and Applied Science 11, no. 1 (December 19, 2018): 8–16. http://dx.doi.org/10.1556/1646.10.2018.43.

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Introduction Non-adherence in patients with hypertension directly exacerbates clinical outcomes. The purpose of the present research is to study the recognition of the relationships between the perceived social support and self-efficacy and the satisfaction of health care agents and the interaction of the patient with therapeutic personnel and access to health care and the behaviors of adherence to treatment in the patients who suffer hypertension. Materials and methods This descriptive cross-sectional correlation study recruited 250 patients from a specialized hypertension clinic in Semnan, who completed the following questionnaires: Multidimensional Scale of Perceived Social Support, self-efficacy, adherence to treatment, access to and satisfaction with health care, and the patient’s interaction with treatment personnel. Results An overall statistical description of the sample consists of 89 (35.6%) men and 161 (64.4%) women (SD = 10.41, range = 51.98). Regression coefficient of previous variables (three steps) shows that self-efficacy share, consent form civil services, and job could demonstrate with 99% certainty in the changes of treatment conformity in a meaningful way. Conclusions High self-efficacy, satisfaction with health care, and a favorable job have a high direct effect on adherence to treatment in patients with hypertension and controlling hypertension. Social support and education do not have a significant impact on adherence to treatment.

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Daryanti, Eneng, Rikky Gita H, Lina Marlina, and Meti Sulastri. "Prolanis Terhadap Tingkat Penurunan Tekanan Darah dan Diabetes Mellitus di Bungursari, Tasikmalaya." ABDIMAS: Jurnal Pengabdian Masyarakat 3, no. 2 (October 30, 2020): 292–97. http://dx.doi.org/10.35568/abdimas.v3i2.851.

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The government through BPJS Health has launched a chronic disease management program (PROLANIS) aimed at patients with hypertension cases to overcome the patient's hypertension condition. Activities in PROLANIS include medical or educational consultation activities, home visits, reminders, club activities, in fact there are still many people especially families who do not know about PROLANIS, so that many community members or families who have hypertension do not routinely control health facilities. The purpose of this activity is to run a chronic disease management program (prolanis) to reduce blood pressure and diabetes mellitus. The method used is lectures, discussions, home visits. Material or types of activities provided include health education about PROLANIS, hypertension and diabetes mellitus, attending elderly gymnastics, health consultations, checking blood pressure and blood sugar levels, and visiting home activities of PROLANIS members. Media used in the form of power points, blood pressure meters, blood sugar check devices, stethoscopes. The results of the assessment of this activity indicate the effectiveness of prolanis activities can affect the state of the patient, both blood pressure or physical activity. This is because there are activities that can improve patient understanding of the importance of managing hypertension and diabetes mellitus. Management of hypertension and diabetes mellitus is obtained through educational activities towards patients and reminders.

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Plaszewska-Zywko, L., T. Grodzicki, and J. Kocemba. "IMPROVEMENT IN HYPERTENSION CONTROL AND REDUCTION OF DRUG TREATMENT NEEDS BY PATIENT EDUCATION APPROACH." Journal of Hypertension 18 (June 2000): S7—S8. http://dx.doi.org/10.1097/00004872-200006001-00005.

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Marciulioniene, N., and G. Sakalnikas. "PATIENT EDUCATION FOR HYPERTENSION PROJECT (PEP) IN PANEVEZYS OUTPATIENT CLINIC (THE FIRST YEAR EXPERIENCE)." Journal of Hypertension 18 (June 2000): S37. http://dx.doi.org/10.1097/00004872-200006001-00116.

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Johnson, Heather M., Jamie N. LaMantia, Colleen M. Brown, Ryan C. Warner, Laura M. Zeller, Ryan C. Haggart, Keven Stonewall, and Diane R. Lauver. "My Hypertension Education and Reaching Target (MyHEART): Development and Dissemination of a Patient-Centered Website for Young Adults with Hypertension." JMIR Cardio 1, no. 2 (September 25, 2017): e5. http://dx.doi.org/10.2196/cardio.8025.

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Etminani, Kobra, Arianna Tao Engström, Carina Göransson, Anita Sant’Anna, and Sławomir Nowaczyk. "How Behavior Change Strategies are Used to Design Digital Interventions to Improve Medication Adherence and Blood Pressure Among Patients With Hypertension: Systematic Review." Journal of Medical Internet Research 22, no. 4 (April 9, 2020): e17201. http://dx.doi.org/10.2196/17201.

