scholarly journals Relationship of Psychosocial Factors towards Medication Adherence among Hypertension Patients in A Tertiary Hospital

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Jalina Karim ◽  
Hazwani Ramli ◽  
Siti Zuraida Mohd Razi ◽  
Nor Haty Hassan
Keyword(s):  
Medication Adherence ◽  
Psychosocial Factors ◽  
Emotional State ◽  
Tertiary Hospital ◽  
Health Clinic ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Adherence Score ◽  
Tertiary Hospitals ◽  
Relationship Of

INTRODUCTION: Hypertension is one of the invisible diseases causing heart failure and stroke, and responsible for death. This study aimed to determine the level of medication adherence and psychosocial factors among patients with hypertension, relationship between socio demographic and medication adherence, and relationship between psychosocial factors and medication adherence among patients with hypertension. MATERIALS AND METHODS: A cross-sectional descriptive study was performed at the Primary Health Clinic and Medical Clinic in one of the tertiary hospitals. There were 123 patients with hypertension who volunteered to participate using a validated adapted and modified questionnaire to assess the compliance and psychosocial factors. The data collected was analysed using IBM SPSS Statistics version 23. RESULTS: A hundred and twenty respondents were adherents to medication (97.6%) while respondents with non-adherence to medication were 3 (2.4%) with a mean adherence score of 42.2764 with SD ± 2.67134. Some of the psychosocial variables had good understanding, good emotional state, positive attitude, higher motivation, higher perception of severity, lower perception of susceptibility and less barrier to compliance. Emotional state was the only thing reported for the psychosocial factors as being statistically significant. The level of emotional state was found statistically significant differences with scores p=0.008 (p< 0.05). CONCLUSION: The level of medication adherence was good which reflected the patients’ compliance towards medication taking. This study showed a good medication adherence and compliance among hypertension patients.

scholarly journals Patient Education and Medication Adherence among Hypertensives in a Tertiary Hospital, South Western Nigeria

2020 ◽  
Vol 30 (2) ◽  
Author(s):  
Ayodapo AO ◽  
Elegbede OT ◽  
Omosanya OE ◽  
Monsudi KF
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Primary Care Physicians ◽  
Adult Population ◽  
Health Resources ◽  
Tertiary Hospital ◽  
Good Knowledge ◽  
High Morbidity ◽  
Cross Sectional ◽  
Adherence To Medication

BACKGROUND: Hypertension is a global health issue among the adult population with high morbidity and mortality rates. Poor adherence to medication is associated with bad outcome of the disease and wastage of health resources. Therefore, this study aims to determine the role of patient education in medication adherence among hypertensives attending tertiary hospitals in Ekiti State, South Western, Nigeria.METHODS: This is a descriptive cross-sectional study involving 420 participants attending Family Medicine Department Clinic of Federal Medical Centre (FMC), Ido-Ekiti. Relevant data were collected using semi-structured questionnaire.RESULTS: The mean age of respondents was 60.97 ± 11.28 years, and a slight female preponderance (male: female = 1:1.7 over male). Three hundred and forty nine (83.1%) were married, 273(65.0%) were from a monogamous family and 375(89.2%) had family sizes of more than 4. Ninety four (22.4%) had good knowledge about hypertension, and 257(61.2%) were adherent to their medication. Increased medication adherence proportion was observed as knowledge about hypertension improves. The odds of adherence to treatment among subjects with good knowledge is 2 times (OR = 2.320, 95%CI = 1.164, 4.626) higher than among subjects with poor knowledge.CONCLUSION: The proportion of respondents with good knowledge about hypertension is low. However, the adherence among them to medication is higher and statistically significant. Patient education about the disease and its treatment by primary care physicians can help to improve adherence to medication.

scholarly journals Somatoform disorders among children and adolescents in a tertiary hospital

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 69-72
Author(s):  
Anupam Das ◽  
Md Abdul Matin ◽  
Sultanuddin Ahmed ◽  
Md Shameem Ahmed ◽  
Proshenjeet Dey
Keyword(s):  
Children And Adolescents ◽  
Psychosocial Factors ◽  
Child Psychiatry ◽  
Somatoform Disorders ◽  
Psychological Problem ◽  
Tertiary Hospital ◽  
Cross Sectional ◽  
Verbal Skills ◽  
Psychiatry Clinic ◽  
The Difference

