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. 

PERAN KELUARGA DALAM MEMANTAU KEPATUHAN MINUM OBAT PENDERITA HIPERTENSI PADA MASYARAKAT

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Saiful Nurhidayat
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Rural Communities ◽  
Elementary Education ◽  
College Education ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Purposive Sampling ◽  
The Family

Abstract : Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously over a period. The dangers of hypertension can lead to damage to various organs including kidneys, brain, heart, eye, causing vascular resistance and stroke. Hypertension takes care of the old and continuously. One effective way to lower blood pressure is to obediently take medicine so that it takes the role of families in monitoring patients taking the medication. With the participation of the family are expected to hypertension sufferers can be controlled. This study aims to determine the family's role in monitoring the adherence of hypertensive patients. The study was conducted in rural communities Slahung Ponorogo, a representative sample of 53 respondents taken by purposive sampling. Quantitative design with cross sectional design of the study the family's role in monitoring the adherence of hypertensive patients. Instruments in this study using questionnaires and observation sheets. The results of 53 respondents obtained the majority of the 29 respondents (55%) has the role of both families and 24 respondents (45%) families have a bad role in monitoring medication adherence. Age and education contribute to determining the role family. Intermediate (41-60 years old) and college education contribute to determining the role well. Conversely > 61 years of elementary education and contribute in a bad role.Keywords : the role of the family, medication adherence, hypertension. Abstrak : Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri secara terus-menerus lebih dari suatu periode. Bahaya hipertensi dapat memicu rusaknya berbagai organ tubuh diantaranya: ginjal, otak, jantung, mata, menyebabkan resistensi pembuluh darah dan stroke. Penyakit hipertensi membutuhkan perawatan yang lama dan terus menerus. Salah satu cara yang efektif untuk menurunkan tekanan darah adalah dengan patuh minum obat sehingga dibutuhkan peran keluarga dalam memantau minum obat penderita. Dengan adanya peran serta keluarga diharapkan penyakit hipertensi penderita dapat terkontrol. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Penelitian dilakukan pada masyarakat desa Slahung Ponorogo,sampel representatif sejumlah 53 responden diambil secara Purposive Sampling. Desain kuantitatif dengan rancangan Cross sectional yang mempelajari peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Instrumen pada penelitian ini menggunakan kuesioner dan lembar observasi. Hasil penelitian dari 53 responden didapatkan sebagian besar 29 responden (55 %) keluarga mempunyai peran baik dan 24 responden (45 %) keluarga mempunyai peran buruk dalam memantau kepatuhan minum obat. Faktor usia dan pendidikan berkontribusi dalam menentukan peran keluarga. Usia madya (41-60 tahun) dan jenjang pendidikan perguruan tinggi berkontribusi dalam menentukan peran baik. Sebaliknya > 61 tahun dan jenjang pendidikan SD berkontribusi dalam peran buruk.Kata Kunci : peran keluarga, kepatuhan minum obat, penyakit hipertensi.

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.

scholarly journals Treatment adherence among patients with hypertension: findings from a cross-sectional study

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Fahad M. Algabbani ◽  
Aljoharah M. Algabbani
Keyword(s):  
Medication Adherence ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Adherence Rate ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Adherence To Medication

Abstract Background Hypertension is a major risk factor for cardiovascular disease, which is the leading cause of mortality globally. Patient’s adherence to treatment is a cornerstone factor in controlling hypertension and its complications. This study assesses hypertension patients’ adherence to treatment and its associated factors. Methods This cross-sectional study conducted in Riyadh, Saudi Arabia. The study targeted outpatients aged ≥18 years who were diagnosed with hypertension. Participants were recruited using a systemic sampling technique. The two main measurements were assessing adherence rate of antihypertensive medications using Morisky scale and identifying predictors of poor medication adherence among hypertensive patients including socio-economic and demographic data, health status, clinic visits, medication side effects, medications availability, and knowledge. Descriptive and logistic regression analyses were performed to assess factors associated with poor adherence. Results A total of 306 hypertensive outpatients participated in this study. 42.2% of participants were adherent to antihypertensive medications. Almost half of participants (49%) who reported having no comorbidities were adherent to antihypertensive medications compared to participants with one or more than one comorbidities 41, 39% respectively. The presence of comorbid conditions and being on multiple medications were significantly associated with medication adherence (P-values, respectively, < 0.004, < 0.009). Patients with good knowledge about the disease and its complications were seven times more likely to have good adherence to medication (P <  0.001). Conclusions Non-adherence to medications is prevalent among a proportion of hypertensive patients which urges continuous monitoring to medication adherence with special attention to at risks groups of patients. Patients with comorbidities and on multiple medications were at high risk of medication non-adherence. Patients’ knowledge on the disease was one of the main associated factors with non-adherence.