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Background Information on how behavior change strategies have been used to design digital interventions (DIs) to improve blood pressure (BP) control or medication adherence (MA) for patients with hypertension is currently limited. Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication. Many interventions that target MA to improve BP are increasingly using modern digital technologies. This systematic review was conducted to discover how DIs have been designed to improve MA and BP control among patients with hypertension in the recent 10 years. Results were mapped into a matrix of change objectives using the Intervention Mapping framework to guide future development of technologies to improve MA and BP control. Methods We included all the studies regarding DI development to improve MA or BP control for patients with hypertension published in PubMed from 2008 to 2018. All the DI components were mapped into a matrix of change objectives using the Intervention Mapping technique by eliciting the key determinant factors (from patient and health care team and system levels) and targeted patient behaviors. Results The analysis included 54 eligible studies. The determinants were considered at two levels: patient and health care team and system. The most commonly described determinants at the patient level were lack of education, lack of self-awareness, lack of self-efficacy, and forgetfulness. Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level. Taking medication, interactive patient-provider communication, self-measurement, and lifestyle management were the most cited patient behaviors at both levels. Most of the DIs did not include support from peers or family members, despite its reported effectiveness and the rate of social media penetration. Conclusions This review highlights the need to design a multifaceted DI that can be personalized according to patient behavior(s) that need to be changed to overcome the key determinant(s) of low adherence to medication or uncontrolled BP among patients with hypertension, considering different levels including patient and healthcare team and system involvement.

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Luo, Aijing, Zirui Xin, Yifeng Yuan, Tingxiao Wen, Wenzhao Xie, Zhuqing Zhong, Xiaoqing Peng, et al. "Multidimensional Feature Classification of the Health Information Needs of Patients With Hypertension in an Online Health Community Through Analysis of 1000 Patient Question Records: Observational Study." Journal of Medical Internet Research 22, no. 5 (May 29, 2020): e17349. http://dx.doi.org/10.2196/17349.

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Background With the rapid development of online health communities, increasing numbers of patients and families are seeking health information on the internet. Objective This study aimed to discuss how to fully reveal the health information needs expressed by patients with hypertension in their questions in a web-based environment and how to use the internet to help patients with hypertension receive personalized health education. Methods This study randomly selected 1000 text records from the question data of patients with hypertension from 2008 to 2018 collected from Good Doctor Online and constructed a classification system through literature research and content analysis. This paper identified the background characteristics and questioning intention of each patient with hypertension based on the patient’s question and used co-occurrence network analysis and the k-means clustering method to explore the features of the health information needs of patients with hypertension. Results The classification system for the health information needs of patients with hypertension included the following nine dimensions: drugs (355 names), symptoms and signs (395 names), tests and examinations (545 names), demographic data (526 kinds), diseases (80 names), risk factors (37 names), emotions (43 kinds), lifestyles (6 kinds), and questions (49 kinds). There were several characteristics of the explored web-based health information needs of patients with hypertension. First, more than 49% of patients described features, such as drugs, symptoms and signs, tests and examinations, demographic data, and diseases. Second, patients with hypertension were most concerned about treatment (778/1000, 77.80%), followed by diagnosis (323/1000, 32.30%). Third, 65.80% (658/1000) of patients asked physicians several questions at the same time. Moreover, 28.30% (283/1000) of patients were very concerned about how to adjust the medication, and they asked other treatment-related questions at the same time, including drug side effects, whether to take the drugs, how to treat the disease, etc. Furthermore, 17.60% (176/1000) of patients consulted physicians about the causes of clinical findings, including the relationship between the clinical findings and a disease, the treatment of a disease, and medications and examinations. Fourth, by k-means clustering, the questioning intentions of patients with hypertension were classified into the following seven categories: “how to adjust medication,” “what to do,” “how to treat,” “phenomenon explanation,” “test and examination,” “disease diagnosis,” and “disease prognosis.” Conclusions In a web-based environment, the health information needs expressed by Chinese patients with hypertension to physicians are common and distinct, that is, patients with different background features ask relatively common questions to physicians. The classification system constructed in this study can provide guidance to health information service providers for the construction of web-based health resources, as well as guidance for patient education, which could help solve the problem of information asymmetry in communication between physicians and patients.

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Hilleary, Rebecca S., Sarah M. Jabusch, Becky Zheng, Michael R. Jiroutek, and Charles A. Carter. "Gender disparities in patient education provided during patient visits with a diagnosis of coronary heart disease." Women's Health 15 (January 2019): 174550651984559. http://dx.doi.org/10.1177/1745506519845591.

