Abstract :
Hypertension is a significant global health concern with profound cardiovascular implications. The researchers used a quantitative research design employing a descriptive research survey approach and the instrument used to seek information was a researcher-made questionnaire for assessing demographic characteristics, adherence to hypertension management such as medication adherence, lifestyle changes, and blood pressure control. These tools were used in data analysis frequency count and percentage distribution, mean and standard deviation, and lastly analysis of variance (ANOVA). This abstract presents a study conducted in Brgy. Washington, Surigao City, focusing on adherence to hypertension management guidelines by the International Society of Hypertension (ISH). Respondents generally showed high adherence to hypertension management, primarily taking medicine, with moderate adherence to monitoring blood pressure, physical activity, and diet, influenced by demographic factors. The study found no significant difference in medication adherence or adherence to a balanced diet among hypertensive individuals in Brgy. Washington, but did show differences based on age, occupation, income, and years of hypertension, emphasizing the need for community-based initiatives.
Keywords :
Adherence, hypertension, Hypertension Management, International Society of Hypertension (ISH), Philippines., Surigao, Survey.References :
- Abalos, J. B. (2021). Prevalence of chronic diseases associated with increased risk of severe COVID-19 in the Philippines. N-IUSSP. https://www.niussp.org/health-and-mortality/prevalence-of-chronic-diseases-associated-with-increased-risk-of-severe-covid-19-in-the-philippines
- Abdul Rashid, A., Khalid, Y., & Chia, Y. (2011). Management of hypertension. Malaysian family physician: the official journal of the Academy of Family Physicians of Malaysia, 6(1), 40–43.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267017/
- Alexander, M. R., MD PhD. (2022.). Hypertension: Practice Essentials, background, pathophysiology. https://emedicine.medscape.com/article/241381-overview?form=fpf
- Allen, M. (2020). Medication adherence: understanding the issues and finding solutions. British Journal of Community Nursing, 25(10), 2052-2215. https://www.britishjournalofcommunitynursing.com/content/long-term-conditions/medication-adherence-understanding-the-issues-and-finding-solutions/?fbclid=IwAR2irFDeJzx8yYO_Pdi8n2guF0-rkq5miFJ2pOo3xTOzJQgPY1dNUxMRlnz
- Allen, M. (2020). Medication adherence: understanding the issues and finding solutions. British Journal of Community Nursing, 25(10), 2052-2215. https://www.britishjournalofcommunitynursing.com/content/long-term-conditions/medication-adherence-understanding-the-issues-and-finding-solutions/?fbclid=IwAR2irFDeJzx8yYO_Pdi8n2guF0-rkq5miFJ2pOo3xTOzJQgPY1dNUxMRlnY
- Al‐Rousan, T., Awad, M., Pesantes, M. A., Kandula, N. R., Huffman, M. D., Miranda, J. J., Vidal-Pérez, R., Dzudié, A., & Anderson, C. A. (2023). Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study. Preventive Medicine Reports, 33, 102179. https://doi.org/10.1016/j.pmedr.2023.102179
- Alwhaibi, M., Balkhi, B., Alhawassi, T. M., Alkofide, H., Alduhaim, N., Alabdulali, R., Drweesh, H., & Sambamoorthi, U. (2018). Polypharmacy among patients with diabetes: a cross-sectional retrospective study in a tertiary hospital in Saudi Arabia. British Medical Journal Open, 8(5), e020852. https://doi.org/10.1136/bmjopen-2017-020852
- Bogner, E. (2021). Global Hypertension Practice Guidelines – International Society of Hypertension. International Society of Hypertension. https://ish-world.com/ish-global-hypertension-practice-guidelines/
- British Journal of Community Nursing (2015). Medication adherence: understanding the issues and finding solutions. .https://www.britishjournalofcommunitynursing.com/content/long-term-conditions/medication-adherence-understanding-the-issues-and-finding-solutions/
- Burnier, M. P. (2020). Hypertension and Drug Adherence in the Elderly. Frontiers in cardiovascular medicine, 7(49). : https://doi.org/10.3389/fcvm.2020.00049
- Burnier, M., & Egan, B. M. (2019). Adherence in hypertension. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/circresaha.118.313220
- Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018). Prevention and control of hypertension. Journal of the American College of Cardiology, 72(11), 1278–1293. https://doi.org/10.1016/j.jacc.2018.07.008
- Conlin, P. R., Chow, D. C., Miller, E. R., Svetkey, L. P., Lin, P. H., Sharma, C., Moore, T. J., Sacks, F. M., & Appel, L. J. (2000). The effect of dietary patterns on blood pressure control in hypertensive patients: Results from the dietary approaches to stop hypertension (DASH) trial. American Journal of Hypertension, 13(9), 949–955. https://doi.org/10.1016/s0895-7061(99)00284-8
- Conlin, D. C.-H. (2000). The effect of dietary patterns on blood pressure control in hypertensive patients: Results from the dietary approaches to stop hypertension (DASH) trial. American Journal of Hypertension, 13(9), 949–955.