Background: Somatoform disorders are common problem among children and adolescents. As children's verbal skills are relatively poorly developed to express their psychological problem, it is not surprising that they display somatic symptoms in response to life stresses.Objectives: The study aimed to explore the difference of somatoform disorders and symptoms between boys and girls the causal association of psychosocial factors.Materials & Methods: This is a cross-sectional descriptive study conducted at weekly Child Psychiatry Clinic of Psychiatry OPD and Pediatrics OPD in Bangabandhu Sheikh Mujib Medical University (BSMMU) of 6-16 years' age group from June to December' 2003. Total 450 respondents, 350 from Pediatric OPD & 100 from Child Psychiatry Clinic of Psychiatry OPD, were included in this study.Results: No significant gender difference was found in the diagnostic categories of somatoform disorders. Both boys and girls reported higher rates of undifferentiated somatoform disorders, 33.33% and 37.50% respectively. Abnormal psychosocial factors were found in majority of the cases and the most common was parental overprotection (26.42%). Overall, associated abnormal psychosocial situations were significantly higher among girls than that of boys (P<0.01). It was also revealed that higher rate of abnormal psychosocial factors was found to have causal relationship of higher rate of somatoform disorders among girls than that of boys.Conclusion: Findings suggested that somatoform disorders in children and adolescents were frequent in clinical settings and more in girls than that of boys due to more associated abnormal psychosocial situations among girls.KYAMC Journal Vol. 9, No.-2, July 2018, Page 69-72

scholarly journals Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Ebrahim Aliafsari Mamaghani ◽  
Edris Hasanpoor ◽  
Esmaiel Maghsoodi ◽  
Farzaneh Soleimani
Keyword(s):  
Medication Adherence ◽  
Rural Communities ◽  
Negative Correlation ◽  
Rural Areas ◽  
Medical Adherence ◽  
Medication Regimen ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Positive Correlation ◽  
Adherence To Medication

BACKGROUND: Poor adherence to medication regimen leads to poor health outcomes, increased medical costs and increased death rate due to hypertension. The aim of this study was to evaluate baseline barriers to medication adherence among hypertensive patients in deprived rural areas.METHODS: A cross-sectional study was conducted on 238 hypertensive patients living in deprived rural areas of Iran. Data were collected using a questionnaire consisting of demographic information, Morisky medication adherence scale and the barriers to medication adherence that were reliable and valid.RESULTS: The results of the study showed that medication adherence was significantly decreased and had a significant positive correlation with gender and economic status, while it had a negative correlation with age. Medication Adherence had a positive correlation with the duration of hypertension, while it had a negative correlation with the number of medications used and concurrently with other diseases.CONCLUSIONS: Based on the present study it can be concluded that enhanced knowledge about illness and treatment in rural communities is improves the medical adherence. Financial supports along with the reduced number of prescribed drugs are also found to be the determining factors in the medical adherence. 

scholarly journals Intentional Self-Harm and Personality Traits using Big Five Factor Model in Patients Presenting to a Tertiary Level Hospital

2019 ◽  
Vol 8 (1) ◽  
pp. 11-16
Author(s):  
S Paudyal ◽  
SP Ojha ◽  
P Tulachan ◽  
S Dhungana ◽  
R Kafle
Keyword(s):  
Personality Traits ◽  
Factor Model ◽  
Five Factor Model ◽  
Public Health Problem ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Self Harm ◽  
Emergency Department Patients ◽  
Relationship Of

Introduction: Suicide is an important, largely preventable public health problem. The occurrence of suicide and suicidal behavior has been increasing dramatically. There is a growing recognition that the personality traits is important risk factor for intentional self-harm (suicide/ purposely self-inflicted poisoning or injury). This study was done to assess the personality traits in patients presenting with intentional self-harm and relationship of intent of the self-harm with personality traits. Material And Method: A cross sectional study was conducted in patients presenting with Intentional self-harm to tertiary hospital emergency department. Patients who met inclusion criteria and gave consent during six months period were included, Socio demographic information and detailed history was taken. The suicide intent scale and five factor model rating form were administered to the patients. Results: Most patients who presented with intentional self –harm scored median score of 4 (high) in anger hostility, self-consciousness, impulsivity and altruism traits while in other traits they scored neutral score, which concluded that patients who presented with intentional self–harm were more bitter, short-tempered, timid, impulsive and sacrificial. The study showed that the relation of certain traits as anxiousness, impulsivity, vulnerability, gregariousness, ideas, trust, straightforwardness, altruism, competence, order and SIS grading was statistically significant (p=<0.05). Conclusion: Our findings suggest that patients who presented with intentional self–harm were more bitter, short–tempered, timid, impulsive and sacrificial. Further patients who committed intentional self harm with low intent were more impulsive, vulnerable, outgoing, haphazard and sloppy as compared to those who committed with high intent who were rather more anxious and sacrificial.

