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Gaining insight into patients' experience of adherence to hypertensive treatment

Hypertension is one of the major risk factors for coronary heart disease and the most important factor for cerebrovascular diseases. Adherence to treatment is a fundamental pre-requisite for therapeutic benefit in hypertensive patients. Adherence is a complex behavioural process that is strongly inf...

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Main Authors: Lee, Khuan, Mohd Yunus,, Loong, Yik Yee, Ahmad, Shamsuddin, Jamil, Zubaidah, Abdul Raman, Rosna
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, University Putra Malaysia 2010
Online Access:http://psasir.upm.edu.my/id/eprint/14838/1/Gaining%20Insight%20into%20Patients%E2%80%99%20Experience%20of%20Adherence%20to%20Hypertensive%20Treatment.pdf
http://psasir.upm.edu.my/id/eprint/14838/
http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2010V06N2_OP07.pdf
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spelling my.upm.eprints.148382015-09-08T03:13:03Z http://psasir.upm.edu.my/id/eprint/14838/ Gaining insight into patients' experience of adherence to hypertensive treatment Lee, Khuan Mohd Yunus, Loong, Yik Yee Ahmad, Shamsuddin Jamil, Zubaidah Abdul Raman, Rosna Hypertension is one of the major risk factors for coronary heart disease and the most important factor for cerebrovascular diseases. Adherence to treatment is a fundamental pre-requisite for therapeutic benefit in hypertensive patients. Adherence is a complex behavioural process that is strongly influenced by the way in which patients live, as well as the psychological and social support system. Aim: To understand and conceptualize the experience of people on long-term antihypertensive treatment Method: Qualitative analysis using semi-structured interviews with ten hypertensive patients from the medical clinic of Kuala Lumpur General Hospital. Results: Although the participants were aware of having high blood pressure they declined receiving any treatment at the early stage of the disease. Fear of death and disease complications are reinforcements for participants to adhere to medication. They perceived the label of "hypertension" will affect their self-identity and social role. Positive thinking regarding medication assists participants to adhere to treatment. Conversely, participants who perceived medication negatively also adhere to a medication regime, as adherence behaviour satisfies the family. Participants justified modifying their regimen or taking Complementary and Alternative Medicine (CAM) as they believe know the their body best. However, participants wished to obtain more information regarding hypertension and its treatment from the doctors. Conclusion: In finding the fine balance between stepping in and holding back treatment and care, health professionals need to know their clients in context. This balance can only be achieved by establishing processes of negotiation within an ongoing therapeutic relationship. Faculty of Medicine and Health Sciences, University Putra Malaysia 2010-06 Article NonPeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/14838/1/Gaining%20Insight%20into%20Patients%E2%80%99%20Experience%20of%20Adherence%20to%20Hypertensive%20Treatment.pdf Lee, Khuan and Mohd Yunus, and Loong, Yik Yee and Ahmad, Shamsuddin and Jamil, Zubaidah and Abdul Raman, Rosna (2010) Gaining insight into patients' experience of adherence to hypertensive treatment. Malaysian Journal of Medicine and Health Sciences, 6 (2). pp. 43-50. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2010V06N2_OP07.pdf
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Hypertension is one of the major risk factors for coronary heart disease and the most important factor for cerebrovascular diseases. Adherence to treatment is a fundamental pre-requisite for therapeutic benefit in hypertensive patients. Adherence is a complex behavioural process that is strongly influenced by the way in which patients live, as well as the psychological and social support system. Aim: To understand and conceptualize the experience of people on long-term antihypertensive treatment Method: Qualitative analysis using semi-structured interviews with ten hypertensive patients from the medical clinic of Kuala Lumpur General Hospital. Results: Although the participants were aware of having high blood pressure they declined receiving any treatment at the early stage of the disease. Fear of death and disease complications are reinforcements for participants to adhere to medication. They perceived the label of "hypertension" will affect their self-identity and social role. Positive thinking regarding medication assists participants to adhere to treatment. Conversely, participants who perceived medication negatively also adhere to a medication regime, as adherence behaviour satisfies the family. Participants justified modifying their regimen or taking Complementary and Alternative Medicine (CAM) as they believe know the their body best. However, participants wished to obtain more information regarding hypertension and its treatment from the doctors. Conclusion: In finding the fine balance between stepping in and holding back treatment and care, health professionals need to know their clients in context. This balance can only be achieved by establishing processes of negotiation within an ongoing therapeutic relationship.
format Article
author Lee, Khuan
Mohd Yunus,
Loong, Yik Yee
Ahmad, Shamsuddin
Jamil, Zubaidah
Abdul Raman, Rosna
spellingShingle Lee, Khuan
Mohd Yunus,
Loong, Yik Yee
Ahmad, Shamsuddin
Jamil, Zubaidah
Abdul Raman, Rosna
Gaining insight into patients' experience of adherence to hypertensive treatment
author_facet Lee, Khuan
Mohd Yunus,
Loong, Yik Yee
Ahmad, Shamsuddin
Jamil, Zubaidah
Abdul Raman, Rosna
author_sort Lee, Khuan
title Gaining insight into patients' experience of adherence to hypertensive treatment
title_short Gaining insight into patients' experience of adherence to hypertensive treatment
title_full Gaining insight into patients' experience of adherence to hypertensive treatment
title_fullStr Gaining insight into patients' experience of adherence to hypertensive treatment
title_full_unstemmed Gaining insight into patients' experience of adherence to hypertensive treatment
title_sort gaining insight into patients' experience of adherence to hypertensive treatment
publisher Faculty of Medicine and Health Sciences, University Putra Malaysia
publishDate 2010
url http://psasir.upm.edu.my/id/eprint/14838/1/Gaining%20Insight%20into%20Patients%E2%80%99%20Experience%20of%20Adherence%20to%20Hypertensive%20Treatment.pdf
http://psasir.upm.edu.my/id/eprint/14838/
http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2010V06N2_OP07.pdf
_version_ 1643825754367066112
score 13.211869

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