- Cusatis, R., & Garbarski, D. (2019). Different domains of physical activity: The role of leisure, housework/care work, and paid work in socioeconomic differences in reported physical activity. SSM-Population Health, 7, https://doi.org/10.1016/j.ssmph.2019.100387
- Cutler, R. L., Fernandez-Llimos, F., Frommer, M., Benrimoj, C., & Garcia-Cardenas, V. (2018). Economic impact of medication non-adherence by disease groups: a systematic review. British Medical Journal open, 8(1), e016982. https://doi.org/10.1136/bmjopen-2017-016982
- Ona, D. I., Jimeno, C. A., E. Bunyi, M. L., Oliva, R., Luz, V. A., Leus, A. G., F. Diaz, A. B., Santos, M. I., Belen, A. A., Bonzon, D. D., Chua, A. S., T. Javier, M. J., A. Juangco, D. N., Manicad, M. B., R. Ortiz, M. G., Padolina, C. S., C. Sison, M. C., & Villanueva, N. J. (2021). Executive summary of the 2020 clinical practice guidelines for the management of hypertension in the Philippines. The Journal of Clinical Hypertension, 23(9), 1637-1650. https://doi.org/10.1111/jch.14335
- Ederio, N., Inocian, E., Calaca, N., & Espiritu, J.G. (2023). Ethical research practices in educational institutions: A literature review. International Journal of Current Science Research and Review, 06(5), 2709-2724. DOI: https://doi.org/10.47191/ijcsrr/V6-i5-02
- Elbur, A. (2015). Level of adherence to lifestyle changes and medications among male hypertensive patients in two hospitals. Internaltional Journal of Pharmacy and Pharmaceutical Sciences, 7(4), 0975-1491. https://www.researchgate.net/publication/274377455_Level_of_adherence_to_lifestyle_changes_and_medications_among_male_hypertensive_patients_in_two_hospitals_in_taif_kingdom_of_Saudi_Arabia
- Everett, B. G., & Zajacova, A. (2015). Gender differences in hypertension and hypertension awareness among young adults. Biodemography and Social Biology, 61(1), 1–17. https://doi.org/10.1080/19485565.2014.929488
- Gutierrez, M. M., & Sakulbumrungsil, R. (2021). Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review. Clinical Hypertension, 27(1). https://doi.org/10.1186/s40885-021-00176-0
- Hamrahian, S. M. (2022). A Critical Review of Medication Adherence in Hypertension: Barriers and Facilitators Clinicians Should Consider. Patient preference and adherence, 16, 2749–2757. : https://doi.org/10.2147/PPA.S368784
- Harvard T.H. Chan/ School of Public Health. The Nutrition Source/Vegetables and Fruits: https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/vegetables andfruits/?fbclid=IwAR1aup742JLYwYMs9MTfALQSB6gEFDZxUJa1gExOvob04GJlHNEFFasVLIk
- Herbert, C., Meixner, F., Wiebking, C., & Gilg, V. (2020). Regular Physical Activity, Short-Term Exercise, Mental Health, and Well-Being Among University Students: The Results of an Online and a Laboratory Study. Frontiers in psychology, 11, 509. https://doi.org/10.3389/fpsyg.2020.00509
- Jeemon, P., Séverin, T., Amodeo, C., Balabanova, D., Campbell, N. R., Gaiţă, D., Kario, K., Khan, T., Melifonwu, R., Moran, A. E., Ogola, E. N., Ordúñez, P., Perel, P., Piñeiro, D., Pinto, F. J., Schutte, A. E., Wyss, F., Yan, L. L., Poulter, N., & Prabhakaran, D. (2021). World Heart Federation Roadmap for Hypertension – a 2021 update. Global Heart, 16(1). https://doi.org/10.5334/gh.1066
- Jéromine, T., Hermet, L., Lambert, C., Vaillant-Roussel, H., Pouchain, D., Ménini, T., Pereira, B., & Vorilhon, P. (2022). Home blood pressure monitoring and adherence in patients with hypertension on primary prevention treatment: a survey of 1026 patients in general medicine in the Auvergne region. BMC Primary Care, 23(1). https://doi.org/10.1186/s12875-022-01725-8
- Lasco, G., Renedo, A., Mendoza, J., Seguin, M., Palafox, B., Palileo-Villanueva, L. M., Balabanova, D., & McKee, M. (2022). ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines. Sociology of Health and Illness, 44(7), 1167–1181. https://doi.org/10.1111/1467-9566.13503
- Lee, D. H., Ha, M. H., Kim, J. R., & Jacobs, D. R. (2001). Effects of smoking cessation on changes in blood pressure and incidence of hypertension. Hypertension, 37(2), 194–198. https://doi.org/10.1161/01.hyp.37.2.194
- Lee, H. P. (2019). Combined Effect of Income and Medication Adherence on Mortality in Newly Treated Hypertension: Nationwide Study of 16 Million Person-Years. Journal of the American Heart Association, 8(16), e013148. : https://doi.org/10.1161/JAHA.119.013148
