RESUMO
Background: Hypertension is often not taken seriously by patients due to its chronic and silent nature. Establishing a proper managing plan that leads to sufficient control of blood pressure will result in the prevention of most complications and comorbidities associated with hypertension. The most important aspect of long term management of hypertension lies in lifestyle modification which includes diet, exercise, and social habits. Non-pharmacologic therapy plays an essential role in reducing blood pressure as well as in preventing the development of hypertension in normal individuals
Aim of the work: this review was to explore the various modifications a patient can make in lifestyle to maintain and manage blood pressure to achieve a better quality of life
Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1976, through February 2017. The following search terms were used: hypertension, management of hypertension, lifestyle modification, exercise, Mediterranean diet, non-pharmacological management of chronic disease
Conclusion: Even a small decrease in blood pressure can lead to huge benefits on a public health scale. Current evidence supports the application of lifestyle modifications to control blood pressure. These modifications include the control of all possible related factors in order to achieve optimal blood pressure which includes sodium intake, dietary modifications such as Mediterranean diet and reducing alcohol intake, exercise, smoking cessation, and meditation. Family physicians must play a very important role in educating, counseling, and encouraging patients about the benefits of these modifications and their impact in over-all health
RESUMO
Background: Noncompliance to treatment in chronic diseases such as hypertension is a very common phenomenon, owing to its chronic nature, lack of obvious symptoms, affordability, doctor-patient relationship, unawareness of complication, and forgetfulness. This noncompliance negatively affects disease course and increases risk of morbidity and mortality
Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1999, through March 2017. The following search terms were used: drug compliance, hypertension medication compliance, antihypertensive drug compliance, factors affecting compliance, medication compliance
Aim: Our aim in carrying out this study was to understand the status of medication compliance among hypertensive patients, studying the factors that affect it, and exploring ways to improve compliance
Conclusion: We have noticed in the review that there is direct correlation between noncompliance and lack of proper doctor-patient relationship, patient education, and patients? belief about disease and treatment. Improvement on such factor can benefit the patients in great amount regarding blood pressure control and in preventing morbidity and mortality. More studies to analyze the lack of compliance must take place in Saudi Arabia, and stricter guidelines of doctor-patient- relationship must be reinforced