Self-care and adherence to medication: a survey in the hypertension outpatient clinic

Gohar, Faekah; Greenfield, Sheila M.; Beevers, D. Gareth; Lip, Gregory Y. H.; Jolly, Kate
January 2008
BMC Complementary & Alternative Medicine;2008, Vol. 8, Special section p1
Academic Journal
Background: Self-care practices for patients with hypertension include adherence to medication, use of blood pressure self-monitoring and use of complementary and alternative therapies (CAM) The prevalence of CAM use and blood pressure self-monitoring have not been described in a UK secondary care population of patients with hypertension and their impact on adherence to medication has not been described. Adherence to medication is important for blood pressure control, but poor adherence is common. The study aimed to determine the prevalence of self-care behaviours in patients attending a secondary care hypertension clinic. Methods: Cross-sectional questionnaire survey. 196 patients attending a secondary care hypertension clinic in a teaching hospital serving a multiethnic population, Birmingham, UK. Main outcome measures: Prevalence of use of CAM, home monitors, adherence to anti-hypertensive medication. Results: CAM use in previous 12 months was reported by 66 (43.1%) respondents. CAM users did not differ statistically from non-CAM users by age, gender, marital status or education. Vitamins, prayer a dietary supplements were the most commonly used CAM. Nine (12.7%) women reported using herbal CAM compared to one man (1.2%), (p = 0.006). Ten (6.7%) respondents reported ever being asked by a doctor about CAM use. Perfect adherence to anti-hypertensive medication was reported by 26 (44.8%) CAM-users and 46 (60.5%) non-CAM users (p = 0.07). Being female and a CAM user was significantly associated with imperfect adherence to antihypertensive medication. Older and white British respondents were significantly more likely to report perfect adherence. Blood pressure monitors were used by 67 (43.8%) respondents, which was not associated with gender, CAM use or adherence to medication. Conclusion: Hypertensive patients use a variety of self-care methods, including CAM, home blood pressure monitors, and adherence to prescribed medication. This study found the prevalence of CAM use in hypertensive patients was higher than in the UK population. It is important to acknowledge the self-care behaviour of hypertensive patients, in order to assess potential harm, and encourage effective methods of self-care.


Related Articles

  • Abacus deploys e-health enabled blood pressure monitoring system.  // Medical Device Daily;2/9/2011, Vol. 15 Issue 27, p4 

    This article reports on the deployment by Abacus Health Solutions of its new e-health enabled blood pressure monitoring and feedback system to the outpatient setting. Abacus senior scientist David Ahern explains that the system can significantly reduce the subsequent morbidity and mortality...

  • Comparison of ambulatory blood pressure and Task Force criteria to identify pediatric hypertension. Díaz, Leila N.; Garin, Eduardo H. // Pediatric Nephrology;Apr2007, Vol. 22 Issue 4, p554 

    The aim of this study was to assess the level of agreement between central European ambulatory blood pressure monitoring (ABPM) and American Task Force (TF) criteria when applied to blood pressure (BP) measurements collected by ABPM to evaluate patients with hypertension. In 169 patients, we...

  • Differences in clinic and ambulatory measurements of blood pressure. McManus, Richard; Martin, Una // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;4/17/2010, Vol. 340 Issue 7751, p823 

    The article discusses a research study on equivalence diagnostic thresholds and therapy goals for ambulatory blood pressure monitoring, by G. A. Head and colleagues published within the issue. The study involved more than 8,500 individuals at 11 hypertension clinics in Australia. Key findings...

  • Isolated ambulatory hypertension is common in outpatients referred to a hypertension centre. Ungar, A.; Pepe, G.; Monami, M.; Lambertucci, L.; Torrini, M.; Baldasseroni, S.; Tarantini, F.; Marchionni, N.; Masotti, G. // Journal of Human Hypertension;Dec2004, Vol. 18 Issue 12, p897 

    The present investigation was aimed at determining the prevalence and the blood pressure (BP) profile of isolated ambulatory hypertension, defined as an elevated ambulatory BP with normal office blood pressure, in a series of 1488 consecutive outpatients referred for routine clinical evaluation...

  • The Impact of Perceived Hypertension Status on Anxiety and the White Coat Effect. Spruill, Tanya M.; Pickering, Thomas G.; Schwartz, Joseph E.; Mostofsky, Elizabeth; Ogedegbe, Gbenga; Clemow, Lynn; Gerin, William // Annals of Behavioral Medicine;2007, Vol. 34 Issue 1, p1 

    Background:The white coat effect can lead to overdiagnosis of hypertension and unnecessary pharmacologic treatment. Mechanisms underlying the white coat effect remain poorly understood but are critical to improving the accuracy of clinic blood pressure measurement. Purpose: This study...

  • BP affected by the weather. Simonite, Tom // GP: General Practitioner;3/10/2006, p5 

    This article reports on a study conducted by Italian researchers, which found that patients whose hypertension is well controlled might suffer increases of night-time blood pressure (BP) and greater morning BP surges in the summer, despite having lower BP during the day. The researchers followed...

  • Home and ambulatory blood pressure monitoring: when? who? Kantarci, Gülçin // Kidney International Supplements;Dec2013, Vol. 3 Issue 4, p337 

    Blood pressure measurement in the diagnosis and management of hypertension, including the technique required for ambulatory blood pressure monitoring and home blood pressure monitoring, will be reviewed in this article. Home and ambulatory measurements are widely used, both to confirm the...

  • Home blood pressure measurement and its relationship with blood pressure control in a large selected hypertensive population. Cuspidi, C.; Meani, S.; Fusi, V.; Salerno, M.; Valerio, C.; Severgnini, B.; Catini, E.; Leonetti, G.; Magrini, F.; Zanchetti, A // Journal of Human Hypertension;Oct2004, Vol. 18 Issue 10, p725 

    Despite the impressive increase of home blood pressure monitoring (BPM) among hypertensive patients over the last few years, a limited number of studies have analysed the rate of home BPM and its relationship with target blood pressure (BP) control, in representative samples of the hypertensive...

  • Role of Ambulatory and Home Blood Pressure Monitoring in Clinical Practice: A Narrative Review. Shimbo, Daichi; Abdalla, Marwah; Falzon, Louise; Townsend, Raymond R.; Muntner, Paul // Annals of Internal Medicine;11/3/2015, Vol. 163 Issue 9, p691 

    Hypertension, a common risk factor for cardiovascular disease, is usually diagnosed and treated based on blood pressure readings obtained in the clinic setting. Blood pressure may differ considerably when measured inside versus outside of the clinic setting. Over the past several decades,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics