Acil Servise Başvuran Hipertansif Hastalarda Tedaviye Uyum ve Hastalık Algısının İncelenmesi

Yıl 2023, Cilt: 6 Sayı: 3, 130 - 141, 29.12.2023

Yasemin Akdağ , Leyla Khorshid

https://doi.org/10.54189/hbd.1219543

Öz

Amaç: Çalışma, hipertansif kriz nedeniyle acil servise başvuran bireylerin, tedaviye uyumunu ve hastalık algısını saptamak amacıyla yapılmıştır. Yöntem: Veriler, Hasta Tanıtım Formu, Hill–Bone Hipertansiyon Tedavisine Uyum ve Hastalık Algısı Ölçeği kullanılarak Kasım 2021- Şubat 2022 tarihlerinde toplanmıştır. Bulgular: Hill–Bone Hipertansiyon Tedavisine Uyum Ölçeği’nin toplam puan ortalaması 9.36+5.35 bulunarak bireyler tedavilerine yüksek uyum göstermiştir. Hastalık Algısı Ölçeği’nin hastalık tipi boyutuna göre, bireyler hastalıklarının başlangıcından beri en çok baş ağrısı (%85.8), yorgunluk (%65.2), sersemlik hissi (%56.7), ağrı (%56.0) ve güç kaybı (%48.2) belirtilerini yaşamışlardır. Bu ölçeğin hastalık hakkındaki görüşleri alt boyutlarından, kişisel kontrolün en yüksek, süre (akut/kronik) ve sürenin (döngüsel) en düşük puan ortalamasını; hastalık nedenleri alt boyutlarından, tehditsel etkenlerin en yüksek; kaza ya da şansın en düşük puan ortalamasını aldığı saptanmıştır. Sonuç: Bu bireylerin Hill–Bone Hipertansiyon Tedavisine Uyum Ölçeği ile beden kitle indeksi, eğitim durumu ve yakınlarında hipertansiyondan ölen/sakat kalan birey olma durumu ile anlamlı bir ilişki bulunmuştur.

Anahtar Kelimeler

Acil servis, Hastalık algısı, Hipertansif hasta, Hipertansiyon, Tedavi uyumu.

