Journal of Hypertension,
Год журнала:
2023,
Номер
41(10), С. 1502 - 1510
Опубликована: Июль 5, 2023
The
optimal
management
of
hypertension
in
individuals
aged
80
years
or
older
with
frailty
remains
uncertain
due
to
multiple
gaps
evidence.
Complex
health
issues,
polypharmacy,
and
limited
physiological
reserve
make
responding
antihypertensive
treatments
unpredictable.
Patients
this
age
group
may
have
life
expectancy,
so
their
quality
should
be
prioritized
when
making
treatment
decisions.
Further
research
is
needed
identify
which
patients
would
benefit
from
more
relaxed
blood
pressure
targets
medications
are
preferable
avoided.
A
paradigm
shift
required
attitudes
towards
treatment,
placing
equal
emphasis
on
deprescribing
prescribing
optimizing
care.
This
review
discusses
the
current
evidence
managing
frailty,
but
further
essential
address
knowledge
improve
care
population.
Ergonomics in Design The Quarterly of Human Factors Applications,
Год журнала:
2022,
Номер
32(2), С. 5 - 13
Опубликована: Фев. 24, 2022
Feature
at
a
Glance:
Nonadherence
to
hypertension
medications
is
associated
with
negative
health
outcomes,
which
of
particular
importance
for
older
adults
because
the
high
prevalence
in
this
population.
To
promote
medication
adherence
among
group,
we
translated
behavioral
intervention
that
improved
by
36%
into
digital
therapeutic
self-management
system.
Design
strategies
included
interviewing
adults,
conducting
usability
evaluations
after
each
iteration,
and
engaging
team
experts
from
nursing,
cognitive
psychology,
pharmacy,
human
factors
aging,
software
development.
We
outline
our
design
process
can
guide
translation
other
interventions
platforms.
Journal of Clinical Hypertension,
Год журнала:
2021,
Номер
23(3), С. 638 - 645
Опубликована: Фев. 14, 2021
Abstract
This
study
aimed
to
examine
the
relationship
of
adherence
with
blood
pressure
(BP)
control
and
its
associated
factors
in
hypertensive
patients.
cross‐sectional
nationwide
BP
screening
was
conducted
Malaysia
from
May
October
2018.
Participants
self‐declared
hypertension
completed
Hill‐Bone
Compliance
High
Blood
Pressure
Therapy
Scale
(Hill‐Bone
CHBPTS)
which
assesses
three
important
domains
patient
behavior
management
namely
medication
taking,
appointment
keeping
reduced
salt
intake.
Lower
scores
indicate
better
compliance
while
higher
otherwise.
Participant's
body
mass
index
seated
were
measured
based
on
standard
measurement
protocol.
Determinants
treatment
analyzed
using
multiple
linear
regression.
Out
5167
screened
subjects,
1705
known
hypertensives.
Of
these,
927
(54.4%)
answered
CHBPTS
entered
into
analysis.
The
mean
age
59.0
±
13.2
years,
55.6%
female
42.2%
Malays.
score
20.4
4.4
(range
14‐47),
52.1%
had
good
adherence.
systolic
diastolic
136.4
17.9
80.6
11.6
mmHg,
respectively.
controlled
58.3%
those
compared
50.2%
poor
(
p
=
.014).
Based
regression
analysis,
gender
β
−0.72,
95%
confidence
interval
[CI]
−1.30,
−0.15,
.014),
older
−0.05,
CI
−0.07,
−0.03,
<
.001),
individuals
primary
or
lower
educational
level
(β
−0.91,
−1.59,
−0.23,
.009)
management.
Interventional
programs
targeted
at
less
adherent
groups
are
needed
order
improve
their
control.
Frontiers in Public Health,
Год журнала:
2021,
Номер
9
Опубликована: Сен. 17, 2021
Objectives:
The
prevalence
of
hypertension
(HTN)
among
older
adults
is
becoming
an
important
issue
in
public
health
China
as
it
now
stepping
into
the
super-aged
society
with
high
pressure
a
chronic
disease
burden.
With
urban–rural
differences
population
composition
and
facilities,
this
study
aimed
to
assess
gaps
trends
HTN
by
considering
demographic
factors
such
age,
gender,
education
level,
regional
during
1991–2015
China.
Methods:
We
adopted
consistent
sampling
design
measure
cross-longitudinal
surveys
Health
Nutrition
survey,
we
compared
rates
between
urban
rural
taking
each
wave
survey
cross-sectional
sample
Chinese
following
supplementary
samples.
classic
standardization
decomposition
analysis
method
was
utilized
four
factor-specific
rates,
contributions
were
calculated,
i.e.,
education,
region,
which
reflects
aspect
social
development
areas
Results:
whole
increasing
1991–2015.
However,
show
different
accompanied
policies
launched
government.
Namely,
gap
narrowed
1993–1997
then
enlarged
1997–2011
narrowing
again.
Those
reflect
policy
effects
resource
allocation
utilization
services
for
adults.
Conclusions:
analysis,
results
effects,
discrepancy
on
characteristics.
Hence,
differentiated
should
be
considered
population,
prevention
promotion.
Journal of Hypertension,
Год журнала:
2023,
Номер
41(10), С. 1502 - 1510
Опубликована: Июль 5, 2023
The
optimal
management
of
hypertension
in
individuals
aged
80
years
or
older
with
frailty
remains
uncertain
due
to
multiple
gaps
evidence.
Complex
health
issues,
polypharmacy,
and
limited
physiological
reserve
make
responding
antihypertensive
treatments
unpredictable.
Patients
this
age
group
may
have
life
expectancy,
so
their
quality
should
be
prioritized
when
making
treatment
decisions.
Further
research
is
needed
identify
which
patients
would
benefit
from
more
relaxed
blood
pressure
targets
medications
are
preferable
avoided.
A
paradigm
shift
required
attitudes
towards
treatment,
placing
equal
emphasis
on
deprescribing
prescribing
optimizing
care.
This
review
discusses
the
current
evidence
managing
frailty,
but
further
essential
address
knowledge
improve
care
population.
