Enhancing adherence of antihypertensive regimens in hypertensive African-Americans: current and future prospects.
Enhancing adherence of antihypertensive regimens in hypertensive African-Americans: current and future prospects.
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DOI：
10.1586/erc.12.138
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发表时间：
2012-11
影响因子：
2
通讯作者：
Ogedegbe G
中科院分区：
文献类型：
--
作者：
Lewis LM;Ogedegbe C;Ogedegbe G
患者坚持服用降压药是高血压患者控制血压的重要策略。然而，在高血压的非裔美国人中，降压药依从率低得令人无法接受。这篇文章考察了目前对与非裔美国人高血压用药依从性相关的患者、临床、提供者和医疗保健系统因素的理解。研究表明，患者和临床因素，如自我效能和抑郁，一直与高血压非裔美国人患者的用药依从性有关。提供者沟通显示出与服药依从性相关的前景，但仍需要对提供者和医疗保健系统因素进行更多研究。作者建议，旨在提高非裔美国人高血压患者服药依从性的干预措施应侧重于自我效能。同样重要的是，临床医生对高血压患者进行抑郁筛查，并在必要时进行治疗。
Patient adherence to antihypertensive medication is an important strategy for blood pressure control in hypertensive patients. However, rates of antihypertensive medication adherence among hypertensive African–Americans are unacceptably low. This article examines the current understanding of patient, clinical, provider and healthcare system factors associated with medication adherence in hypertensive African–Americans. Studies demonstrated that patient and clinical factors, such as self-efficacy and depression, are consistently associated with medication adherence in hypertensive African–Americans patients. Provider communication shows promise as a correlate of medication adherence, but more research on provider and healthcare system factors are still needed. The authors recommend that interventions targeted at increasing medication adherence among hypertensive African–Americans focus on self-efficacy. It is also imperative that clinicians screen hypertensive patients for depression and treat, if necessary.