FEATURES OF PATIENT-ORIENTED COMMUNICATION WITH PATIENTS WITH ARTERIAL HYPERTENSION
DOI:
https://doi.org/10.11603/1811-2471.2024.v.i4.15024Keywords:
arterial hypertension, communication, compliance, self-control, antihypertensive therapy, patient-centred therapyAbstract
SUMMARY. Arterial hypertension (AH) is the cause of 13 % of all deaths in the world. Every year the number of patients with high blood pressure will increase. Despite a large number of pharmacological and non-pharmacological treatments for hypertension, the number of patients with insufficient control of the disease remains high worldwide.
The aim – to review the list of the most recent sources of information on the provision of patient-centred medical care for the management of patients with hypertension.
Results. Treatment of hypertension is the most effective when the patient cooperates and fully participates in the treatment process, including adherence to the treatment, self-monitoring, and monitoring of blood pressure. A number of studies have found specific effects of communication on self-care and adherence. Another study identified the kind of wording patients want to hear when talking to a doctor about high blood pressure. In addition to the specifics of communication, there are now international guidelines that support treatment methods to improve patient-physician compliance. Several factors need to be considered: identifying drug-related side effects and appropriate dosage levels, using long-acting drugs that require a single dose, avoiding complex dosing regimens, using single pill combinations whenever possible, considering the patient's financial ability to pay for a particular regimen in the long term, if appropriate, or other relevant aspects of local or national health systems, and enlisting the support of a family member or other social support.
Conclusions. There is a need to improve the communication skills of doctors and to emphasise the importance of patient awareness of self-care. Only comprehensive measures can ensure a sufficient response to hypertension treatment and help patients live longer and better lives.
References
Sabaté, E. (2003). Adherence to long-term therapies: evidence for action. WHO.
Suligowska, K., Gajewska M., Stokwiszewski J., & Gaciong Z. (2014). Insufficient knowledge of adults in Poland on criteria of arterial hypertension and its complications – results of the NATPOL 2011 survey. Arterial Hypertension, 18(1), 9–18.
World Health Organisation. (2010). Global status report on non communicable diseases 2010. WHO. http://www.who.int/nmh/publications/ncd_report2010/en/
Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., Clement,, D. L., Coca, A., de Simone, G., Dominiczak, A., Kahan, T., Mahfoud, F., Redon, J., Ruilope, L., Zanchetti, A., Kerins, M., Kjeldsen, S. E., Kreutz, R., Laurent, S., Lip G. Y. H., McManus R., Narkiewicz K., Ruschitzka F., Schmieder R. E., Shlyakhto, E., Tsioufis, C., Aboyans, V., & Desormais, I. (2018). 2018ESC/ESH guidelines for the management of arteria hypertension: the task force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension.Journal of Hypertension, 36(10), 1953–2041. DOI: 10. 1097/HJH.0000000000001940 DOI: https://doi.org/10.1097/HJH.0000000000001961
Dickson, V. V., Lee, C., Yehle, K. S., Abel, W. M., & Riegel, B. (2017). Psychometric testing of the self-care of hypertension inventory. The Journal of cardiovascular nursing, 32(5), 431–438. DOI: 10.1097/JCN.0000000000000364 DOI: https://doi.org/10.1097/JCN.0000000000000364
