Physician and patient perspectives on hypertension management and factors associated with lifestyle modifications in Japan: results from an online survey

被引:18
作者
Nishigaki, Nobuhiro [1 ]
Shimasaki, Yukio [1 ]
Yoshida, Takuo [1 ]
Hasebe, Naoyuki [2 ]
机构
[1] Takeda Pharmaceut Co Ltd, Japan Med Off, Tokyo, Japan
[2] Asahikawa Med Univ, Dept Internal Med, Div Cardiol Nephrol Pulmonol & Neurol, Asahikawa, Hokkaido, Japan
关键词
Education; Lifestyle modification; Hypertension paradox; Adherence; Hypertension; HIGH BLOOD-PRESSURE; AMERICAN-COLLEGE; HEALTH LITERACY; PREVENTION; GUIDELINES; ADHERENCE; SOCIETY; DISEASE; ADULTS; RISK;
D O I
10.1038/s41440-020-0398-0
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
We conducted a survey to examine the gaps between Japanese physician and patient perspectives on hypertension management and to investigate important factors that may help solve the "hypertension paradox" in Japan. Web-based surveys of patients and physicians were conducted in Japan between October 19 and 31, 2017. The data collected included physician and patient perspectives on hypertension education, adherence to lifestyle modifications and antihypertensive medication, and reasons for treatment adherence/nonadherence. Factors relating to specific patient behaviors (e.g., monitoring their home blood pressure [BP] daily) were analyzed by multivariate logistic regression analysis. Of the 541 physicians and 881 patients included in the analyses, both groups recognized that the extent of lifestyle changes was insufficient. Approximately 80% of physicians reported that they fully or sufficiently provided education to patients about reasons for hypertension treatment and its associated risks, target BP levels, and lifestyle modifications. Only 40-50% of patients considered those topics having been fully or sufficiently discussed. Logistic regression analyses revealed that positive lifestyle modifications (daily home BP monitoring, salt intake <6 g/day, and daily aerobic exercise for >= 30 min) were positively associated with receiving feedback from physicians about specific lifestyle modifications and patient motivation for maintaining their target BP. In conclusion, perception of the amount of education provided by physicians on hypertension management was lower in patients than in physicians. In addition to effective regular follow-up regarding lifestyle modifications, patient motivation by physicians is an important factor for improving lifestyle modifications and achieving effective hypertension management in Japan.
引用
收藏
页码:450 / 462
页数:13
相关论文
共 37 条
[1]   Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease [J].
Aaby, Anna ;
Friis, Karina ;
Christensen, Bo ;
Rowlands, Gill ;
Maindal, Helle Terkildsen .
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2017, 24 (17) :1880-1888
[2]   Improving health outcomes with better patient understanding and education [J].
Adams, Robert John .
RISK MANAGEMENT AND HEALTHCARE POLICY, 2010, 3 :61-72
[3]   Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults A Scientific Statement From the American Heart Association [J].
Artinian, Nancy T. ;
Fletcher, Gerald F. ;
Mozaffarian, Dariush ;
Kris-Etherton, Penny ;
Van Horn, Linda ;
Lichtenstein, Alice H. ;
Kumanyika, Shiriki ;
Kraus, William E. ;
Fleg, Jerome L. ;
Redeker, Nancy S. ;
Meininger, Janet C. ;
Banks, JoAnne ;
Stuart-Shor, Eileen M. ;
Fletcher, Barbara J. ;
Miller, Todd D. ;
Hughes, Suzanne ;
Braun, Lynne T. ;
Kopin, Laurie A. ;
Berra, Kathy ;
Hayman, Laura L. ;
Ewing, Linda J. ;
Ades, Philip A. ;
Durstine, J. Larry ;
Houston-Miller, Nancy ;
Burke, Lora E. .
CIRCULATION, 2010, 122 (04) :406-441
[4]   Good Publication Practice for Communicating Company-Sponsored Medical Research: GPP3 [J].
Battisti, Wendy P. ;
Wager, Elizabeth ;
Baltzer, Lise ;
Bridges, Dan ;
Cairns, Angela ;
Carswell, Christopher I. ;
Citrome, Leslie ;
Gurr, James A. ;
Mooney, LaVerne A. ;
Moore, B. Jane ;
Pena, Teresa ;
Sanes-Miller, Carol H. ;
Veitch, Keith ;
Woolley, Karen L. ;
Yarker, Yvonne E. .
ANNALS OF INTERNAL MEDICINE, 2015, 163 (06) :461-+
[5]   Essential hypertension Part I: Definition and etiology [J].
Carretero, OA ;
Oparil, S .
