Hypertensive Individuals’ Use of Complementary Health Approaches and its Effect on Adherence with Antihypertensive Medication Treatment
Öz
Objective:
This
study was conducted with the aim of determining the uses of complementary
health approaches (CHA) in patients with hypertension and its effect on
adherence with antihypertensive medication. Method: This descriptive study was conducted at Karaağaç Family
Health Center located in the city center of Erzincan. Between June 2013 and
December 2013, the individuals who consulted to the center for some reason and
received antihypertensive treatment, were included. The data were collected
through face-to-face interviews using a questionnaire containing open- and
closed-ended questions and the Medication Adherence Self-Efficacy Scale Short
Form (MASES-SF). The blood pressure, height and weight measurements were
performed. Results: It was determined that 42.7% of the hypertensive patients
were using natural produces for nutrition as part of their CHA, the use of CHA
was higher in those under the age of 65 and in women (p<0.05) and using CHA
had no significant effect on blood pressure control or the mean MASES-SF score
(p>0.05). Medication adherence of the patients was on a good level. The mean
MASES-SF scores of the patients whose blood pressure was under control were
found higher (p<0.001) than those were
not under control. Conclusion: It was
concluded that approximately one of the two hypertensive patients was using
nutrient-based natural products as an adjunctive health care supplement for
antihypertensive treatment, however this did not have any impacts on blood
pressure control and changing medication adherence. Blood pressures of the
patients with a high level of adherence to their antihypertensive therapies
have been under control. The healthcare professionals who work at primary care
institutions should be aware of that they are advised to use some complementary
practices besides medical methods for the purpose of controlling the blood
pressure of hypertensive patients.
yaklaşımı (TSY) kullanımları ve bunun antihipertansif ilaç tedavisi uyumuna
etkisini belirlemek amacı ile yapıldı. Yöntem: Tanımlayıcı özellikteki bu araştırma Erzincan il merkezinde bulunan
Karaağaç Aile Sağlığı Merkezinde yürütüldü. Haziran-Aralık 2013 tarihleri
arasında merkeze herhangi bir nedenle başvuran ve antihipertansif tedavi alan
bireyler araştırmaya alındı. Veriler açık ve kapalı uçlu soru formu ve İlaç
Tedavisine Bağlılık/Uyum Öz-Etkililik Ölçeği Kısa Formu (İBÖS-KF) kullanılarak
yüz yüze görüşme yöntemi ile toplandı. Kan basıncı, boy ve kilo ölçümü yapıldı.
Bulgular: Hipertansiflerin % 42,7’sinin TSY olarak besin temelli
doğal ürünler kullandığı, TSY kullanımının 65 yaş altındakilerde ve kadınlarda
daha fazla olduğu (p < 0,05), TSY kullanımının kan basıncı kontrolü ve
İBÖS-KF ölçek puan ortalaması üzerinde önemli bir etkisinin olmadığı belirlendi
(p > 0,05). Hastaların ilaç uyumu iyi düzeydeydi. Kan basıncı kontrol
altında olanların İBÖS-KF ortalamaları olmayanlardan daha yüksek bulundu (p
< 0,001). Sonuç: Yaklaşık olarak her iki hipertansif hastadan birisinin
antihipertansif tedaviye ek tamamlayıcı sağlık yaklaşımı olarak besin temelli
doğal ürünler kullandığı ancak bu durumun kan basıncı kontrolüne ve ilaç
uyumlarına bir etkisinin olmadığı sonucuna ulaşılmıştır. Antihipertansif tedavi
uyumları yüksek olan hastaların kan basınçları kontrol altındadır. Birinci basamak
sağlık kurumlarında çalışan sağlık
profesyonellerinin hipertansif
hastalarının kan basıncı kontrolü amacıyla tıbbi yöntemler dışında bazı
tamamlayıcı uygulamaları da sorgulamaları önerilebilir.
Anahtar Kelimeler
Hypertension complementary health approaches antihypertensive treatment medication adherence family health center
Kaynakça
- 1. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311(5):507-20.
- 2. Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens 2004;22:11-9.
- 3. Türk Hipertansiyon ve Böbrek Hastalıkları Derneği, 2012. Türk Hipertansiyon Prevalans Çalışması PatenT2. http://www.turkhipertansiyon.org/prevelans_calismasi_2.php.Erişim tarihi: 15.04.2016.
- 4. DeSimone ME, Crowe A. Nonpharmacological approaches in the management of hypertension. J Am Acad Nurse Pract 2009 Apr; 21(4):189-96.
- 5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension 2003;289:1206-52.
