Association Between Medication Adherence and Admission Blood Pressure Among Patients With Ischemic Stroke

被引:8
作者
Chen, Min-Jie [1 ]
Wu, Chan-Chan [1 ]
Wan, Li-Hong [1 ]
Zou, Guan-Yang [2 ]
Neidlinger, Susan Holli [3 ]
机构
[1] Sun Yat Sen Univ, Sch Nursing, 74 Zhongshan Rd 2, Guangzhou, Guangdong, Peoples R China
[2] Queen Margaret Univ, Inst Global Hlth & Dev, Edinburgh, Midlothian, Scotland
[3] Sun Yat Sen Univ, Sch Nursing, Xinhua Coll, Guangzhou, Guangdong, Peoples R China
关键词
hypertension; ischemic stroke; medication adherence; nursing; SECONDARY PREVENTION; RISK; DISEASE; ADULTS; PERSISTENCE; KNOWLEDGE; ATTACK; CHINA; TRIAL;
D O I
10.1097/JCN.0000000000000541
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Poor medication adherence is one of the most important factors underlying uncontrolled blood pressure, and ensuing hypertension is the leading risk factor for stroke. However, the influence of prestroke medication nonadherence on the admission blood pressure of patients with hypertension who have had an ischemic stroke remains unclear. Objective: The aims of this study were to explore the influence of medication nonadherence on the admission blood pressure of patients with hypertension who have had an ischemic stroke and to analyze the reasons for medication nonadherence preceding stroke. Methods: A sample population of 301 patients with hypertension who have had an ischemic stroke was recruited. A questionnaire was used to investigate sociodemographic data and reasons for nonadherence. The 4-item Medication Adherence Scale was used to investigate prestroke medication adherence. Blood pressure was measured upon patient admission. Logistic regression analysis was used to identify factors influencing adherence. Results: In this cohort, 80.73% of the patients exhibited uncontrolled blood pressure on admission, and 26.58% had undiagnosed hypertension. Of the patients aware of their diagnosis, 75.11% were nonadherent and 10.40% had never used antihypertensive medicines. Uncontrolled admission blood pressure was positively influenced by medication nonadherence. The main causes of nonadherence included forgetfulness (58.08%), lack of belief in the need for long-term antihypertensive treatment (27.27%), and no awareness of the importance of long-term medication (24.75%). Conclusions: Stroke education in China should focus on patients' poor understanding of the importance for sustained antihypertensive medication adherence to improve blood pressure control and prevent stroke.
引用
收藏
页码:E1 / E8
页数:8
相关论文
共 50 条
  • [31] Association of Ambulatory Blood Pressure and Heart Rate With Advanced White Matter Lesions in Ischemic Stroke Patients
    Kwon, Hyuk Sung
    Lim, Young-Hyo
    Kim, Hyun Young
    Kim, Hee-Tae
    Kwon, Hyung-Min
    Lim, Jae-Sung
    Lee, Young-Jun
    Kim, Ji Young
    Kim, Young Seo
    AMERICAN JOURNAL OF HYPERTENSION, 2014, 27 (02) : 177 - 183
  • [32] Association Between Hyperuricemia and Acute Ischemic Stroke in Patients at a Tertiary Care Hospital
    Irfan, Muhammad
    Jawaid, Wajid
    Hashmat, Owais
    Nisa, Qamar
    Khastoori, Dipanty R., II
    Shahbaz, Naila N.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (10)
  • [33] The association between health beliefs and medication adherence among patients with type 2 diabetes
    Alatawi, Yasser M.
    Kavookjian, Jan
    Ekong, Gladys
    Alrayees, Meshari M.
    RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY, 2016, 12 (06) : 914 - 925
  • [34] Association between medication adherence and cardiovascular outcomes among acute coronary syndrome patients
    Chinwong, Surarong
    Doungsong, Kodchawan
    Channaina, Preeyarat
    Phrommintikul, Arintaya
    Chinwong, Dujrudee
    RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY, 2021, 17 (09) : 1631 - 1635
  • [35] Association between depression and medication adherence in stroke survivor older adults
    Srithumsuk, Werayuth
    Chaleoykitti, Saisamorn
    Jaipong, Saitip
    Pattayakorn, Pinthusorn
    Podimuang, Kattiya
    JAPAN JOURNAL OF NURSING SCIENCE, 2021, 18 (04)
  • [36] Knowledge of stroke and medication adherence among patients with recurrent stroke or transient ischemic attack in Indonesia: a multi-center, cross-sectional study
    Widjaja, Karina Kumaladewi
    Chulavatnatol, Suvatna
    Suansanae, Thanarat
    Wibowo, Yosi Irawati
    Sani, Achmad Firdaus
    Islamiyah, Wardah Rahmatul
    Nathisuwan, Surakit
    INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2021, 43 (03) : 666 - 672
  • [37] Factors associated with medication persistence among ischemic stroke patients: a systematic review
    Jang, Dong Eun
    Zuniga, Julie Ann
    NEUROLOGICAL RESEARCH, 2020, 42 (07) : 537 - 546
  • [38] Stroke severity among ischemic stroke patients with elevated diastolic blood pressure
    Knisely, Krista
    Edrissi, Camron
    Rathfoot, Chase
    Sanders, Carolyn Breauna
    Nathaniel, Samuel, I
    Nathaniel, Thomas, I
    FUTURE NEUROLOGY, 2023, 18 (02)
  • [39] Relationship between Blood Pressure and Outcomes in Acute Ischemic Stroke Patients Administered Lytic Medication in the TIMS-China Study
    Wu, Wei
    Huo, Xiaochuan
    Zhao, Xingquan
    Liao, Xiaoling
    Wang, Chunjuan
    Pan, Yuesong
    Wang, Yilong
    Wang, Yongjun
    PLOS ONE, 2016, 11 (02):
  • [40] Association between blood pressure and different antihypertensive drugs with outcome after ischemic stroke: A Mendelian randomization study
    Liu, Hanchen
    Zhang, Xiaoxi
    Zhou, Yu
    Nguyen, Thanh N.
    Zhang, Lei
    Xing, Pengfei
    Li, Zifu
    Shen, Hongjian
    Zhang, Yongxin
    Hua, Weilong
    Xu, Hongye
    Zhu, Xuan
    Chen, Lei
    Zuo, Qiao
    Zhao, Rui
    Li, Qiang
    Dai, Dongwei
    Zhang, Yongwei
    Xu, Yi
    Huang, Qinghai
    Liu, Jianmin
    Yang, Pengfei
    INTERNATIONAL JOURNAL OF STROKE, 2023, 18 (10) : 1247 - 1254