» Articles » PMID: 29317924

A Qualitative Exploration of Hypertensive Patients' Perception Towards Quality Use of Medication and Hypertension Management at the Community Level

Overview
Date 2018 Jan 11
PMID 29317924
Citations 10
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: This study aimed to explore hypertensive patients' perspectives on quality use of medication and issues related to hypertension management at the community level in Malaysia.

Methods: Focus groups discussion was employed in this qualitative study. A total of 17 hypertensive patients were purposively recruited. Three focus group discussions with semi-structured interview were carried out at Flat Desa Wawasan, Penang. All the conversations were audio recorded, transcribed verbatim and thematically analysed.

Results: Three major themes were developed, including medication adherence among hypertensive patients, self-management of hypertension and patients' knowledge towards hypertension. Poor medication adherence was found and different strategies were taken to overcome the barriers towards adherence. Use of herbal and traditional therapies was perceived as alternative method in controlling blood pressure instead of taking antihypertensive medication. The participants were found to have poor knowledge on side effect and mechanism of action of hypertensive medication.

Conclusions: The misconception about the side effect of antihypertensive medication has led to poor adherence among the participants. Lack of knowledge on targeted blood pressure level has led to poor blood pressure monitoring among the participants. Health awareness program and counselling from health care professional should be advocated among the hypertensive patients in addressing the above gaps.

Citing Articles

A Qualitative Study on the Barriers and Enablers to Effective Hypertension Management in Ghana.

Sambah F, McBain-Rigg K, Seidu A, Emeto T Healthcare (Basel). 2025; 13(5).

PMID: 40077041 PMC: 11898504. DOI: 10.3390/healthcare13050479.


Antihypertensive use insights and experiences among hypertensive patients at Korle-Bu teaching hospital.

Oti-Boadi E, Osei E, Asare B, Ampong S, Asiedu P, Hakami F PLoS One. 2024; 19(6):e0298202.

PMID: 38865338 PMC: 11168662. DOI: 10.1371/journal.pone.0298202.


Development and validation of a medication non-adherence scale for Malaysian hypertensive patients: a mixed-methods study.

Yew S, Tan K, Nashriq Mohd Nazan A, Abdul Manaf R Environ Health Prev Med. 2023; 28:75.

PMID: 38057094 PMC: 10711374. DOI: 10.1265/ehpm.23-00223.


Perception of hypertension and adherence to hypertension treatment among patients attending a hospital in western Iran: A cross-sectional study.

Baharvand P, Malekshahi F, Babakhani A Health Sci Rep. 2023; 6(8):e1501.

PMID: 37599662 PMC: 10435721. DOI: 10.1002/hsr2.1501.


Stakeholder's perspectives on acceptable interventions for promoting hypertension medication adherence in Namibia: nominal group technique.

Nakwafila O, Sartorius B, Shumba T, Dzinamarira T, Mashamba-Thompson T BMJ Open. 2023; 13(5):e068238.

PMID: 37192796 PMC: 10193049. DOI: 10.1136/bmjopen-2022-068238.


References
1.
GRAVES J . Management of difficult-to-control hypertension. Mayo Clin Proc. 2000; 75(3):278-84. DOI: 10.4065/75.3.278. View

2.
van der Sande M, Milligan P, Nyan O, Rowley J, Banya W, Ceesay S . Blood pressure patterns and cardiovascular risk factors in rural and urban gambian communities. J Hum Hypertens. 2000; 14(8):489-96. DOI: 10.1038/sj.jhh.1001050. View

3.
Guo H, He H, Jiang J . [Study on the compliance of antihypertensive drugs in patients with hypertension]. Zhonghua Liu Xing Bing Xue Za Zhi. 2002; 22(6):418-20. View

4.
Wizner B, Gryglewska B, Gasowski J, KOCEMBA J, Grodzicki T . Normal blood pressure values as perceived by normotensive and hypertensive subjects. J Hum Hypertens. 2003; 17(2):87-91. DOI: 10.1038/sj.jhh.1001516. View

5.
Ryan G, Wagner G . Pill taking 'routinization': a critical factor to understanding episodic medication adherence. AIDS Care. 2003; 15(6):795-806. DOI: 10.1080/09540120310001618649. View