- 6. Altun B, Arici M, Nergizoğlu G, Derici U, Karatan O, Turgan C, et al. Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003. J Hypertens 2005;23(10):1818-1823.
- 7. Ernst E. Complementary/alternative medicine for hypertension: a mini-review. Wien Med Wochenschr 2005; 155/17–18:386–391.
- 8. Nahas R. Complementary and alternative medicine approaches to blood pressure reduction: An evidence-based review. Can Fam Physician 2008;54(11):1529-33.
- 9. National Center for Complementary and Integrative Health. (NCCIH) (2016). Erişim: 03.08.2016 https://nccihnih.gov/news/press/12172014.
- 10. Rabito MJ, Kaye AD. Complementary and alternative medicine and cardiovascular disease: an evidence-based review. Evid Based Complement Alternat Med 2013;1-8
- 11. Chambliss LR Alternative and Complementary Medicine: An Overview. Clin Obstet Gynecol 2001;44(4):640–652.
- 12. Akpınar RB, Tezel A. Kan basıncını düşürmek için kullanılan doğal yöntemler. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003;6 (2):34-39.
- 13. Toprak D, Demir S. Treatment Choices of Hypertensive Patients in Turkey. Behav Med. 2007;33:5-10.
- 14. Kara B, Uzun Ş, Yokuşoğlu M, Uzun M. Hipertansiyon hastalarında ilaç bilgisinin kan basıncını düşürmek için uygulanan yöntemlere etkisi. TAF Prev Med Bull 2009; 8(3):231-238.
- 15. Osamor PE, Owumi BE. Complementary and alternative medicine in the management of hypertension in an urban Nigerian community. BMC Complementary and Alternative Medicine 2010; 10(36):2-9.
- 16. Mollaoğlu M, Aciyurt A. Use of complementary and alternative medicine among patients with chronic diseases. Acta Clin Croat 2013;52(2):181-8.
- 17. Anadol Z, Dişcigil G. Hipertansif Hastalarda Tedavi Uyumunu Etkileyen Faktörler. Turkiye Klinikleri J Cardiovasc Sci 2009;21(2):184-90.
- 18. Gohar F, Greenfield SM, Beevers DG, Lip HY, Jolly K. Self-care and adherence to medication: a survey in the hypertension outpatient clinic. BMC Complement Altern Med 2008; 8:4:1-9.
- 19. Fowler S, Newton L Complementary and alternative therapies: the nurse's role. J Neurosci Nurs 2006;38(4):261-4.
- 20. Biçen C, Elver Ö, Erdem E, Kaya Ç, Karataş A, Dilek M ve ark. Hipertansiyon hastalarında bitkisel ürün kullanımı. Journal of Experimental and Clinical Medicine 2012; 29:109-112.
- 21. Vawter L, Tong X, Gemilyan M, Yoon PW. Barriers to antihypertensive medication adherence among adults--United States, 2005. J Clin Hypertens (Greenwich) 2008;10(12):922-9.
- 22. Hacıhasanoğlu R Hipertansiyon Yönetiminde Hemşirenin Sorumlulukları. Fırat Sağlık Hizmetleri Dergisi 2009;4(12): 154-164. 23. Ogedegbe G, Mancuso CA, Allegrante JP, Charlson ME. Development and evaluation of medication adherence self-efficacy scale in hypertensive African-American patients. J Clin Epidemiol 2003; 56:520-9.
- 24. Fernandez S, Chaplin W, Schoenthaler AM, Ogedegbe G. Revision and validation of the medication adherence self-efficacy scale (MASES) in hypertensive African Americans. J Behav Med 2008; 31:453-62.
- 25. Hacıhasanoglu R, Gözüm S, Çapik C. Validity of the Turkish version of the medication adherence self-efficacy scale-short form in hypertensive patients. Anadolu Kardiyoloji Dergisi 2012;12:241-8.
- 26. WHO. Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser Geneva 2000; 894:1-253.
- 27. G*Power 3.1 manual March 1, 2017: http://www.gpower.hhu.de/fileadmin/redaktion/Fakultaeten/Mathematisch-Naturwissenschaftliche_Fakultaet/Psychologie/AAP/gpower/GPowerManual.pdf
- 28. Türk N, Süner A. Hipertansif olgularda non-farmakolojik yöntem ve antihipertansif ilaç kullanımını analizi. Göztepe Tıp Dergisi 2008;23(4):133-142.
- 29. Shouk R, Abdou A, Shetty K, Sarkar D, Eid AH. Mechanisms underlying the antihypertensive effects of garlic bioactives. Nutr Res 2014;34(2):106-15
- 30. Ali-Shtayeh MS, Jamous RM, Jamous RM, Salameh NM. Complementary and alternative medicine (CAM) use among hypertensive patients in Palestine. Complement Ther Clin Pract 2013;19(4):256-63.