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Background: Cardiovascular disease is the leading cause of death in females in the United States. Prior studies have reported that females receive less patient education and preventive counseling for cardiovascular disease as compared with males. The American Heart Association and others have embarked on several initiatives over the last 20 years to narrow this disparity of care. The primary objective of this study was to determine whether a gender disparity remains in the provision of patient education among patients diagnosed with coronary heart disease, a form of cardiovascular disease. The secondary objective was to determine whether there is an association between the provision of patient education and sociodemographic variables and risk factors. Methods: This was a retrospective, cross-sectional, observational study of adults (⩾18 years) diagnosed with coronary heart disease who participated in National Ambulatory Medical Care Survey between the years 2005 and 2014, inclusive. Chi-square tests of independence were performed to address the primary objective. A multivariable logistic regression model was constructed to assess the association between gender and provision of patient education while adjusting for sociodemographic variables and risk factors of interest. Results: A total raw survey sample size of 17,332 patient visits meeting the study inclusion/exclusion criteria was utilized. Patients were predominately white, male, non-Hispanic, and ⩾75 years of age. Females had 0.86 times the odds of receiving patient education compared with males (95% confidence interval = 0.78–0.95, p = 0.0024). After adjusting for covariates of interest, gender remained statistically significant in the multivariable logistic model. In addition, the variables “other payer” (vs private insurance), tobacco use, primary care physician type, obesity, hyperlipidemia, and hypertension were found to be statistically significantly associated with the provision of patient education (p < 0.05) in the multivariable analysis. Conclusion: In the data analyzed, gender disparities exist, as evidenced by a greater proportion of males receiving patient education than females, among coronary heart disease patients during visits seeking medical care. The acceptability of these findings in terms of overall patient management and treatment goals requires further evaluation.

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Silaen, Harsudianto. "PENGARUH PEMBERIAN KONSELING PADA PASIEN HEMODIALISA DENGAN TINGKAT KEKAMBUHAN PENYAKIT HIPERTENSI DI RUMAH SAKIT KOTA MEDAN." Jurnal Keperawatan Priority 2, no. 2 (August 3, 2019): 100. http://dx.doi.org/10.34012/jukep.v2i2.573.

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Counseling is one of the effective ways in health education to teach patients to limit their fluid intake. Through counseling the relationship between nurses and patients can be more open, where patients can express all complaints and limitations and / or their abilities and weaknesses, nurses can also explore patient feelings and understand the diversity of each different patient, so that communication between nurses and patients can be adjusted with the diversity of characteristics that patients have. In patients Renal failure is often found as a complication of long-standing hypertension and can interfere with the process of hemodialysis. Therefore sufferers need to be assisted in the form of counseling. This study aims to determine the effect of counseling on hemodialysis patients with recurrence rates of hypertension in Medan City Hospital. This type of research is quantitative with a quasi-experimental design. The sample used in this study amounted to 54 people and the sampling technique with purposive sampling was that sample taking by researchers came to do research and a portion of the sample was taken from the population. Data collection uses questionnaires and data analysis using the T-Test. From the results of the study, the effect of giving counseling with the recurrence rate of hypertension was obtained that the p value was 0.001. It is expected that nurses will provide education and counseling to hemodialysis patients to be able to control diet patterns.

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Andjelkovic, Marija, Marina Mitrovic, Ivana Nikolic, Danica Bacanin Jovanovic, Ivanka Zelen, Milan Zaric, Petar Canovic, Aleksandra Kovacevic, and Slobodan Jankovic. "Older Hypertensive Patients’ Adherence to Healthy Lifestyle Behaviors." Serbian Journal of Experimental and Clinical Research 19, no. 1 (March 1, 2018): 51–56. http://dx.doi.org/10.1515/sjecr-2016-0083.

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Abstract Non-pharmacological treatment including diet, body weight reduction, smoking cessation and physical activity, is very important part of hypertension treatment. The objective of this study was to investigate the adherence to healthy lifestyle behavior in the representative sample of the older hypertensive patients, and to investigate factors associated with adherence in the studied older population. The study was conducted on random sample of 362 long term hypertensive (> five years) patients older than 65 years of age, at Health Care Center of Kragujevac. Adherence was assessed using the structured questionnaire for the analysis of the implementation of both hypertension and diabetes guidelines in the primary care. Both bivariate and multivariate analyses were conducted. Nearly 35% of examined patients were highly adherent; they exercised regularly, avoided smoking for at least five years and consumed special healthy diet prescribed for hypertension. Another 35.6% of the cases reported exercising regularly, 39.5% followed the recommended diet for the hypertension, while 23.4% of the patients have still consumed cigarettes. Multivariate logistic regression demonstrated that received counseling on healthy lifestyle behaviors by physicians and lack of education predicted high adherence to healthy lifestyle behavior. In order to improve adherence of elderly hypertensive patients to healthy lifestyle, strengthening patient-physician relationships through efforts to enhance communication may be a promising strategy to enhance patients’ engagement in healthy lifestyle behaviors for hypertension. Such an improvement could be achieved through the education of both the physicians and patients.

