Peacock Erin, Krousel-Wood Marie
Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA; Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA 70112, USA; Center for Health Research, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70121, USA.
Med Clin North Am. 2017 Jan;101(1):229-245. doi: 10.1016/j.mcna.2016.08.005.
Adherence to antihypertensive medication remains a key modifiable factor in the management of hypertension. The multidimensional nature of adherence and blood pressure (BP) control call for multicomponent, patient-centered interventions to improve adherence. Promising strategies to improve antihypertensive medication adherence and BP control include regimen simplification, reduction of out-of-pocket costs, use of allied health professionals for intervention delivery, and self-monitoring of BP. Research to understand the effects of technology-mediated interventions, mechanisms underlying adherence behavior, and sex-race differences in determinants of low adherence and intervention effectiveness may enhance patient-specific approaches to improve adherence and disease control.
坚持服用抗高血压药物仍然是高血压管理中一个关键的可改变因素。依从性和血压控制的多维度性质需要多组分、以患者为中心的干预措施来提高依从性。改善抗高血压药物依从性和血压控制的有前景的策略包括简化治疗方案、降低自付费用、利用专职医疗人员进行干预以及自我监测血压。了解技术介导的干预措施的效果、依从行为的潜在机制以及低依从性和干预效果的决定因素中的性别种族差异的研究，可能会增强针对患者的方法，以提高依从性和疾病控制。