- 31. Amira OC, Okubadejo NU. Frequency of complementary and alternative medicine utilization in hypertensive patients attending an urban tertiary care centre in Nigeria. BMC Complementary and Alternative Medicine 2007;7 (30):1-5.
- 32. Bahar Z, Kızılcı S, Beşer A, Besen DB, Gördes N, Ersin F et al. Herbal therapies used by hypertensive patients in Turkey. Afr J Tradit Complement Altern Med 2013; 10(2):292-298.
- 33. Uludag A, Sahin EM, Agaoglu H, Gungor S, Ertekin YH, Tekin M. Are blood pressure values compatible with medication adherence in hypertensive patients?.Niger J Clin Pract 2016;19:460-4.
- 34. Karadağ E, Akkuş Y, Karatay G. Bir Aile Sağlığı Merkezine Başvuran Hipertansiyon Hastalarının İlaç Tedavisine Uyum Öz Etkililik Düzeyleri. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2012;28 (3):85-96.
- 35. Hacıhasanoğlu Aşılar R, Gözüm S, Çapık C, Morisky DE. Reliability and validity of the Turkish form of the eight-item Morisky medication adherence scale in hypertensive patients. Anadolu Kardiyoloji Dergisi 2014;14(8):692–700.
- 36. Hacıhasanoğlu R. Hipertansiyonda tedaviye uyumu etkileyen faktörler. TAF Prev Med Bull 2009;8(2):167-172.
- 37. Busari OA, Olusegun T, Olufemi O, Desalu O, Opadijo OG, Jimoh AG, et al. Impact of Patients’ Knowledge, Attitude and Practices on Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting. TAF Prev Med Bull 2010;9(2):87-92.
Öz
Kaynakça
- 1. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311(5):507-20.
- 2. Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens 2004;22:11-9.
- 3. Türk Hipertansiyon ve Böbrek Hastalıkları Derneği, 2012. Türk Hipertansiyon Prevalans Çalışması PatenT2. http://www.turkhipertansiyon.org/prevelans_calismasi_2.php.Erişim tarihi: 15.04.2016.
- 4. DeSimone ME, Crowe A. Nonpharmacological approaches in the management of hypertension. J Am Acad Nurse Pract 2009 Apr; 21(4):189-96.
- 5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension 2003;289:1206-52.
- 6. Altun B, Arici M, Nergizoğlu G, Derici U, Karatan O, Turgan C, et al. Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003. J Hypertens 2005;23(10):1818-1823.
- 7. Ernst E. Complementary/alternative medicine for hypertension: a mini-review. Wien Med Wochenschr 2005; 155/17–18:386–391.
- 8. Nahas R. Complementary and alternative medicine approaches to blood pressure reduction: An evidence-based review. Can Fam Physician 2008;54(11):1529-33.
- 9. National Center for Complementary and Integrative Health. (NCCIH) (2016). Erişim: 03.08.2016 https://nccihnih.gov/news/press/12172014.
- 10. Rabito MJ, Kaye AD. Complementary and alternative medicine and cardiovascular disease: an evidence-based review. Evid Based Complement Alternat Med 2013;1-8
- 11. Chambliss LR Alternative and Complementary Medicine: An Overview. Clin Obstet Gynecol 2001;44(4):640–652.
- 12. Akpınar RB, Tezel A. Kan basıncını düşürmek için kullanılan doğal yöntemler. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003;6 (2):34-39.
- 13. Toprak D, Demir S. Treatment Choices of Hypertensive Patients in Turkey. Behav Med. 2007;33:5-10.
- 14. Kara B, Uzun Ş, Yokuşoğlu M, Uzun M. Hipertansiyon hastalarında ilaç bilgisinin kan basıncını düşürmek için uygulanan yöntemlere etkisi. TAF Prev Med Bull 2009; 8(3):231-238.
- 15. Osamor PE, Owumi BE. Complementary and alternative medicine in the management of hypertension in an urban Nigerian community. BMC Complementary and Alternative Medicine 2010; 10(36):2-9.
- 16. Mollaoğlu M, Aciyurt A. Use of complementary and alternative medicine among patients with chronic diseases. Acta Clin Croat 2013;52(2):181-8.
- 17. Anadol Z, Dişcigil G. Hipertansif Hastalarda Tedavi Uyumunu Etkileyen Faktörler. Turkiye Klinikleri J Cardiovasc Sci 2009;21(2):184-90.