Kaynakça

• Abeasi, D., Abugri, D., Akumiah, P. (2022). Predictors of medication adherence among adults with hypertension in Ghana, Journal of Client-Centered Nursing Care, 8(1), 23-32. Retrieved from: https://doi.org/10.32598/JCCNC.8.1.396.1
• Abu-El-Noor, N., Aljeesh, Y., Bottcher, B., Abu-El-Noor, K. (2020). Assessing barriers to and level of adherence to hypertension therapy among palestinians living in the Gaza Strip: a chance for policy innovatio, Hindawi International Journal of Hypertension, s. 12. Retrieved from: https://doi.org/10.1155/2020/7650915
• Acehan, O. (2010). Hipertansiyon kontrolünde hastalık algısı ve grup görüşmelerinin etkisi (Uzmanlık Tezi, Çukurova Üniversitesi). Retrieved from: http://libratez.cu.edu.tr/tezler/7758.pdf
• Al-daken, L., Eshah, N. (2017). Self-reported adherence to therapeutic regimens among patients with hypertension, Clinical and Experimental Hypertension, 39(3), 264-270. doi:10.1080/10641963.2016.1247164
• Arıkan, A., Aydın, A., Ekerbiçer, H., Karaaytaç, R., Zeytinoğlu, Y., Muratdağı, G., … Kurban, A. (2020). Hipertansiyon tanısı olan hastaların hastalıkları hakkındaki bilgi düzeyleri ve ilişkili faktörler, Sakarya Tıp Dergisi, 10, 33-40. doi:10.31832/smj.745870
• Brody, A. M., Miller, J., Polevoy, R., Nakhle, A., ve Levy, D. P. (2018). Institutional pathways to improve care of patients with elevated blood pressure in the emergency department. Current Hypertension Reports, 20(30), s.7. Retrieved from: https://doi.org/10.1007/s11906-018-0831-9
• Chen, S-L., Lee, W-L., Liang, T., ve Liao, I-C. (2014). Factors associated with gender differences in medication adherence: a longitudinal study. Journal of Advanced Nursing, 70(9), 2031–2040. doi: 10.1111/jan.12361
• Chen, S-L., Tsai, J-C. ve Chou, K-R. (2011). Illness perceptions and adherence to therapeutic regimens among patients with hypertension: A structural modeling approach. International Journal of Nursing Studies, 48, 235–245. Retrieved from: https://doi.org/10.1016/j.ijnurstu.2010.07.005
• Chen, S-L., Tsai, J-C. ve Lee, W-L. (2009). The impact of illness perception on adherence to therapeutic regimens of patients with hypertension in Taiwan. Journal of Clinical Nursing, 18, 2234–2244. doi: 10.1111/j.1365-2702.2008.02706.x
• Chia, Y., Devaraj, N., Ching, S., Hassan, H. (2021). Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program, J Clin Hypertens, 23, 638–645. doi:10.1111/jch.14212.
• Dehmer, S., Baker-Goering, M., Maciosek, M., Hong, Y., Kottke, T., Margolis, K., … Roy, K. (2016). Modeled health and economic ımpact of team-based care for hypertension, American Journal of Preventive Medicine, 50(S1), S34-S44. Retrieved from: http://dx.doi.org/10.1016/j.amepre.2016.01.027
• Eldessouki, K., Keryakos, H., Gamal, L. (2019). The influence of the patient health knowledge and management compliance on the health-related quality of life of hypertensive patients in Mallawy center Minia governorate, MJMR, 30(2), 51-63.
• Grossman, E., Nadler, M., Shrarabi, Y., Shamiss, A. (2005). Antianxiety treatment in patients with excessive hypertension, American Journal of Hypertension, 18(9), 1174-1177. doi: 10.1016/j.amjhyper.2005.03.728
• G/Tsadik, D., Berhane, Y., Worku, A. (2020). Adherence to antihypertensive treatment and associated factors in central Ethiopia, Hindawi International Journal of Hypertension, s.10. Retrieved from: https://doi.org/10.1155/2020/9540810
• Gün, Y., Korkmaz, M. (2014). Hipertansif hastaların tedavi uyumu ve yaşam kalitesi, DEUHYO ED 2014, 7 (2), 98-108. Retrieved from: http://www.deuhyoedergi.org
• Himmelfarb, C., Commodore-Mensah, Y., Hill, N. (2016). Expanding the role of nurses to ımprove hypertension care and control globally, Annals of Global Health, 82(2), 243-253. Retrieved from: http://dx.doi.org/10.1016/j.aogh.2016.02.003
• Hsiao, C., Chang, C., Chen, C. (2012). An investigation on illness perception and adherence among hypertensive patients, The Kaohsiung Journal of Medical Sciences, 28, 442-447. doi:10.1016/j.kjms.2012.02.015
