Illness Perception and therapeutic regimen adherence

Topics: Blood pressure, Hypertension, Myocardial infarction Pages: 35 (7951 words) Published: March 11, 2014
CHAPTER I
THE PROBLEM AND ITS SCOPE
INTRODUCTION
The world is laden with different kinds of sickness and diseases nowadays; these conditions originate from sources easily prevented or if not controlled by proper management and control.  Hypertension is well-recognized as one of the leading risk factors for coronary heart diseases. (Roger Harms K. B., June 29, 2012) There are around 970 million people worldwide who have high blood pressure; approximately 330 million from developed countries and 640 million from developing countries. (Kearney et al., 2005) The number is expected to increase to 1.56 billion people by the year 2025; this translates to about 1 out of every 4 adults being afflicted with hypertension. (Ting Choon Meng H. T., January 16, 2005) It is prevalent in developing as well as in developed countries. (Ting Choon Meng H. T., January 16, 2005) A study found out that around 900 million people in developing countries have high blood pressure but that only one-third are aware of their disease. Moreover, only 100 million of these people receive treatment, while only 5 per cent of the total is controlled. However, hypertension control was reported only in 31% of individuals diagnosed with hypertension, one such reason is that it is also referred to as the “silent killer” because of it being asymptomatic. In fact it is very common in the Philippines where it affects around 10.5 million Filipinos. 25% of this figure is unaware that they have the condition and adherence to treatment is around 50-70%, 13% of this is only controlled over the last three decade. (World Health Organization, 2003) A number of effective medications have been discovered, developed, and improved for the treatment of hypertension. Medication adherence is crucial to hypertension control and has generally been defined as consumption of 80% of the prescribed antihypertensive medication. (Benson, June 13, 2012) Only 50% of people with hypertension regularly follow advice of their physicians concerning drug therapy, and dietary regimens. (World Health Organization, 2003) Stopping medications and treatment can cause the blood pressure to rise even higher than before, and when left uncontrolled, hypertension can lead to serious cardiovascular problems such as stroke, heart attack, heart failure, heart rhythm irregularities, and kidney failure. Thus, failure of adherence will result to an absence of compelling reason to persistently take medication. This aspect of condition contributes further challenges related to the perceptions of clients about hypertension. There is a varying degree on how a patient views their illness, the topic is very diverse and unique to each patient that a variety of factors come together to influence the course of the illness, these may be: additional medical conditions, stress levels, and social support which all have an impact on health and well-being, especially when ill. Recent studies have suggested that people's illness perceptions bear a direct relationship to several important health outcomes, including their level of functioning and ability, utilization of health care, adherence to treatment plans laid out by health care professionals, and even overall mortality as seen on the February 2012 issue of Current Directions in Psychological Science, a journal of the Association for Psychological Science, Keith Petrie, of the University of Auckland, and John Weinman, of the Institute of Psychiatry at King's College. Even though some patients may agree that the nature of hypertension is asymptomatic, they will predict their blood pressure by symptom presentations. There is still a spectrum of unstudied outlook toward their current condition waiting to be further understood. Studies have concluded that those patients that view their condition as a bother or they sometimes refer to it as “high-pertension” were less compliant with their treatment and had a lower blood pressure control rate, also those with three or more...

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COLLEGE of NURSING
Andres Bonifacio Avenue, 9200 Iligan City Philippines
COLLEGE of NURSING
Andres Bonifacio Avenue, 9200 Iligan City Philippines
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