Riegel, B., Moser, D. K., Buck, H. G., Dickson, V. V., Dunbar, S. B., Lee, C. S., Lennie, T. A., Lindenfeld, J., Mitchell, J. E., Treat-Jacobson, D. J., Webber, & D. E. (2017). Self-Care for the Prevention and Management of cardiovascular disease and stroke a scientific statement for healthcare professionals from the American Heart Association. Journal of the American Heart Association, 6(9), 006997. DOI: 10.1161/JAHA.117.006997 DOI: https://doi.org/10.1161/JAHA.117.006997
Hu, H., Li, G., & Arao, T. (2013). Prevalence rates of self-care behaviors and related factors in a rural hypertension population: a questionnaire survey. International journal of hypertension, 2013, 526949. DOI: 10.1155/2013/526949 DOI: https://doi.org/10.1155/2013/526949
Bilal, M., Haseeb, A., Lashkerwala, S. S., Zahid, I., Siddiq, K., Saad, M., Dar, M. I., Arshad, M. H., Shahnawaz, W., Ahmed, B., & Yaqub, A. (2016). Knowledge, awareness and self-care practices of hypertension among cardiac hypertensive patients. Global journal of health science, 8(2), 9.DOI: 10.5539/gjhs.v8n2p9 DOI: https://doi.org/10.5539/gjhs.v8n2p9
Zolnierek, K. B., & Dimatteo M. R. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Medical care, 47(8), 826–834. DOI: 10.1097/MLR.0b013e31819a5acc DOI: https://doi.org/10.1097/MLR.0b013e31819a5acc
Lomper, K., Chabowski, M., Chudiak, A., Białoszewski, A., Dudek, K., & Jankowska-Polańska, B. (2018). Psychometric evaluation of the Polish version of the adherence to refills and medications scale (ARMS) in adults with hypertension. Patient preference and adherence, 12, 2661–2670. DOI: 10.2147/PPA.S185305 DOI: https://doi.org/10.2147/PPA.S185305
Choi, H. Y., Oh, I. J., Lee, J. A., Lim, J., Kim, Y. S., Jeon, T. H., Cheong, Y. S., Kim, D. H., Kim, M. C., & Lee, S. Y. (2018). Factors affecting adherence to antihypertensive medication. Korean journal of family medicine, 39(6), 325–332. DOI: 10.4082/kjfm.17.0041 DOI: https://doi.org/10.4082/kjfm.17.0041
Zanatta, F., Nissanova, E., Świątoniowska-Lonc, N., Pierobon, A., Callegari, G., Olmetti, F., Felicetti, G., Karniej, P., Polański, J., Giardini, A., & Jankowska-Polańska, B. (2020). Psychosocial Predictors of Self-Efficacy Related to Self-Reported Adherence in Older Chronic Patients Dealing with Hypertension: A European Study. Patient preference and adherence, 14, 1709–1718. DOI: 10.2147/PPA.S258999 DOI: https://doi.org/10.2147/PPA.S258999
Chaudri, N. A. (2004). Adherence to long-term therapies evidence for action. Annals of Saudi medicine, 24(3), 221–222. DOI: 10.5144/0256-4947.2004.221 DOI: https://doi.org/10.5144/0256-4947.2004.221
Jankowska-Polańska, B., Chudiak, A., Uchmanowicz, I., Dudek, K., & Mazur, G. (2017). Selected factors affecting adherence in the pharmacological treatment of arterial hypertension. Patient preference and adherence, 11, 363–371. DOI: 10.2147/PPA.S127407 DOI: https://doi.org/10.2147/PPA.S127407
Gast, A., & Mathes, T. (2019). Medication adherence influencing factors - an (updated) overview of systematic reviews. Systematic reviews, 8(1), 112. DOI: 10.1186/s13643-019-1014-8 DOI: https://doi.org/10.1186/s13643-019-1014-8
Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C. Why the nation needs a policy push on patient-centered health care. Health affairs, 29(8), 1489–1495. DOI: 10.1377/hlthaff.2009.0888 DOI: https://doi.org/10.1377/hlthaff.2009.0888
Keating, N. L., Gandhi, T. K., Orav, E. J., Bates, D. W., & Ayanian, J. Z. (2004). Patient characteristics and experiences associated with trust in specialist physicians. Archives of internal medicine, 164(9), 1015–1020. DOI: 10.1001/archinte.164.9.1015 DOI: https://doi.org/10.1001/archinte.164.9.1015
Świątoniowska-Lonc, N., Polański, J., Tański, W., & Jankowska-Polańska, B. (2020). Impact of satisfaction with physician-patient communication on self-care and adherence in patients with hypertension: cross-sectional study. BMC health services research, 20(1), 1046. DOI: 10.1186/s12913-020-05912-0 DOI: https://doi.org/10.1186/s12913-020-05912-0