• Iyalomhe, G., Iyalomhe, S. (2010). Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community, Journal of Public Health and Epidemiology, 2(4), 71-77. Retrieved from: http://www.academicjournals.org/jphe
• Jankowska-Polańska, B., Uchmanowicz, I., Mazur, G. (2016). Relationship between patients’ knowledge and medication adherence among patients with hypertension, Patient Preference and Adherence, 10, 2437–2447. Retrieved from: http://dx.doi.org/10.2147/PPA.S117269
• Karademir, M., Koseoglu, I., Vatansever, K., Van Den Akker, M. (2009). Validity and reliability of the Turkish version of the Hill–Bone compliance to high blood pressure therapy scale for use in primary health care settings. The European Journal of General Practice, 15(4), 207–211. doi:10.3109/13814780903452150.
• Kim, W., Kim, B., Kim, H., Lee, J., Shin, J., Shin, J. (2022). Clinical implications of cardiac troponin-I in patients with hypertensive crisis visiting the emergency department, Annals of Medıcıne, 54(1), 507–515. doi:10.1080/07853890.2022.2034934.
• Kocaman, N., Özkan, M., Armay, Z., Özkan, S. (2007). Hastalık Algısı Ölçeğinin Türkçe uyarlamasının geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi, 8, 271-280.
• Kotruchin, P., Mitsungnern, T., Ruangsaisong, R., Imoun, S., Pongchaiyakul, C. (2018). Hypertensive urgency treatment and outcomes in a northeast thai population: the results from the hypertension registry program, High Blood Pressure & Cardiovascular Prevention, 25, 309–315. Retrieved from: https://doi.org/10.1007/s40292-018-0272-1
• Leiba, A., Cohen-Arazi, O., Mendel, L., Holtzman, E., Grossman, E. (2016). Incidence, aetiology and mortality secondary to hypertensive emergencies in a large-scale referral centre in Israel (1991-2010), Journal of Human Hypertension, 30, 498-502. doi:10.1038/jhh.2015.115
• Leventhal, H., Phillips L., Burns, E. (2016). The common-sense model of self-regulation (CSM): A dynamic framework for understanding illness self-management, Journal of Behavioral Medicine, 39, 935–946. doi:10.1007/s10865-016-9782-2.
• Lo, S., Chau, J., Woo, J., Thompson, D., Choi, K. (2016). Adherence to antihypertensive medication in older adults with hypertension, Journal of Cardiovascular Nursing, 31(4), 296-303. doi:10.1097/JCN.0000000000000251
• Maloberti, A., Cassano, G., Capsoni, N., Gheda, S., Magni, G., Azin, G., … Giannattasio, C. (2018). Therapeutic approach to hypertension urgencies and emergencies in the emergency room, High Blood Pressure & Cardiovascular Prevention, 25, 177–189. Retrieved from: https://doi.org/10.1007/s40292-018-0261-4
• Mamaghani, E., Hasanpoor, E., Soleimani, F. (2020). Barriers to medication adherence among hypertensive patients in deprived rural areas, Ethiopian J Health Sci, 30(1), 85-94. Retrieved from: http://dx.doi.org/10.4314/ejhs.v30i1.11.
• Marshall, I., Wolfe, C., McKevitt, C. (2012). Lay perspectives on hypertension and drug adherence: systematic review of qualitative research, BMJ, 344, s.16. doi:10.1136/bmj.e3953
• Mert, H., Özçakar, N., Kuruoğlu, E. (2011). A multidisciplinary special study modüle research: treatment compliance of patients with hypertension, Turk Aile Hek Derg, 15 (1), 7-51. doi:10.2399/tahd.11.007.
• Morrissey, E., Casey, M., Glynn, L., Walsh, J., Molloy, G. (2018). Smartphone apps for improving medication adherence in hypertension: patients’ perspectives, Patient Preference and Adherence, 12, 813–822. Retrieved from: http://dx.doi.org/10.2147/PPA.S145647
• Moss-Morris, R., Weinman J., Petrie, K., Horne, R., Cameron, L., Buick, D. (2002). The Revised Illness Perception Questionnaire (IPQ- R), Psychology and Health, 17(1), s.16. doi:10.1080/08870440290001494.
• Mutneja, E., Yadav, R., Dey, A., Gupta, P. (2020). Frequency and predictors of compliance among patients taking antihypertensive medicines, Indian Heart Journal, 72(2), 136-139. Retrieved from: https://doi.org/10.1016/j.ihj.2020.03.008
• Nagpal, A., Padhy, M. (2015). Dynamics of perception of illness along time among hypertensive patients: Influence on well- being, Indian Journal of Health and Wellbeing, 6(9), 836-841. Retrieved from: http://www.iahrw.com/index.php/home/journal_detail/19#list
