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- Title
Barriers and Facilitators of Medication Adherence in Hypertension Patients: A Meta-Integration of Qualitative Research.
- Authors
Zhou, Xueying; Zhang, Xuefang; Gu, Ning; Cai, Wenjing; Feng, Jingyi
- Abstract
The aim of this qualitative systematic review is to analyze the barriers and facilitators to the uptake of antihypertensive medication in hypertensive patients. The databases of PubMed, Embase, Web of Science, CINAHL, Cochrane Library, MEDLINE, China National Knowledge Infrastructure, Wanfang, VIP, and Chinese Biomedical were searched from inception to June 2023. The studies were screened, extracted, and assessed independently by two researchers. Previously, the researchers used the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research to assess the quality of the included studies. A total of 27 studies were considered, resulting in two combined findings: a good level of knowledge, belief, and behavior and adequate social support were facilitators of medication adherence in hypertensive patients. In contrast, lack of medication literacy, difficulty adapting to roles, reduced sense of benefit from treatment, limited access to healthcare resources, and unintentional nonadherence were barriers. Medication adherence in hypertensive patients remains a challenge to be addressed. Future research should explore how complex interventions using a combination of evidence-based strategies and targeting multiple adherence behaviors (eg, long-term adherence to medication) are effective in improving medication adherence.
- Subjects
CHINA; CLINICAL drug trials; PATIENT compliance; MEDICAL information storage &; retrieval systems; HEALTH attitudes; RESEARCH funding; HYPERTENSION; CINAHL database; ANTIHYPERTENSIVE agents; TREATMENT effectiveness; SYSTEMATIC reviews; MEDLINE; MEDICAL databases; ONLINE information services; SOCIAL support
- Publication
Journal of Patient Experience, 2024, p1
- ISSN
2374-3735
- Publication type
Article
- DOI
10.1177/23743735241241176