Appraisal of the Knowledge of Hypertensive Patients Regarding Blood Pressure Control and Comorbidities: Results of a French Regional Survey

被引:3
作者
Allibe M. [1 ]
Babici D. [1 ]
Chantrel Y.F. [2 ]
Lesquerbault B. [3 ]
Dubau M. [1 ]
Fickl R. [1 ]
Takla Z. [1 ]
Preissig-Dirhold C. [1 ]
Bucura R. [1 ]
Sissoko A. [4 ]
Coliban M. [1 ]
Chantrel F. [1 ]
机构
[1] Department of Nephrology, Hospital Group (GHR-MSA), Mulhouse
[2] School of Psychology, Kent University, Canterbury
[3] Department of Biostatistics, Hospital Group (GHR-MSA), Mulhouse
[4] AURAL, Dialysis Unit, Mulhouse
关键词
Antihypertensive drugs; Blood pressure control; Comorbidities; Compliance; France; Hypertension; Hypertension knowledge; National survey;
D O I
10.1007/s40292-016-0174-z
中图分类号
学科分类号
摘要
Introduction: Knowledge about hypertension might influence blood pressure (BP) control and adherence to treatment. Aim: This study was conducted in collaboration with 11 pharmacies to assess the level of knowledge about hypertension and BP targets among the hypertensive population in the French region of Alsace. Methods: Study participants (N = 380) were hypertensive adult patients visiting a pharmacy spontaneously from June to October, 2013, to get their regular prescribed medications including at least one antihypertensive agent. After filling a questionnaire, they were asked to record their BP themselves. Results: The participants were 66 years of age, mostly women (51%), non smokers (80%), with an education level lower than A-level (70%). Of them, 35% were obese and 74% reported being hypertensive for more than 12 years. Almost half of them used a home BP monitor. When queried about BP targets, 78% of participants gave values under 140/90 mm Hg. Heart disease and stroke were reported to be associated with hypertension by 78 and 66% of participants, respectively. Participants were taking two pharmacological classes mostly administered as fixed-combination drugs and 39.5% were compliant. Optimal BP targets (135/85) were achieved by 43%. A better BP control was observed significantly (p = 0.02) more often when BP targets were known. Uncontrolled participants were more likely (p = 0.006) to be aware of being hypertensive and less satisfied with BP control (p = 0.003). Conclusions: This study highlights the impact of patient knowledge and BP self-monitoring as well as the role of pharmacists to improve hypertension control. © 2016, Springer International Publishing Switzerland.
引用
收藏
页码:365 / 372
页数:7
相关论文
共 37 条
[1]  
Mittal B.V., Singh A.K., Hypertension in the developing world: challenges and opportunities, Am J Kidney Dis, 55, pp. 590-598, (2010)
[2]  
Wagner A., Arveiler D., Ruidavets J., Cottel D., Bongard V., Dallongeville J., Ferrieres J., Amouyel P., Haas B., Summary statement of hypertension in France in 2007: the Mona Lisa study, BEH, 49-50, pp. 483-486, (2008)
[3]  
Godet-Mardirossian H., Girerd X., Vernay M., Chamontin B., Castetbon K., de Peretti C., Patterns of hypertension management in France (ENNS 2006–2007), Eur J Prev Cardiol., 19, pp. 213-220, (2012)
[4]  
Girerd X., Hanon O., Pannier B., Mourad J.J., Vaisse B., hypertension in the elderly in France: characteristics of treatments and frequency of cognitive complaint according to the 2014 French League against Hypertension Survey, Ann Cardiol Angeiol, 64, pp. 145-149, (2015)
[5]  
Blacher J., Levy B.I., Mourad J.J., Safar M.E., Bakris G., From epidemiological transition to modern cardiovascular epidemiology: hypertension in the 21st century, Lancet, 388, pp. 530-532, (2016)
[6]  
Ettehad D., Emdin C.A., Kiran A., Anderson S.G., Callender T., Emberson J., Et al., Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis, Lancet, 387, pp. 957-967, (2016)
[7]  
Blacher J., Halimi J.M., Hanon O., Mourad J.J., Pathak A., Schnebert B., Girerd X., for the French Society of Hypertension, Management of hypertension in adults: the 2013 French Society of Hypertension guidelines, Fundam Clin Pharmacol, 28, pp. 1-9, (2014)
[8]  
Wright-Nunes J.A., Luther M., Ikizler T., Cavanaugh K.L., Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease, Patients Educ Couns, 88, pp. 184-188, (2012)
[9]  
Shibuya A., Inoue R., Ohkubo T., Takeda Y., Teshima T., Imai Y., Kondo Y., The relation between health literacy, hypertension knowledge, and blood pressure among middle-aged Japanese adults, Blood Press Monit, 16, pp. 224-230, (2011)
[10]  
Ghembaza M.A., Senoussaoui Y., Kendouci Tani M., Meguenni K., Impact of patient knowledge of hypertension complications on adherence to antihypertensive therapy, Curr Hypertens Rev, 10, pp. 41-48, (2014)