Association between Patients’ Knowledge and Adherence to Anticoagulants, and Its Effect on Coagulation Control

Pharmacology ◽  
2020 ◽  
pp. 1-10
Author(s):  
Hazem Ahmed ◽  
Enas Ahmed Saddouh ◽  
Mohamed Elhadi Abugrin ◽  
Alya Muftah Mohammed Ali ◽  
Elham Omran Elgdhafi ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Patient Adherence ◽  
Drug Effects ◽  
Final Analysis ◽  
University Hospital ◽  
Strong Positive Correlation ◽  
Hospital Data ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Adherence To Medication

<b><i>Background:</i></b> Warfarin requires strict monitoring by measuring prothrombin time (PT), international normalized ratio (INR), and time in therapeutic range (TTR). Several factors can lead to poor PT/INR control including vitamin K status, medication adherence, knowledge, and quality of life. The present study aims to assess patient adherence to warfarin treatment and its correlation with INR control. <b><i>Methods:</i></b> A cross-sectional study was conducted between October 2017 and January 2018 at Tripoli University Hospital. Data were collected by structured questionnaires which included; demographic and clinical characteristics, the Oral Anticoagulation Knowledge (OAK) test, and the Morisky Medication Adherence Scale (MMAS-8). <b><i>Results:</i></b> The final analysis included 88 out of 140 patients (73.33%). There were significant differences in age range, gender, marital status, and education level between the 2 groups (poor knowledge and adequate knowledge) (<i>p</i> &#x3c; 0.05). There was a significant positive correlation between OAK test score and TTR. Overall, 76.2% of patients were adherent to warfarin (MMAS score ≥6) and 20.45% of patients were of high adherence (MMAS score of 8). The median score was 6 (IQR 6–7). A statistically significant, strong positive correlation between adherence to medication and TTR as an indicator of INR control was found (rs[86] = 0.472, <i>p</i> &#x3c; 0.0001). <b><i>Conclusion:</i></b> The study addressed and identified several areas for future improvement of patient outcomes. The implementation of new approaches to enhance patient knowledge and adherence is warranted, and measures to provide treatment for all patients that require it are needed, to improve outcomes and decrease adverse drug effects.

scholarly journals Correlation of refractive error with axial length and corneal topography

2016 ◽  
Vol 15 (1) ◽  
pp. 25-33
Author(s):  
Surabhi Ruia ◽  
Poonam Kishore ◽  
Vinita Singh ◽  
Nitin Chaudhary
Keyword(s):  
Negative Correlation ◽  
Refractive Error ◽  
Axial Length ◽  
Corneal Topography ◽  
Radius Of Curvature ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Study Materials ◽  
Group 5 ◽  
Group 2

Purpose: To collect and analyze normative data about corneal topography and axial length in various refractive errors in Indian population.Design: Cross-sectional observational study. Materials and Method: Three hundred eyes (150 patients) of age group 12-35 yrs were arranged in 5 groups according to refractive status; Group 1 (n=44): myopia of SphericalEquivalent (SE) > 6 D; Group 2 (n=67): myopia of SE >0.5 D to 6 D; Group 3 (n=88): nearly emmetropic of SE -0.5 D to +0.5 D; Group 4 (n=59): hypermetropia of SE >0.5 to 6 D; Group 5 (n=42): hypermetropia of SE > 6 D. Axial length(AL), central radius of curvature of cornea (CR), central power of cornea (CK) , Al/CR ratio for each group were documented . Correlation with SE and among each other was studied. Results: Mean AL (in mm) of myopic patients (n=111) was 24.23 ± 1.34, emmetropic (n=88) 22.62 ± 0.94 and hypermetropics (n=101) 20.73 ±0.94. Mean CR (in mm) of myopic patients was 7.55 ± 0.35, emmetropics was 7.70 ±0.32, and hypermetropes was 7.99 ±0.35. Mean CK (in D) of myopics was 44.86±2.59, emmetropes was 43.91±1.76, and hypermetropes was 42.32±1.89. Mean AL/CR ratio of myopics was 3.22 ± 0.29, emmetropics 2.94± 0.07, and hypermetropics 2.60 ± 0.19. AL was negatively correlated with SE(r=-0.91, p<0.0001) and positively with AL/CR(r=0.88, p<0.0001) and CK (r=0.36, p<0.0001). CR was negatively correlated with AL/CR (r=-0.74, p<0.0001) while positively correlated with SE (r=0.62, p<0.0001). CK showed positive correlation with AL/CR (r=0.75, p<0.0001) while negative correlation with SE (r=-0.61, p<0.0001). AL/CR was negatively correlated withSE(r=-0.95, p<0.0001). Conclusion: This study showed a negative correlation between axial length and refractive error and between AL/CR ratio and refractive error with stronger inverse relationship in hypermetropes than myopes. There was a positive correlation of CR with SE with a weaker direct relationship in myopes than hypermetropes. 

scholarly journals THE CORRELATION OF MOBILITY TREND AND SITUATION OF COVID-19 BY COUNTRY, TERRITORY, AND AREA

2021 ◽  
Vol 8 (3) ◽  
pp. 153-164
Author(s):  
Adrina Esther Liaw ◽  
Jihan Natra Shafira ◽  
Muhammad Aziz ◽  
Iche Andriyani Liberty
Keyword(s):  
Negative Correlation ◽  
Government Policy ◽  
Significant Positive Correlation ◽  
Significant Negative Correlation ◽  
Research Paper ◽  
Analytic Study ◽  
Cross Sectional ◽  
Positive Correlation ◽  
The World ◽  
The Government