- 18. Gohar F, Greenfield SM, Beevers DG, Lip HY, Jolly K. Self-care and adherence to medication: a survey in the hypertension outpatient clinic. BMC Complement Altern Med 2008; 8:4:1-9.
- 19. Fowler S, Newton L Complementary and alternative therapies: the nurse's role. J Neurosci Nurs 2006;38(4):261-4.
- 20. Biçen C, Elver Ö, Erdem E, Kaya Ç, Karataş A, Dilek M ve ark. Hipertansiyon hastalarında bitkisel ürün kullanımı. Journal of Experimental and Clinical Medicine 2012; 29:109-112.
- 21. Vawter L, Tong X, Gemilyan M, Yoon PW. Barriers to antihypertensive medication adherence among adults--United States, 2005. J Clin Hypertens (Greenwich) 2008;10(12):922-9.
- 22. Hacıhasanoğlu R Hipertansiyon Yönetiminde Hemşirenin Sorumlulukları. Fırat Sağlık Hizmetleri Dergisi 2009;4(12): 154-164. 23. Ogedegbe G, Mancuso CA, Allegrante JP, Charlson ME. Development and evaluation of medication adherence self-efficacy scale in hypertensive African-American patients. J Clin Epidemiol 2003; 56:520-9.
- 24. Fernandez S, Chaplin W, Schoenthaler AM, Ogedegbe G. Revision and validation of the medication adherence self-efficacy scale (MASES) in hypertensive African Americans. J Behav Med 2008; 31:453-62.
- 25. Hacıhasanoglu R, Gözüm S, Çapik C. Validity of the Turkish version of the medication adherence self-efficacy scale-short form in hypertensive patients. Anadolu Kardiyoloji Dergisi 2012;12:241-8.
- 26. WHO. Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser Geneva 2000; 894:1-253.
- 27. G*Power 3.1 manual March 1, 2017: http://www.gpower.hhu.de/fileadmin/redaktion/Fakultaeten/Mathematisch-Naturwissenschaftliche_Fakultaet/Psychologie/AAP/gpower/GPowerManual.pdf
- 28. Türk N, Süner A. Hipertansif olgularda non-farmakolojik yöntem ve antihipertansif ilaç kullanımını analizi. Göztepe Tıp Dergisi 2008;23(4):133-142.
- 29. Shouk R, Abdou A, Shetty K, Sarkar D, Eid AH. Mechanisms underlying the antihypertensive effects of garlic bioactives. Nutr Res 2014;34(2):106-15
- 30. Ali-Shtayeh MS, Jamous RM, Jamous RM, Salameh NM. Complementary and alternative medicine (CAM) use among hypertensive patients in Palestine. Complement Ther Clin Pract 2013;19(4):256-63.
- 31. Amira OC, Okubadejo NU. Frequency of complementary and alternative medicine utilization in hypertensive patients attending an urban tertiary care centre in Nigeria. BMC Complementary and Alternative Medicine 2007;7 (30):1-5.
- 32. Bahar Z, Kızılcı S, Beşer A, Besen DB, Gördes N, Ersin F et al. Herbal therapies used by hypertensive patients in Turkey. Afr J Tradit Complement Altern Med 2013; 10(2):292-298.
- 33. Uludag A, Sahin EM, Agaoglu H, Gungor S, Ertekin YH, Tekin M. Are blood pressure values compatible with medication adherence in hypertensive patients?.Niger J Clin Pract 2016;19:460-4.
- 34. Karadağ E, Akkuş Y, Karatay G. Bir Aile Sağlığı Merkezine Başvuran Hipertansiyon Hastalarının İlaç Tedavisine Uyum Öz Etkililik Düzeyleri. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2012;28 (3):85-96.
- 35. Hacıhasanoğlu Aşılar R, Gözüm S, Çapık C, Morisky DE. Reliability and validity of the Turkish form of the eight-item Morisky medication adherence scale in hypertensive patients. Anadolu Kardiyoloji Dergisi 2014;14(8):692–700.
- 36. Hacıhasanoğlu R. Hipertansiyonda tedaviye uyumu etkileyen faktörler. TAF Prev Med Bull 2009;8(2):167-172.
- 37. Busari OA, Olusegun T, Olufemi O, Desalu O, Opadijo OG, Jimoh AG, et al. Impact of Patients’ Knowledge, Attitude and Practices on Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting. TAF Prev Med Bull 2010;9(2):87-92.
Ayrıntılar
| Bölüm | Orijinal Makaleler |
|---|---|
| Yazarlar | |
| Yayımlanma Tarihi | 20 Aralık 2017 |
| Gönderilme Tarihi | 15 Mart 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 11 Sayı: 4 |
Cited By
Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.