Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control
Background. Most of the patients with hypertension (HTN) who undergo medical therapy unaccompanied by psychological and behavioral interventions may not achieve their goal in HTN treatment. Self-care is a key factor in controlling HTN. Given that depression, stress, and anxiety are the most psycholo...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2022-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2022/7802792 |
| _version_ | 1797995217239932928 |
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| author | Maryam Eghbali Maedeh Akbari Kimiya Seify Mohammad Fakhrolmobasheri Maryam Heidarpour Hamidreza Roohafza Maryam Afzali Fateme-sadat Mostafavi-esfahani Parisa Karimian Anis Sepehr Davood Shafie Alireza Khosravi |
| author_facet | Maryam Eghbali Maedeh Akbari Kimiya Seify Mohammad Fakhrolmobasheri Maryam Heidarpour Hamidreza Roohafza Maryam Afzali Fateme-sadat Mostafavi-esfahani Parisa Karimian Anis Sepehr Davood Shafie Alireza Khosravi |
| author_sort | Maryam Eghbali |
| collection | DOAJ |
| description | Background. Most of the patients with hypertension (HTN) who undergo medical therapy unaccompanied by psychological and behavioral interventions may not achieve their goal in HTN treatment. Self-care is a key factor in controlling HTN. Given that depression, stress, and anxiety are the most psychological disorders in chronic illnesses. Their impact on self-care, quality of life, and HTN control must be studied more. Methods. We analyzed the difference in medication adherence in 252 patients with low vs. high psychological distress. Also, patients with controlled and uncontrolled HTN were compared according to their psychological distress scores. We further assessed the relation of psychological distress, self-care, and medication adherence with patients’ demographic characteristics. Results. 61.3% of our participants were female with a mean age of 60.6 ± 11.35 and male participants had a mean age of 60.5 ± 11.55. The psychological distress score was significantly higher in women with uncontrolled HTN (p value = 0.044). Also, individuals with controlled HTN tend to have a higher medication adherence score (p value = 0.01) and higher self-care score (p value = 0.033). Hypertensive females had a higher psychological distress score (3.35 ± 2.05) and a lower self-care score (64.05 ± 8.16). There was a positive relationship between age and drug adherence. The self-care score was higher (65.95 ± 7.88) in patients having lower psychological distress levels. Conclusion. A lower psychological distress score can result in better self-care, enhancing the probability of better HTN control; thus, psychological interventions may be necessary for the treatment of HTN. However, more studies are needed to assess the effectiveness of this intervention. |
| first_indexed | 2024-04-11T09:58:00Z |
| format | Article |
| id | doaj.art-14756ff2bc454325908ce8eb0c894bb5 |
| institution | Directory Open Access Journal |
| issn | 2090-0392 |
| language | English |
| last_indexed | 2024-04-11T09:58:00Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj.art-14756ff2bc454325908ce8eb0c894bb52022-12-22T04:30:30ZengHindawi LimitedInternational Journal of Hypertension2090-03922022-01-01202210.1155/2022/7802792Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension ControlMaryam Eghbali0Maedeh Akbari1Kimiya Seify2Mohammad Fakhrolmobasheri3Maryam Heidarpour4Hamidreza Roohafza5Maryam Afzali6Fateme-sadat Mostafavi-esfahani7Parisa Karimian8Anis Sepehr9Davood Shafie10Alireza Khosravi11School of Nursing and MidwiferyHypertension Research CenterHeart Failure Research CenterHeart Failure Research CenterIsfahan Endocrine and Metabolism Research CenterCardiovascular Research InstituteCardiac Rehabilitation Research CenterHeart Failure Research CenterHeart Failure Research CenterCardiac Rehabilitation Research CenterHeart Failure Research CenterHypertension Research CenterBackground. Most of the patients with hypertension (HTN) who undergo medical therapy unaccompanied by psychological and behavioral interventions may not achieve their goal in HTN treatment. Self-care is a key factor in controlling HTN. Given that depression, stress, and anxiety are the most psychological disorders in chronic illnesses. Their impact on self-care, quality of life, and HTN control must be studied more. Methods. We analyzed the difference in medication adherence in 252 patients with low vs. high psychological distress. Also, patients with controlled and uncontrolled HTN were compared according to their psychological distress scores. We further assessed the relation of psychological distress, self-care, and medication adherence with patients’ demographic characteristics. Results. 61.3% of our participants were female with a mean age of 60.6 ± 11.35 and male participants had a mean age of 60.5 ± 11.55. The psychological distress score was significantly higher in women with uncontrolled HTN (p value = 0.044). Also, individuals with controlled HTN tend to have a higher medication adherence score (p value = 0.01) and higher self-care score (p value = 0.033). Hypertensive females had a higher psychological distress score (3.35 ± 2.05) and a lower self-care score (64.05 ± 8.16). There was a positive relationship between age and drug adherence. The self-care score was higher (65.95 ± 7.88) in patients having lower psychological distress levels. Conclusion. A lower psychological distress score can result in better self-care, enhancing the probability of better HTN control; thus, psychological interventions may be necessary for the treatment of HTN. However, more studies are needed to assess the effectiveness of this intervention.http://dx.doi.org/10.1155/2022/7802792 |
| spellingShingle | Maryam Eghbali Maedeh Akbari Kimiya Seify Mohammad Fakhrolmobasheri Maryam Heidarpour Hamidreza Roohafza Maryam Afzali Fateme-sadat Mostafavi-esfahani Parisa Karimian Anis Sepehr Davood Shafie Alireza Khosravi Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control International Journal of Hypertension |
| title | Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control |
| title_full | Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control |
| title_fullStr | Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control |
| title_full_unstemmed | Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control |
| title_short | Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control |
| title_sort | evaluation of psychological distress self care and medication adherence in association with hypertension control |
| url | http://dx.doi.org/10.1155/2022/7802792 |
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