scholarly journals Health literacy and adherence to treatment of patients with heart failure

2019 ◽  
Vol 53 ◽  
Author(s):  
Monica Isabelle Lopes Oscalices ◽  
Meiry Fernanda Pinto Okuno ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Ruth Ester Assayag Batista ◽  
Cassia Regina Vancini Campanharo
Keyword(s):  
Heart Failure ◽  
Medication Adherence ◽  
Health Literacy ◽  
White Women ◽  
Patient Adherence ◽  
Functional Health ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Patients With Heart Failure ◽  
Medical Questionnaire

ABSTRACT Objective: To relate the level of functional health literacy with adherence and barriers to non-adherence, rehospitalization, readmission and death in patients with heart failure. Method: A cross-sectional, analytical study with patients admitted to the emergency room with a diagnosis of heart failure. Literacy was assessed by the Newest Vital Sign. Patient adherence to medication treatment and barriers to non-compliance were assessed 90 days after discharge by the Morisky-Green test and the Brief Medical Questionnaire, respectively. Results: 100 patients participated in the study. The mean age was 63.3 years (± 15.2), with a predominance of white women. Medication adherence was low in 41.1% of participants, of which 55.9% presented inadequate literacy. Re-hospitalization and death were present in patients with inadequate literacy (p<0.001). Conclusion: The low level of literacy was directly related to lower adherence and the presence of barriers to medication adherence, as well as higher rehospitalization rates and death.

scholarly journals Antiepileptic Drug Nonadherence and Its Predictors among People with Epilepsy

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Asmamaw Getnet ◽  
Solomon Meseret Woldeyohannes ◽  
Lulu Bekana ◽  
Tesfa Mekonen ◽  
Wubalem Fekadu ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Antiepileptic Drug ◽  
Health Information ◽  
Cross Sectional Study ◽  
Functional Restoration ◽  
Sustained Remission ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Adherence Scale ◽  
Consequent Reduction

Introduction. Antiepileptic drugs are effective in the treatment of epilepsy to the extent that about 70% of people with epilepsy can be seizure-free, but poor adherence to medication is major problem to sustained remission and functional restoration. The aim of this study was to assess the prevalence and associated factors of antiepileptic drug nonadherence. Methods. Cross-sectional study was conducted on 450 individuals who were selected by systematic random sampling method. Antiepileptic drug nonadherence was measured by Morisky Medication Adherence Scale (MMAS) and logistic regression was used to look for significant associations. Result. The prevalence of AEDs nonadherence was 37.8%. Being on treatment for 6 years and above [AOR = 3.47, 95% CI: 1.88, 6.40], payment for AEDs [AOR = 2.76, 95% CI: 1.73, 4.42], lack of health information [AOR = 2.20, 95% CI: 1.41,3.43], poor social support [AOR = 1.88, 95%, CI: 1.01, 3.50], perceived stigma [AOR = 2.27, 95% CI: 1.45, 3.56], and experience side effect [AOR = 1.70, 95% CI: 1.06, 2.72] were significantly associated with antiepileptic drug nonadherence. Conclusion. More than one-third of people with epilepsy were not compliant with their AEDs. Giving health information about epilepsy and its management and consequent reduction in stigma will help for medication adherence.

Factors affecting self-reported medication adherence and hypertension knowledge: A cross-sectional study in rural villages, Yogyakarta Province, Indonesia

2017 ◽  
Vol 14 (3) ◽  
pp. 212-227 ◽  
Author(s):  
Riana Rahmawati ◽  
Beata Bajorek
Keyword(s):  
Medication Adherence ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Healthcare Services ◽  
Knowledge Gaps ◽  
Good Adherence ◽  
Cross Sectional ◽  
Rural Villages ◽  
Adherence To Medication ◽  
Hypertension Knowledge