Each country around the world has taken several approaches in order to stop the spreading of the virus. This study was conducted to correlate the mobility trend and the situation of COVID-19 by country, territory, and area. This research paper adopts an observational analytic study with a cross-sectional approach for 115 countries from February 17th to August 27th, 2020. Tajikistan (r=0,956) and Italy (r=0,931) has the highest positive correlation for retail and recreations. For grocery,the highest degree of positive correlation is Mongolia (r=0,945) and Tajikistan (r=0,933). Bostwana and Italy showed highest significant positive correlation among countries (r=0,985 and r=0,902, respectively) for transit stations and residential  (r=0,994 and r=0,984). Bostwana also has the highest significant positive correlation for the park (r=0.980). Meanwhile, for the workplace, Mauritius (r=0,863) and Dominica (r=0,785) are countries with the highest degree of positive correlation with a cumulative case of COVID-19. Society's behavior plays an important role by following the government policy in order to slow down the spread of the virus. Retail and recreations, groceries and pharmacy stores, transit stations, parks, and workplaces found to have a significant positive correlation while residential have a significant negative correlation with cumulative cases of COVID-19 in most countries.  

Ecological Governance and the Sustainability of Rural Household Water Conservation Systems in the Savannah Region of Ghana

2022 ◽  
pp. 1-46
Author(s):  
Prosper Bazaanah
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Water Conservation ◽  
Rural Livelihoods ◽  
Domestic Water ◽  
Chi Square ◽  
Cross Sectional ◽  
Gender Inclusion ◽  
Ecological Governance ◽  
And Gender

This chapter examined the link between ecological governance and water conservation as sustainable pathways for enhancing rural livelihoods in the Savannah Region. Designs adopted were post-positivist and cross-sectional. Probability sampling techniques were used to sample 450 household and official respondents. Questionnaires were administered, while descriptive statistics and chi-square test were utilised to analyse the data. Findings showed significant relationship between conservation initiatives, finance, rehabilitation/maintenance, and gender inclusion and domestic water conservation. Therefore, with commitment to maintenance, funding, and gender inclusion in water decisions, there is the likely for water to be locally sustainable in rural communities of the region. Democratic, decentralised, and participatory approaches to ecological governance and empowerment of the local communities are recommended as essential preconditions for achieving ecologically self-governing communities and sustaining domestic water systems in the rural areas of the region.

The Relationship between Resilience and Mental Health: the Mediating Effect of Positive Emotions

2018 ◽  
Vol 2 (3) ◽  
pp. 87
Author(s):  
Zhun Gong ◽  
Lichao Yu ◽  
Jonathan W Schooler
Keyword(s):  
Mental Health ◽  
Negative Correlation ◽  
Psychological Health ◽  
Positive Emotions ◽  
Mediating Effect ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Relationship Of ◽  
The Relationship

<p class="tgt"><em>To investigate the relationship of resilience, positive emotions and mental health, and the relationship of resilience, positive emotion and three sub-dimensions of mental health: self-affirmation, depression and anxiety. In this study, the existing cross-sectional data, select the Beijing Forestry University data as samples. In this study, questionnaire survey a random sample of 199 undergraduate students of Beijing Forestry University, they uniform application three Scale Surveying, PANAS, CD-RISC, GHQ-20. According from the study, (1) resilience, positive mood and general health are related where resilience and positive emotions between the resilience. General psychological health, positive emotions and general mental health</em><em>?</em><em>it is positively correlated. (2) Resilience and self-affirmation exists, positive correlation with depression and anxiety, respectively negative correlation. Between positive emotions and self-affirmation the positive correlation with anxiety negative correlation. (3) Part mediating effect of positive emotions exist between resilience and self-affirmation, resilience can be made to self-affirmation prediction coefficient from 0.042 down to 0.036. Therefore, this study concluded that resilience undergraduates can have an impact on mental health through the intermediary variable positive emotions.</em></p>

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 Nurses attitude and perceived factors that influence working in rural communities in Delta State, South-South Nigeria

2017 ◽  
Vol 5 (2) ◽  
pp. 12
Author(s):  
Ehiemere IO ◽  
Onorikpori T ◽  
Nwaneri A ◽  
Ndie EC ◽  
Emeh A
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Nursing Staff ◽  
Rural Areas ◽  
Positive Attitude ◽  
Descriptive Statistics ◽  
Cross Sectional ◽  
Test Analysis ◽  
Community Health Nurses ◽  
Nurses Attitude

The study was aimed at determining nurses’ attitude to and perceived factors that influence posting and working in rural communities in Delta State, Nigeria. Descriptive cross-sectional research design was used for the study. A total of 129 nurses covering the entire nursing staff working in these communities were studied. The instrument for data collection was questionnaire. The data obtained were subjected to simple descriptive statistics and t-test analysis. The results interestingly showed that nurses have positive attitude towards the acceptance of rural postings. This positive attitude not withstanding it was concluded that community Health nurses should be posted to rural areas since they are better prepared by training to work in rural communities.

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