Intervention strategies to improve adherence among hypertensives: Review and recommendations

Patient counselling and health education Pub Date : 1982-01-01 DOI:10.1016/S0738-3991(82)80031-1

Ph.D., M.P.H. Karen Glanz, Ph.D., M.P.H. Theresa O. Scholl

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引用次数: 13

Abstract

Hypertension is a leading public health problem, which significantly increases the risks of death and disability from cardiovascular and cerebrovascular diseases. Medical treatment is effective for reducing hypertension and the associated risks, but nonadherence to recommendations for treatment has limited the realization of benefits of advances in medical care.

This paper reviews recent attempts to improve adherence to medical regimens for the control of high blood pressure. Adherence to antihypertension regimens is defined as a behavioral problem, which includes a series of steps: participation in screening, entering treatment, continuing treatment, and adhering to the prescribed regimen. In the past decade, a wide range of structural and educational interventions attempting to increase adherence have had varying degrees of success. The interventions, their efficacy, study designs, and populations studied are reviewed, and recommendations for future testing and adoption of strategies for improving management of hypertension are advanced.

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改善高血压患者依从性的干预策略:综述和建议

高血压是一个主要的公共卫生问题，它大大增加了因心脑血管疾病死亡和残疾的风险。药物治疗对于降低高血压和相关风险是有效的，但不遵守治疗建议限制了医疗保健进步的益处的实现。这篇文章回顾了最近的尝试，以提高坚持医疗方案，以控制高血压。坚持降压方案被定义为一种行为问题，它包括一系列步骤:参与筛查、进入治疗、继续治疗和坚持规定的方案。在过去的十年里，各种各样的结构性和教育干预措施都取得了不同程度的成功。本文回顾了干预措施及其疗效、研究设计和研究人群，并提出了对未来检测和采用改善高血压管理策略的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Patient counselling and health education

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