Research Article
Volume 7 Issue 11 - 2020
Frequency and Causes of Non-adherence to Non-pharmacological Management of Hypertensive Patient
Ratindra Nath Mondal1*, Moni Rani2, Md Mahfuj-Ul-Anwar3, Md Mokhlesur Rahman Sarker3 ASM Rahenur Mondol3, Sajeda Afrin3, Tanzina Zaman3, Mohammad Nurul Islam Khan3, Shah Md Sarwer Jahan3, Md Zakir Hossain4 and Aklima Sultana5
1Society of General Physicians and Daktarkhana (GP Center), Bangladesh
2Rajshahi Medical College, Bangladesh
3Rangpur Medical College, Bangladesh
4Shaheed Ziaur Rahman Medical College, Bogra, Bangladesh
5Chattagram Maa-O-Shishu Hospital Medical College, Bangladesh
*Corresponding Author: Ratindra Nath Mondal, Society of General Physicians and Daktarkhana (GP Center), Bangladesh.
Received: September 21, 2020; Published: October 22, 2020




Abstract

Background: Uncontrolled hypertension is the precursor of complications like cardiovascular diseases, stroke, chronic kidney disease and peripheral vascular disease. Non-adherence to the non-pharmacological measures is one of the important causes of uncontrolled hypertension.

Subjects and Methods: This was a cross sectional study, carried out in Hypertension and Research Center Rangpur, Bangladesh. On an average about 30 patient visit to Hypertension and Research Center, Rangpur daily. From the daily visited patients every 3rd patient was included in this study.

Results: In this study, we have studied a total of 209 patients of both sexes. Mean age of the patients were 50.71 ± 11.71 years. Male were more than female (53.1 years vs 46.9 years). At the time of diagnosis of hypertension 13.9% patients were smoker, 33% used to take smokeless tobacco and 47.8% patients used to take added salt during meal. Adherence to smoking was 44.82%, smokeless tobacco 59.42%, daily exercise for 30 minutes 63.63% and 88% in added salt intake with meal. Blood pressure was control in 16.3% patients at the time of the enrollment in our center and increased to 58.4% at the time of our study. 56% patients were in regular follow up and 82.8% patients used to take drug regularly.

Conclusion: Adherence to non-pharmacological measures was not satisfactory; ignorance of the patient and poor counseling was the major cause of non-adherent.

Keywords: Adherence; Hypertension; Non-pharmacological; Rangpur

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Citation: Ratindra Nath Mondal., et al. “Frequency and Causes of Non-adherence to Non-pharmacological Management of Hypertensive Patient”. EC Cardiology 7.11 (2020): 20-28.

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