CIRCULATION, 2000, 101 (03) :329-335
[6]   SHATTUCK LECTURE The Hypertension Paradox - More Uncontrolled Disease despite Improved Therapy [J].
Chobanian, Aram V. .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (09) :878-887
[7]   Self-monitoring blood pressure in hypertension, patient and provider perspectives: A systematic review and thematic synthesis [J].
Fletcher, Benjamin R. ;
Hinton, Lisa ;
Hartmann-Boyce, Jamie ;
Roberts, Nia W. ;
Bobrovitz, Niklas ;
McManus, Richard J. .
PATIENT EDUCATION AND COUNSELING, 2016, 99 (02) :210-219
[8]   Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015 [J].
Forouzanfar, Mohammad H. ;
Afshin, Ashkan ;
Alexander, Lily T. ;
Anderson, H. Ross ;
Bhutta, Zulficiar A. ;
Biryukov, Stan ;
Brauer, Michael ;
Burnett, Richard ;
Cercy, Kelly ;
Charlson, Fiona J. ;
Cohen, Aaron J. ;
Dandona, Lalit ;
Estep, Kara ;
Ferrari, Alize J. ;
Frostad, Joseph J. ;
Fullman, Nancy ;
Gething, Peter W. ;
Godwin, William W. ;
Griswold, Max ;
Kinfu, Yohannes ;
Kyu, Hmwe H. ;
Larson, Heidi J. ;
Liang, Xiaofeng ;
Lim, Stephen S. ;
Liu, Patrick Y. ;
Lopez, Alan D. ;
Lozano, Rafael ;
Marczak, Laurie ;
Mensah, George A. ;
Mokdad, Ali H. ;
Moradi-Lakeh, Maziar ;
Naghavi, Mohsen ;
Neal, Bruce ;
Reitsma, Marissa B. ;
Roth, Gregory A. ;
Salomon, Joshua A. ;
Sur, Patrick J. ;
Vos, Theo ;
Wagner, Joseph A. ;
Wang, Haidong ;
Zhao, Yi ;
Zhou, Maigeng ;
Aasvang, Gunn Marit ;
Abajobir, Amanuel Alemu ;
Abate, Kalkidan Hassen ;
Abbafati, Cristiana ;
Abbas, Kaja M. ;
Abd-Allah, Foad ;
Abdulle, Abdishakur M. ;
Abera, Semaw Ferede .
LANCET, 2016, 388 (10053) :1659-1724
[9]   Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990-2015 [J].
Forouzanfar, Mohammad H. ;
Liu, Patrick ;
Roth, Gregory A. ;
Ng, Marie ;
Biryukov, Stan ;
Marczak, Laurie ;
Alexander, Lily ;
Estep, Kara ;
Abate, Kalkidan Hassen ;
Akinyemiju, Tomi F. ;
Ali, Raghib ;
Alvis-Guzman, Nelson ;
Azzopardi, Peter ;
Banerjee, Amitava ;
Baernighausen, Till ;
Basu, Arindam ;
Bekele, Tolesa ;
Bennett, Derrick A. ;
Biadgilign, Sibhatu ;
Catala-Lopez, Ferran ;
Feigin, Valery L. ;
Fernandes, Joao C. ;
Fischer, Florian ;
Gebru, Alemseged Aregay ;
Gona, Philimon ;
Gupta, Rajeev ;
Hankey, Graeme J. ;
Jonas, Jost B. ;
Judd, Suzanne E. ;
Khang, Young-Ho ;
Khosravi, Ardeshir ;
Kim, Yun Jin ;
Kimokoti, Ruth W. ;
Kokubo, Yoshihiro ;
Kolte, Dhaval ;
Lopez, Alan ;
Lotufo, Paulo A. ;
Malekzadeh, Reza ;
Melaku, Yohannes Adama ;
Mensah, George A. ;
Misganaw, Awoke ;
Mokdad, Ali H. ;
Moran, Andrew E. ;
Nawaz, Haseeb ;
Neal, Bruce ;
Ngalesoni, Frida Namnyak ;
Ohkubo, Takayoshi ;
Pourmalek, Farshad ;
Rafay, Anwar ;
Rai, Rajesh Kumar .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 317 (02) :165-182
[10]   Blood pressure categories and long-term risk of cardiovascular disease according to age group in Japanese men and women [J].
Fujiyoshi, Akira ;
Ohkubo, Takayoshi ;
Miura, Katsuyuki ;
Murakami, Yoshitaka ;
Nagasawa, Shin-ya ;
Okamura, Tomonori ;
Ueshima, Hirotsugu .
HYPERTENSION RESEARCH, 2012, 35 (09) :947-953