Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal
Effective doctor-patient communication is key to addressing the signifi cant issue of nonadherence to hypertension treatment in Nepal. Common clinical messages about hypertension are evaluated utilizing the framework of the Common-Sense Model of Self-Regulation for their role in shaping the patient...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
HEAD Nepal
2020-12-01
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| Series: | Nepalese Medical Journal |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/nmj/article/view/32946 |
| _version_ | 1830341508301062144 |
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| author | Ram Kishor Sah Hari Har Khanal Deepak Sundar Shrestha Bishnu Dutta Paudel Roshani Gautam Andrea M Straus Richard R. Love |
| author_facet | Ram Kishor Sah Hari Har Khanal Deepak Sundar Shrestha Bishnu Dutta Paudel Roshani Gautam Andrea M Straus Richard R. Love |
| author_sort | Ram Kishor Sah |
| collection | DOAJ |
| description | Effective doctor-patient communication is key to addressing the signifi cant issue of nonadherence to hypertension treatment in Nepal. Common clinical messages about hypertension are evaluated utilizing the framework of the Common-Sense Model of Self-Regulation for their role in shaping the patient models that underlie nonadherent behavior. Clinical communications and practices are recommended: to respectfully elicit and address patient reliance on self-identifi ed symptoms; to accompany warnings of hypertension’s serious consequences with specifi c individual action-plans for durable effects; to emphasize the necessity of long-term continuous treatment without creating fears of dependence and withdrawal effects or burdensome monitoring and counseling; to inform of side-effects while presenting medication as nontoxic and necessary for the body’s maintenance of a healthy balance. By acknowledging the patient as an active agent engaged in self-regulation and by employing culturally consonant concepts (often Ayurvedic), we can encourage accurate patient
illness and treatment representations that guide medication adherence. |
| first_indexed | 2024-12-19T21:35:13Z |
| format | Article |
| id | doaj.art-74e92bfbf8ec4b0b94d540fb08abc208 |
| institution | Directory Open Access Journal |
| issn | 2631-2093 2645-8586 |
| language | English |
| last_indexed | 2024-12-19T21:35:13Z |
| publishDate | 2020-12-01 |
| publisher | HEAD Nepal |
| record_format | Article |
| series | Nepalese Medical Journal |
| spelling | doaj.art-74e92bfbf8ec4b0b94d540fb08abc2082022-12-21T20:04:49ZengHEAD NepalNepalese Medical Journal2631-20932645-85862020-12-013239539710.3126/nmj.v3i2.3294632946Doctor-Patient Communication for Adherence to Hypertension Treatment in NepalRam Kishor Sah0Hari Har Khanal1Deepak Sundar Shrestha2Bishnu Dutta Paudel3Roshani Gautam4Andrea M StrausRichard R. LoveNational Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalBir Hospital, Kathmandu, NepalPeoples General Hospital, Peoples Dental College and HospitalNational Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalNursing Campus Maharajgunj, Institute of Medicine,TU.,Effective doctor-patient communication is key to addressing the signifi cant issue of nonadherence to hypertension treatment in Nepal. Common clinical messages about hypertension are evaluated utilizing the framework of the Common-Sense Model of Self-Regulation for their role in shaping the patient models that underlie nonadherent behavior. Clinical communications and practices are recommended: to respectfully elicit and address patient reliance on self-identifi ed symptoms; to accompany warnings of hypertension’s serious consequences with specifi c individual action-plans for durable effects; to emphasize the necessity of long-term continuous treatment without creating fears of dependence and withdrawal effects or burdensome monitoring and counseling; to inform of side-effects while presenting medication as nontoxic and necessary for the body’s maintenance of a healthy balance. By acknowledging the patient as an active agent engaged in self-regulation and by employing culturally consonant concepts (often Ayurvedic), we can encourage accurate patient illness and treatment representations that guide medication adherence.https://www.nepjol.info/index.php/nmj/article/view/32946doctor patient communication |
| spellingShingle | Ram Kishor Sah Hari Har Khanal Deepak Sundar Shrestha Bishnu Dutta Paudel Roshani Gautam Andrea M Straus Richard R. Love Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal Nepalese Medical Journal doctor patient communication |
| title | Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal |
| title_full | Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal |
| title_fullStr | Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal |
| title_full_unstemmed | Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal |
| title_short | Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal |
| title_sort | doctor patient communication for adherence to hypertension treatment in nepal |
| topic | doctor patient communication |
| url | https://www.nepjol.info/index.php/nmj/article/view/32946 |
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