http://cm.healio.com/cardiology/vascular-medicine/news/online/%7Bc1da8796-4e9c-4b87-a001-3bb4583fed9a%7D/improved-outcomes-in-patients-with-high-bp-who-trust-the-medical-profession?utm_source=selligent&utm_medium=email&utm_campaign=cardiology%20news&m_bt=592835816269
Among patients with hypertension, confidence in the medical profession was associated with medication adherence, resilience and improved quality of life, according to findings presented at the American Heart Association’s Quality of Care and Outcomes Research Scientific Sessions.
They aimed to determine the connection between trust and health-related quality of life, including physical and mental health. Researchers analyzed whether health-related quality of life was facilitated by resilience, defined as ability to adapt to difficult circumstances, and medication adherence. This association was also compared between the Hispanic and non-Hispanic groups.
Trust in the medical profession was positively associated with mental health (beta = 0.43; P < .001), physical health (beta = 0.32; P < .001), medication adherence (beta = 0.25; P < .05) and resilience (beta = 0.18; P < .05). Resilience was positively associated with mental health (beta = 0.34; P < .001), but not with physical health. Medication adherence was not linked to mental or physical health.
Resilience partially affected the link between trust in the medical profession and both physical and mental health. This was also noted for medication adherence and the relationship between trust and mental health, but not for physical health.
Hispanic ethnicity did not affect the associations between trust, resilience, medication adherence and health-related quality of life, according to the researchers.
“Because adherence to [BP]-lowering medication is a challenge for many people, identifying and understanding how to overcome obstacles that prevent patients from following prescribed treatments may help lower their risk for the serious health consequences of poorly controlled hypertension, including stroke and [MI], and, in turn, may lead to improved health outcomes,” Lilia Meltzer, PhD, a nurse practitioner at UCLA, said in a press release. – by Darlene Dobkowski
Reference:
Meltzer LS, Hays RD. Presentation 252. Presented at: American Heart Association’s Quality of Care and Outcomes Research Scientific Sessions; April 2-3, 2017; Arlington, Va.
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