- Lehane, E., & McCarthy, G. (2007). Intentional and unintentional medication non-adherence: a comprehensive framework for clinical research and practice? A discussion paper. International journal of nursing studies, 44 (1468–1477) https://doi.org/10.1016/j.ijnurstu.2006.07.010
- Musini, V. M., Tejani, A. M., Bassett, K., Puil, L., & Wright, J. M. (2019). Pharmacotherapy for hypertension in adults 60 years or older. The Cochrane database of systematic reviews, 6(6), CD000028.https://doi.org/10.1002/14651858.CD000028.pub3
- Ojangba, T., Boamah, S., Miao, Y., Guo, X., Fen, Y., Agboyibor, C., Yuan, J., & Dong, W. (2023). Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review. Journal of clinical hypertension , 25(6), 509–520. https://doi.org/10.1111/jch.14653
- Qin, Z., Li, C., Qi, S., Zhou, H., Wu, J., Wang, W., Ye, Q., Yang, H., Wang, C., & Xia, H. (2022). Association of socioeconomic status with hypertension prevalence and control in Nanjing: a cross-sectional study. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-12799-5
- Ramadhan, B. J. A., Alramadan, M. J., Alhassan, R. E., Almajed, H. A., Khamseen, M. a. B., & Billah, B. (2019). Adherence to the recommended physical activity duration among Saudis with type 2 diabetes mellitus. Journal of Family Medicine and Primary Care, 8(11), 3668. https://doi.org/10.4103/jfmpc.jfmpc_662_19
- Redondo-Sendino, A., Guallar-Castillón, P., Banegas, J. R., & Rodríguez-Artalejo, F. (2006). Gender differences in the utilization of health-care services among the older adult population of Spain. BMC public health, 6, 155. https://doi.org/10.1186/1471-2458-6-155
- Rêgo, M. L., Cabral, D. A., Costa, E. C., & Fontes, E. B. (2019). Physical Exercise for Individuals with Hypertension: It Is Time to Emphasize its Benefits on the Brain and Cognition. Clinical Medicine Insights. Cardiology, 13, 1179546819839411. https://doi.org/10.1177/1179546819839411
- Research Protocol (2011). Effective Health Care Program, Agency for Healthcare Research and Quality. Self-Measured Blood Pressure Monitoring. https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure/research-protocol
- Rueda-Baclig, M. J., & Florencio, C. A. (2003). Lay conception of hypertension and its significance to clients and professionals in nutrition and health. Journal of Human Nutrition and Dietetics, 16(6), 457–466. https://doi.org/10.1046/j.1365-277x.2003.00485.x
- Shimbo, D., Artinian, N. T., Basile, J. N., Krakoff, L. R., Margolis, K. L., Rakotz, M. K., Wozniak, G., & American Heart Association and the American Medical Association (2020). Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Statement From the American Heart Association and American Medical Association. Circulation, 142(4), 42–63. https://doi.org/10.1161/CIR.0000000000000803
- Sison, J. A. (2023). An Overview of the PRESYON 4 Trial and Its Impact on Practice, Journal of Asian Pacific Society of Cardiology, 2(24).https://doi.org/10.15420/japsc.2022.16
- Subhash Pokhrel, Nana K. Anokye, Daniel D. Reidpath, Pascale Allotey, “Behaviour Change in Public Health: Evidence and Implications”, BioMed Research International, vol. 2015, 2 pages, 2015. https://doi.org/10.1155/2015/598672
- Unger, T., Borghi, C., Charchar, F. J., Khan, N., Poulter, N., Prabhakaran, D., Ramiréz, A. J., Schlaich, M. P., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357.
- https://doi.org/10.1161/hypertensionaha.120.15026
- Vegetables and fruits. (2021). The Nutrition Source. https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/vegetables-and-fruits/?fbclid=IwAR3b5HY7v-3JRDu4fjCUTPUcAXOeiPYTPMP7ZHczsvlAAb82PuckpR63Hj8
- Weingarten, M., & Cannon, B. (1988). Age as a major factor affecting adherence to medication for hypertension in a general practice population. Family Practice, 5(4), 294–296. https://doi.org/10.1093/fampra/5.4.294
- World Health Organization. (2003). Medication adherence: understanding the issues and finding solutions. https://www.britishjournalofcommunitynursing.com/content/long-term-conditions/medication-adherence-understanding-the-issues-and-finding-solutions/?fbclid=IwAR2irFDeJzx8yYO_Pdi8n2guF0-rkq5miFJ2pOo3xTOzJQgPY1dNUxMRlnY
- Zacher Kjeldsen, M. M., Bricca, A., Liu, X., Frokjaer, V. G., Madsen, K. B., & Munk-Olsen, T. (2022). Family History of Psychiatric Disorders as a Risk Factor for Maternal Postpartum Depression: A Systematic Review and Meta-analysis. JAMA psychiatry, 79(10), 1004–1013. https://doi.org/10.1001/jamapsychiatry.2022.2400