Brewer, J., Bartlett, M., Harris, D., & Hui, C. (2021). Improving communication between healthcare providers and pulmonary arterial hypertension patients: a survey of patient preferences. Pulmonary circulation, 11(2), 20458940211015813. DOI: 10.1177/20458940211015813 DOI: https://doi.org/10.1177/20458940211015813
Mancia, G., Kreutz, R., Brunström, M., Burnier, M., Grassi, G., Januszewicz, A., Muiesan, M. L., Tsioufis, K., Agabiti-Rosei, E., Algharably, E. A. E., Azizi, M., Benetos, A., Borghi, C., Hitij, J. B., Cifkova, R., Coca, A., Cornelissen, V., Cruickshank, J. K., Cunha, P. G., Danser, A. H. J., Pinho, R. M., Delles, C., Dominiczak, A. F., Dorobantu, M., Doumas, M., Fernández-Alfonso, M. S., Halimi, J. M., Járai, Z., Jelaković, B., Jordan, J., Kuznetsova, T., Laurent, S., Lovic, D., Lurbe, E., Mahfoud, F., Manolis, A., Miglinas, M., Narkiewicz, K., Niiranen, T., Palatini, P., Parati, G., Pathak, A., Persu, A., Polonia, J., Redon, J., Sarafidis, P., Schmieder, R., Spronck, B., Stabouli, S., Stergiou, G., Taddei, S., Thomopoulos, C., Tomaszewski, M., Van de Borne, P., Wanner, C., Weber, T., Williams, B., Zhang, Z. Y., & Kjeldsen, S. E. (2023). 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). Journal of hypertension, 41(12), 1874–2071. DOI: 10.1097/HJH.0000000000003480 DOI: https://doi.org/10.1097/HJH.0000000000003480
McEvoy, J. W., McCarthy, C. P., Bruno, R. M., Brouwers, S., Canavan, M. D., Ceconi, C., Christodorescu, R. M., Daskalopoulou, S. S., Ferro, C. J., Gerdts, E., Hanssen, H., Harris, J., Lauder, L., McManus, R. J., Molloy, G. J., Rahimi, K., Regitz-Zagrosek, V., Rossi, G. P., Sandset, E. C., Scheenaerts, B., Staessen, J. A, Uchmanowicz, I., Volterrani, M., & Touyz, R. M. (2024). 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: Developed by the task force on the management of elevated blood pressure and hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO). European Heart Journal, 45(38), 3912–4018. DOI: 10.1093/eurheartj/ehae178 DOI: https://doi.org/10.1093/ehjcvp/pvae084
Houle, S. K., Chatterley, T., & Tsuyuki, R. T. (2014). Multidisciplinary approaches to the management of high blood pressure. Current opinion in cardiology, 29(4), 344–353. DOI: 10.1097/HCO.0000000000000071 DOI: https://doi.org/10.1097/HCO.0000000000000071
Woodham, N. S., Taneepanichskul, S., Somrongthong, R., Kitsanapun, A., & Sompakdee, B. Effectiveness of a multidisciplinary approach intervention to improve blood pressure control among elderly hypertensive patients in rural Thailand: a quasi-experimental study. Journal of multidisciplinary healthcare, 13, 571–580. DOI: 10.2147/JMDH.S254286 DOI: https://doi.org/10.2147/JMDH.S254286
Mattei da Silva, Â. T., de Fátima Mantovani, M., Castanho Moreira, R., Perez Arthur, J., & Molina de Souza, R. (2020). Nursing case management for people with hypertension in primary health care: a randomized controlled trial. Research in nursing & health, 43(1), 68–78. DOI: 10.1002/nur.21994 DOI: https://doi.org/10.1002/nur.21994
He, J., Ouyang, N., Guo, X., Sun, G., Li, Z., Mu, J., Wang, D. W., Qiao, L., Xing, L., Ren, G., Zhao, C., Yang, R., Yuan, Z., Wang, C., Shi, C., Liu, S., Miao, W., Li, G., Chen, C. S., & Sun, Y. (2023). Effectiveness of a non-physician community health-care provider-led intensive blood pressure intervention versus usual care on cardiovascular disease (CRHCP): an open-label, blinded-endpoint, cluster-randomised trial. Lancet, 401(10380), 928–938. DOI: 10.1016/S0140-6736(22)02603-4 DOI: https://doi.org/10.1016/S0140-6736(22)02603-4
Creegan, D., & McEvoy, J. W. (2024). Selected highlights in the updated treatment of hypertension. Trends in cardiovascular medicine, 34(6), 416–420. DOI: 10.1016/j.tcm. 2023.11.001 DOI: https://doi.org/10.1016/j.tcm.2023.11.001