Objectives This study assessed medication adherence and hypertension knowledge, and their predictive factors, in people with hypertension, living in rural communities in Indonesia. Methods Data were acquired from 384 people living in eight rural villages via a researcher-administered questionnaire, a validated adherence scale, and a standardized hypertension knowledge survey. Multivariate analysis was used to identify the predictors of adherence and knowledge. Results Fifty-nine (15%) participants had good hypertension knowledge (score ≥ 8 out of 10). Compared to participants with poor knowledge, these participants had higher formal education (odds ratio = 2.7, 95% confidence interval = 1.5–4.7), and lived closer to a community health center (odds ratio = 1.8, 95% confidence interval = 1.0–3.3). Knowledge gaps about the need for long-term medication, hypertension complications, and the target blood pressure were identified. Good hypertension knowledge predicted good adherence to medication (odds ratio = 7.1, 95% confidence interval = 3.3–15.2). Only 42 (11%) participants were considered to have good adherence. Reasons for intentional nonadherence were beliefs that medicines should be taken only when symptoms are evident, limited access to healthcare services, and a preference using traditional medicines. Conclusion Strategies for addressing knowledge gaps and misconceptions about hypertension medication are needed, particularly for people with a low educational level and those living some distances from healthcare facilities.

scholarly journals Hubungan Tingkat Penerimaan diri dengan Tingkat Kepatuhan Minum Obat Pasien Lupus di Yayasan Kupu Parahita Indonesia

2021 ◽  
Vol 49 (4) ◽  
pp. 215-222
Author(s):  
Rizqinda Lailatul Lestari ◽  
Tina Handayani Nasution ◽  
Ahmad Hasyim Wibisono ◽  
Miftakhul Jannah ◽  
Ulfi Nur Widiyanti ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Adherence Level ◽  
Cross Sectional ◽  
Acceptance Level ◽  
Adherence To Medication ◽  
Economic Culture ◽  
Adherence Scale ◽  
Self Acceptance ◽  
High Level ◽  
Spearman Test

Lupus is a chronic autoimmune disease that can become a bio-psycho-socio-economic-culture-spiritual burden for individuals because its complex treatment and management. Self-acceptance and adherence to medication are the keys in lupus management. Purpose of this study was to determine the relationship between self-acceptance level of lupus patients and their medication adherence level. The study was designed using a correlational study with a cross sectional approach. About 92 lupus patient respondents at Kupu Parahita Indonesia Foundation who went to the Saiful Anwar Hospital Malang were selected using purposive sampling according to inclusion and exclusion criteria. Respondents were asked to fill out a modified Acceptance of Illness questionnaire to measure patient self-acceptance level and the Morisky Medication Adherence Scale 8 (MMAS-8) to assess drug adherence level. From the 92 respondents, it was found that 37% had a high level of self-acceptance, 52.2% were moderate, and 10.8% were low. Adherence medication level in 92 respondents showed 51.1% high, 38.1% moderate, and 10.8% low. Spearman test results showed a significant relationship between self-acceptance level and medication adherence level (p=0.001, r=0.355). This value indicates the strength of the weak relationship and the direction of the positive correlation between self-acceptance and medication adherence. Conclusion, the higher of self-acceptance level of lupus patients, the higher medication adherence level.

scholarly journals Hypertension-related knowledge, medication adherence and health-related quality of life (HRQoL) among hypertensive patients in Islamabad, Pakistan

2021 ◽  
Vol 18 (5) ◽  
pp. 1123-1132
Author(s):  
Muhammad Amer ◽  
Nisar-Ur-Rahman ◽  
Saeed-Ur-Rashid Nazir ◽  
Atif Raza ◽  
Humayun Riaz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Correlation Coefficient ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Adherence To Medication ◽  
Hypertension Knowledge

Purpose: To determine knowledge regarding hypertension, adherence to medication and HealthRelated Quality of Life (HRQoL), and their associations in hypertensive patients in Pakistan. Methods: A cross-sectional study was conducted among 384 hypertensive patients attending a tertiary health care public sector hospital in Islamabad, Pakistan. Data were collected using knowledge questionnaire regarding hypertension, Morisky Medication Adherence Scale, and EuroQol (EQ-5D) scale. Results: The mean systolic and diastolic blood pressures of the 384 patients were 140.39 ± 15.485 and 88.74 ± 10.683 mmHg, respectively. The coefficient of correlation between knowledge regarding hypertension and adherence was 0.638 (p < 0.001), showing a positive association. The correlation coefficient between knowledge and HRQoL was 0.709 (p < 0.001), suggesting a good association. The correlation coefficient between adherence to medication and HRQoL was 0.545 (p < 0.001), which indicated a positive correlation. Conclusion: These results indicate that there are statistically significant associations between hypertension knowledge and HRQoL, hypertension knowledge and medication adherence, and between adherence and HRQoL in the hypertensive patients studied.

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