Key result
Rural Chinese hypertensive patients exhibit poor management with only ~13% of aware individuals achieving optimal control.
Why the study?
Patient related factors hindering optimal blood pressure control in patients with hypertension are unclear.
Cross-Sectional (n=556)
No
Significant barriers to optimal blood pressure control in rural communities include lack of awareness, poor medication adherence, cost issues, and inadequate access to specialist care.
Answers are grounded in this paper and cite their sources.
Low hypertension awareness in rural patients warrants better clinician communication; leaves open optimal education strategies for similar settings.
BACKGROUND: Patient related factors hindering optimal blood pressure (BP) control in patients with hypertension are unclear. OBJECTIVES: To investigate the barriers to optimal hypertension management. METHODS: A survey on the awareness and management of hypertension was conducted in 556 patients (365 males, mean age 60.9 ± 10.1) from a rural community. RESULTS: Of the 556 patients who had a clinical diagnosis of hypertension, 127 (22.8%) were unaware the existence of the condition and received no therapy. In the 429 patients who were aware the presence of hypertension, 206 (48.0%) did not receive any antihypertensive medication at the time of this study. Fifty-four (12.5%) had a BP of less than 140/90 mm Hg. Only 21 (4.9%) received formal counselling or education from health professionals and 74 (17.2%) were aware of the optimal level of BP. Difficulty in accessing a specialist doctor was reported by 126 (29.4%). In 279 (65.0%), missing regular antihypertensive medications was reported in the 4-week period prior to this study. Omitting prescribed antihypertensive drugs due to the costs was reported by 169 (39.4%). CONCLUSION: Inadequate counselling, lack of understanding on the disease, difficulties in accessing specialist care and poor medication adherence are the barriers to optimal BP control.
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Yb et al. (2013) conducted a cross-sectional in Hypertension (n=556). Patient-related barriers to hypertension management was evaluated on Awareness, treatment, and control of hypertension. Among 556 hypertensive patients in a rural Chinese community, 22.8% were unaware of their condition, and among those aware, 48.0% were untreated and only 12.5% achieved optimal blood pressure control.
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