Selective adherence to antihypertensive medications as a patient-driven means to preserving sexual potency
| Autor: | Rachel Blouin, Hayden B. Bosworth, Margarete Sandelowski, Corrine I. Voils, Karen E. Steinhauser, Eugene Z. Oddone, Philipp Dahm |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
hypertension media_common.quotation_subject Alternative medicine Medicine (miscellaneous) Disease Affect (psychology) Nagging sexual side effects Intervention (counseling) medicine adherence Psychiatry Pharmacology Toxicology and Pharmaceutics (miscellaneous) media_common Original Research antihypertensive medication business.industry Health Policy blood pressure Secondary data Regimen Patient Preference and Adherence Spouse business Social Sciences (miscellaneous) |
| Zdroj: | Patient preference and adherence |
| ISSN: | 1177-889X |
| Popis: | Despite the positive effects of pharmacological, diet, and exercise interventions to reduce blood pressure (BP), less than one-third of hypertensive patients achieve adequate BP control as defined by Joint National Committee VII guidelines (Burt et al 1995; Hajjar and Kotchen 2003). A major barrier to adequate BP control is patient nonadherence to medication and failure to institute recommended lifestyle changes. An estimated 20%–80% of patients diagnosed with hypertension do not take their medications as prescribed (Dunbar-Jacob et al 1995; Ogden et al 2006), and nearly 75% of Americans do not adhere to recommended hypertension lifestyle changes such as the DASH (Dietary Approaches to Stop Hypertension) diet (Brownell et al 1986; Mellen et al 2008). Several qualitative and quantitative studies have been conducted to investigate reasons for nonadherence to antihypertensive medications, focusing on aspects of patients, the disease, and the medications themselves. For example, patients may not take antihypertensive medications as prescribed because they do not experience any adverse symptoms and feel well (Ogedegbe et al 2004). Additionally, patients may not wish to take medication indefinitely or may simply forget to take their medications at times (Svensson et al 2000). Common reasons related to the medications include patients’ beliefs about the necessity or efficacy of the medication, dosing frequency, regimen complexity, and side effects (Svensson et al 2000; Safren et al 2001; Benson and Britten 2002; Ogedegbe et al 2004). Previous studies are limited because researchers have conceptualized side effects in a uniform fashion, rather than distinguishing different side effects and how they may affect adherence. Patients may be willing to live with some side effects and not others and, therefore, some side effects may have an impact on adherence to a greater degree. Another limitation is that in previous studies, the role that spouses play has not been investigated. Although it is often assumed that spouses enhance adherence, spouses can also do things to decrease adherence, such as nagging, punishing the spouse for engaging in undesired behaviors, or requesting the spouse to engage in a specific behavior (Umberson 1987; Tucker and Mueller 2000). Thus, spouses may influence whether patients live with specific side effects or pursue avenues to ameliorate them. In this paper, the results are reported of a secondary data analysis of older hypertensive patients’ experiences with sexual side effects and their consequences for antihypertensive medication adherence. We report also spouses’ perceptions of the effect of sexual side effects on patients. Understanding patients’ experiences with sexual side effects and medication adherence can help identify opportunities for clinical intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|