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Salman, Jacob, Alicja Salman, Sarwan Kumar, Rudin Gjeka, Vesna Tegeltija, Daymon Peterson, Nour Chams, and Ian Ross. "Improving the use of intravenous antihypertensive medications in the hospital setting: a quality improvement initiative for patient safety." BMJ Open Quality 8, no. 4 (November 2019): e000626. http://dx.doi.org/10.1136/bmjoq-2019-000626.

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Intravenous (IV) hydralazine, enalapril and labetalol are oftentimes used without indication for the treatment of asymptomatic hypertension in the hospital setting and have been shown to have substantial adverse effects that are associated with increased morbidity and mortality, as well as longer length of stay. Their use is also associated with greater monetary costs. In this project, we studied the frequency of use and consequences of these medications before and after a series of education cycles which clarified when and when not to use intravenous antihypertensives (IVAHs). Our initial aim was to decrease the unindicated use of IVAH by at least 25% in the setting of asymptomatic hypertension in our community hospital within a 1-year period after introducing education on the topic.Multidisciplinary involvement throughout three Plan-Do-Study-Act (PDSA) cycles yielded favourable results. We focused on education towards a hospital-wide knowledge gap stemming from a lack of guidelines regarding the treatment of asymptomatic hypertension, as well as the guideline indications for IVAH. After three cycles of education targeting different groups, the unindicated use of IVAH fell by a total of 66%, decreasing patient exposure by approximately 248 cases over the total course of the study and ultimately, yielding a 52% increase in patient safety. Secondary outcome included a reduction in cost. It was noted that IV drugs cost more than their oral counterparts. The culture change in switching away from IVAH unless otherwise indicated was driven by repetitive education and group discussion to close the gap created by a lack of guidelines.

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Morrison, Laura, Claire McAteer, Lisa Donaghy, Marie O'Connor, and Eamon Dolan. "248 An Evaluation of Patient Education Post-Stroke." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.152.

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Abstract Background In 2018, 212 acute strokes were diagnosed in our university teaching hospital. Our stroke service is evolving to meet the needs of this growing population. The aim of this study was to evaluate the knowledge patients have about their stroke diagnosis and identify how to improve education given post-stroke. Methods Thirty consecutive patients attending stroke clinic completed a questionnaire, including questions regarding aetiology of their stroke, medications started, driving and education received as an inpatient. Results The thirty patients were a median of 16 months post-stroke. One had a haemorrhagic stroke, all others ischaemic stroke. Only 33% correctly described the type of stroke they had. 50% correctly identified all the risk factors they had been diagnosed with, including atrial fibrillation, hypertension, hypercholesterolaemia and carotid stenosis. 70% of patients reported receiving education in hospital post-stroke. Of these, 13% received written information. 30% of patients were shown their brain scan and the majority (89%) found it beneficial. 71% of those who did not see their scan would have liked to. 52% reported knowing which medications had been started post-stroke but only 23% of patients listed new medications correctly. 43% of patients felt they did not receive enough information about new medications and 27% reported either sometimes or frequently missing medications. 77% of patients drove before their stroke. 74% of these reported that they were advised not to drive post-stroke. Of these, 35% correctly identified how long they were advised not to drive for. Only 26% of those driving before their stroke had driving advice in their discharge letter. Conclusion These results illustrate areas in which we can improve education post-stroke, including ensuring patients receive individualised information about the aetiology of their stroke, risk factors and the importance of new medications. It also highlights the importance of ensuring advice regarding driving is clearly explained and documented.

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Gümüştakım, Raziye Şule, Adem Ozkara, Rabia Kahveci, Pınar Döner Güner, Duygu Ayhan Başer, and Fatih Dede. "Awareness, Treatment and Control Rates of Hypertensive Patients in Ankara." Eurasian Journal of Family Medicine 8, no. 1 (March 31, 2019): 19–26. http://dx.doi.org/10.33880/ejfm.2019080103.