• Nakwafila, O., Mashamba-Thompson, T., Godi, A., Sartorius, B. (2022). A Cross-sectional study on hypertension medication adherence in a high-burden region in namibia: exploring hypertension interventions and validation of the Namibia hill-bone compliance scale, Int. J. Environ. Res. Public Health, 19(4416), 2-13. Retrieved from: https://doi.org/10.3390/ ijerph19074416
• Nashilongo, M., Singu, B., Kalemeera, F., Mubita, M., Naikaku, E., Baker, A., … Kibuule, D. (2017). Assessing adherence to antihypertensive therapy in primary health care in Namibia: findings and implications, Cardiovascular Drugs and Therapy, 31, 565–578. doi:10.1007/s10557-017-6756-8.
• Osamor, P., Owumi, B. (2011). Factors Associated with Treatment Compliance in Hypertension in Southwest Nigeria, J Health Popul Nutr., 29(6), 619-628. ISSN 1606-0997
• Oseni, T., Affusim, C., Salam, T., Dele-Ojo, B., Ahmed, S., Edeawe, I., Suleiman, B. (2021). Factors affecting medication adherence in patients with hypertension attending a tertiary hospital in Southern Nigeria, Nigerian Journal of Family Practice, 12(3), 53-62. Retrieved from: https://www.researchgate.net/publication/359083262
• Özpancar, N. (2016). Hipertansiyonda kanıta dayalı bakım uygulamaları, Turkish Journal of Cardiovascular Nursing, 7(1), 2-11. doi:10.5543/khd.2016.96268.
• Paini, A., Aggiusti, C., Bertacchini, F., Rosei, C., Maruelli, G., Arnoldi, C. …Salvetti, M. (2018). Defnitions and epidemiological aspects of hypertensive urgencies and emergencies, High Blood Pressure & Cardiovascular Prevention, 25, 241–244. Retrieved from: https://doi.org/10.1007/s40292-018-0263-2
• Pan, J., Hu, B., Wu, L., Li, Y. (2021). The effect of social support on treatment adherence in hypertension in China. Patient Prefer Adherence, 15, 1953-1961. Retrieved from: https://doi.org/10.2147/PPA.S325793
• Pan, J., Yu, H., Hu, B., Li, Q. (2022). Urban-rural difference in treatment adherence of Chinese hypertensive patients, Patient Preference and Adherence,16, 2125–2133. Retrieved from: https://doi.org/10.2147/PPA.S377203
• Pierin, A., Flórido, C., Santos, J. (2019). Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department, Einstein (São Paulo), 17(4), s.8. doi: 10.31744/einstein_journal/2019AO4685
• Qiao, X., Tian, X., Liu, N., Dong, L., Jin, Y., Si, H., … Wang, C. (2020). The association between frailty and medication adherence among community-dwelling older adults with chronic diseases: Medication beliefs acting as mediators, Patient Education and Counseling, 103(12), 2548-2554. doi:10.1016/j.pec.2020.05.013.
• Rajpura, J., Nayak, R. (2014a). Medication adherence in a sample of elderly suffering from hypertension: evaluating the ınfluence of ıllness perception treatment beliefs, and ıllness burden, Journal of managed care pharmacy: JMCP, 19(1), 58-65. Retrieved from: www.amcp.org
• Rajpura, J., Nayak, R. (2014b). Role of ıllness perceptions and medication beliefs on medication compliance of elderly hypertensive cohorts, Journal of Pharmacy Practice, 27(1). doi: 19-24. 10.1177/0897190013493806.
• Rodriguez, M., Kumar, S., Caro, M. (2010). Hypertensive Crisis, Cardiology in Review, 18, 102–107. doi: 10.1097/CRD.0b013e3181c307b7
• Ross, S., Walker, A., MacLeod, M. (2004). Patient compliance in hypertension: role of illness perceptions and treatment beliefs, Journal of Human Hypertension, 18(9), 607-613. doi: 10.1038/sj.jhh.1001721.
• Salkić, S., Batic-Mujanovic, O., Ljuca, F., Brkic, S. (2014). Clinical presentation of hypertensive crises in emergency medical services, Mater Sociomed, 26(1), 12-16. 10.1038/jhh.2015.86. doi:10.5455/msm.2014.26.12-16
• Shakya, R., Shrestha, S., Gautam, R., Rai, L., Maharjan, S., Satyal, G., Bhuvan, K., Rai, M. (2020). Perceived ıllness and treatment adherence to hypertension among patients attending a tertiary hospital in Kathmandu, Nepal, Patient Preference and Adherence, 14, 2287–2300. Retrieved from: http://doi.org/10.2147/PPA.S270786