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Aim: It was aimed to evaluate the awareness levels of patients about hypertension, treatment and control rates. Methods: The descriptive study included 203 patients between ages of 35–80 with a previous diagnosis of hypertension to the primary care outpatient clinic of Ankara Numune Training and Research Hospital in September 2011-January 2012. A 42-item questionnaire was used and 19 questions were used to determine the level of awareness among them. Nine measurements were in the office by the researcher and 12 measurements at home by the patient. Results: 25.6% of the patients were males and 74.4% were females. The median age was 59 years (IQR=13). The section for scoring the awareness levels revealed following: 27.1% of patients were non-aware, 58.6% had a low level of awareness and 14.3% had a high level of awareness. 72.9% of the patients were aware, 93.1% were taking antihypertensive treatment, while 42.4% measured blood pressures both at home and at office are under control. Awareness level is related to diet, exercise, education, salt usage, blood pressure measurement frequency, doctor referral frequency, education and knowledge level about hypertension, blood pressure monitoring branch, antihypertensive treatment status, hypertension duration, number of antihypertensive drugs and regular usage rates; but hypertension control was only associated with salt use, antihypertensive treatment and number of antihypertensive drugs. Conclusion: Hypertension is a common problem in our country and as we have seen in our studies, awareness rates are insufficient. Although the treatment rates are high, the control rates are not sufficient. This suggests that patients' compliance with treatment is not at the desired level. The most important thing to do in this regard is to raise awareness by increasing public awareness about hypertension. In this respect, primary care physicians have a great responsibility.

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Mosesso, Kara, Chasity Walters, Christianne Supan, and Ann Alice Jakubowski. "Assessing the feasibility of developing and implementing a web-based patient education application." Journal of Clinical Oncology 36, no. 7_suppl (March 1, 2018): 101. http://dx.doi.org/10.1200/jco.2018.36.7_suppl.101.

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101 Background: Metabolic Syndrome (MetS) is common following allogeneic stem cell transplant (allo-SCT). Lifestyle counseling in the early post-transplant period is crucial for reducing morbidity and mortality related to MetS. The purpose of this study is to assess the feasibility of developing and implementing a video web-based patient education application that educates patients about Metabolic Syndrome (MetS) and provides preventative lifestyle recommendations following allo-SCT. Methods: We created and animated four video storyboards using evidence based research and recommended guidelines (from nationally recognized organizations). There is one video for each component of MetS including abdominal obesity, hypertension, hyperglycemia and dyslipidemia. The videos and a printable PDF overview of MetS were launched on a landing page on our patient education website (available to MSKCC and non-MSKCC patients) in August 2017. MSKCC patients are introduced to the website ( https://www.mskcc.org/cancer-care/patient-education/managing-metabolic-syndrome-after-allogeneic-stem-cell-transplant ) by the nurse practitioner at their Survivorship Visit. After approximately 10 weeks live, feasibility was assessed according to measured MSKCC and non-MSKCC patient use of the education application. Results: To date there have been 121 pageviews on the landing page, 89 of which are unique IP addresses. Video use statistics are noted in the table below. Conclusions: Developing a video web-based patient application is a feasible adjunct to support and expand upon face-to-face education. Future directions include determining patient satisfaction, change in knowledge and behavior as a result of the videos and perceived usability of the web-based program by integrating a Likert-type patient self-report questionnaire into a module on the landing page. [Table: see text]

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Gibson, Demetra S., Aviva G. Nathan, Michael T. Quinn, and Neda Laiteerapong. "Patient expectations of hypertension and diabetes medication: Excessive focus on short-term benefits." SAGE Open Medicine 6 (January 2018): 205031211882111. http://dx.doi.org/10.1177/2050312118821119.

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Objectives: The objectives of this study are to assess patient perspectives on their perceived benefits of hypertension and diabetes medications and determine associations between perceived benefits and demographics, adherence, and disease control. Methods: We interviewed 60 adults with type 2 diabetes and hypertension on oral medications. Participants were asked what benefits they expected from taking their medications. Transcripts were analyzed using a modified template approach. Benefits were categorized into short-term, long-term, or misconceptions (e.g. “medications cure diabetes”). Associations between perceived benefits and demographics, adherence, hemoglobin A1c, and blood pressure were analyzed. Results: In general, participants had relatively high self-reported medication adherence and well-controlled disease. All participants identified benefits of their hypertension medications; however, only 85% identified benefits of their diabetes medications. Half described only short-term benefits (e.g. lower blood sugar) (48%); almost one-third described both short- and long-term benefits (e.g. prevent complications) (30% and 28%, respectively). In multivariate analysis, participants with higher comorbidity were more likely to name long-term benefits of hypertension medications (odds ratio 13.3 (1.8–97.8), p = 0.01). Discussion: Participants perceived short-term benefits of hypertension and diabetes medications more often than long-term benefits; participants with higher comorbidity identified more long-term benefits. Further studies are warranted to determine whether additional education on long-term benefits may improve adherence.

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Journal articles on the topic 'Hypertension Patient education'

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