• Shakya, R., Shrestha, R., Shrestha, S., Sapkota, P., Gautam, R., Rai, L., … Paudyal, V. (2022). Translation, cultural adaptation and validation of the Hill Bone Compliance to High Blood Pressure Therapy Scale to nepalese language, Patient Preference and Adherence, 16, 957–970. Retrieved from: https://doi.org/10.2147/PPA.S349760
• Shao, P., Sawe, H., Murray, B., Mfinanga, J., Mwafongo, V., Runyon, M. (2018). Profile of patients with hypertensive urgency and emergency presenting to an urban emergency department of a tertiary referral hospital in Tanzania, BMC Cardiovasc Disorders, 18(158), s.7. Retrieved from: https://doi.org/10.1186/s12872-018-0895-0
• Sigit, F., de Mutsert, R., Lamb, H., Meuleman, Y., Kaptein, A. (2021). Illness perceptions and health-related quality of life in individuals with overweight and obesit, International Journal of Obesity, 46, 417-426. Retrieved from: https://doi.org/10.1038/s41366-021-01014-x
• Soósová, M., Suchanová, R., Parová, V., Rimárová, K. (2022). Association between ıllness perception and adherence to treatment in Slovak patients with hypertension a cross-sectional study, Journal of Cardiovascular Nursing, 0(0), s.10. doi:10.1097/JCN.0000000000000913.
• Souliotis, K., Giannouchos, T., Golna, V., Liberopoulos, E. (2022). Assessing forgetfulness and polypharmacy and their impact on health related quality of life among patients with hypertension and dyslipidemia in Greece during the COVID 19 pandemic, Quality of Life Research, 31, 193–204. Retrieved from: https://doi.org/10.1007/s11136-021-02917-y
• Suhat, S., Suwandono, A., Adi, M., and Wahyuni, C. (2022). Relationship of health belief model with medication adherence and risk factor prevention in hypertension patients in Cimahi city, Indonesia, 12(2), 51-56. doi:10.22038/EBCJ.2022.64141.2664
• Tsiantou, V., Pantzou, P., Pavi, E., Koulierakis, G., Kyriopoulos, J. (2010). Factors affecting adherence to antihypertensive medication in Greece: results from a qualitative study, Patient Preference and Adherence, 4, 335–343. doi: 10.2147/PPA.S12326
• Tümer, A., Subaşı, Baybuğa, M., Dereli, F., Demir, Uysal, D. (2016). Hipertansiyon hastalarının ilaç tedavisine uyum düzeyleri, Journal of Cardiovascular Nursing, 7(13), 105-113. doi: 10.5543/khd.2016.58077
• Uchmanowicz, B., Chudiak, A., Uchmanowicz, I., Rosińczuk, J., Froelicher, E. (2018). Factors influencing adherence to treatment in older adults with hypertension, Clinical Interventions in Aging, 13, 2425–2441. Retrieved from: http://dx.doi.org/10.2147/CIA.S182881
• Wallbach, M., Lach, N., Stok, J., Hiller, H., Mavropoulou, E., Chavanon, M. … Koziolek, M. (2018). Direct assessment of adherence and drug interactions in patients with hypertensive crisis-A cross-sectional study in the Emergency Department, J Clin Hipertansiyon, 21, 55–63. doi:10.1111/jch.13448
• Weinman, J., Petrie, K., Moss-Morris, R., Horne, R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representation of illness, Psychology and Health, 11, 431-445.
• World Health Organization. (2022,10 Ekim). Retrieved from: https://www.who.int/health-topics/hypertension#tab=tab_1
• Xiong, S., Peoples, N., Østbye, T., Olsen, M., Zhong, X., Wainaina, C., … Yan, L. (2022). Family support and medication adherence among residents with hypertension in informal settlements of Nairobi, Kenya: a mixed-method study, Journal of Human Hypertension, s. 6. Retrieved from: https://doi.org/10.1038/s41371-022-00656-2
• Yang, L., Winslow, B., Huang, J., Zhou, N. (2020). Study on illness perceptions of Chinese rural-dwelling adults with hypertension: A descriptive study, Public Health Nurs, 38, 22–31. doi:10.1111/phn.12817
• Yeom, H. (2021). Causal beliefs about hypertension and self-care behaviour in Korean patients, Australian College of Nursing, 28(1), 48-56. Retrieved from: https://doi.org/10.1016/j.colegn.2020.04.007
• Yousefabadi, S., Arbabshastan, M., Sarani, A., Rigi, K. (2018). Why medication adherence in hypertensive patients? Drug Invention Today, 10(5), 651-658. ISSN: 0975-7619