scholarly journals Description of medication adherence in hypertensive respondents at Mandalika Mataram elderly social centre

2021 ◽  
pp. 52-55
Author(s):  
Anna Pradiningsih ◽  
Dzun Haryadi Ittiqo ◽  
Neti Puput Arianti
Keyword(s):  
Medication Adherence ◽  
Health Workers ◽  
Ageing Processes ◽  
Adherence Scale ◽  
Drug Regimens ◽  
Social Centre ◽  
Hypertensive Therapy ◽  
Complex Drug ◽  
Drug Complex

Introduction: Elderly people are at high risk of non-adherence to hypertensive therapy due to changes in body function and ageing processes. Objectives: The purpose of this study is to explore medication adherence among hypertensive respondents at the Mandalika Mataram NTB Elderly Social Centre. Methods: This study is descriptive observational with a purposive sampling technic. The sample consisted of 30 respondents who met the inclusion criteria. Data were collected using the Modified Morisky Adherence Scale (MMAS-8). Results: The results showed that adherence among participants was high (23.3%), moderate (56.1%), and low (20.0%). Respondent adherence was associated with the role of health workers in monitoring drug therapy. Non-adherence was several factors, including side effects of the drug, complex drug regimens, and ageing.

Assessment of Medication Adherence and Related Factors in Hypertensive Patients: The Role of Beliefs About Medicines

2020 ◽  
pp. 105477382098138
Author(s):  
Fatma Ilknur Cinar ◽  
Şule Mumcu ◽  
Betülay Kiliç ◽  
Ülkü Polat ◽  
Bilge Bal Özkaptan
Keyword(s):  
Medication Adherence ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Beliefs About Medicines ◽  
Modifiable Factors ◽  
Adherence Scale

Low medication adherence is one of the leading causes that affect the achievement of target levels for hypertension. Identifying modifiable factors associated with low adherence is crucial. This study aims to assess medication adherence and the role of beliefs about medicines on medication adherence among hypertensive patients.This cross-sectional study was conducted with 200 hypertension patients.Data were collected using the Morisky-Green-Levine Medication Adherence Scale, and the Beliefs about Medicines Questionnaire [BMQ-Turkish Translation (BMQ-T)]. It was found that the BMQ-T subscales of Specific Concern (β = 0.358, p = .027) and General Overuse (β = 0.552, p = .011) had an independent predictor effect on medication adherence scores. In this study, the patients who thought that drugs were overused and had concerns about this were seen to be less adherent with the medication. With regard to patients who use antihypertensive drugs but have uncontrolled blood pressure, their beliefs about drugs should not be ignored when evaluating adherence with drug therapy.

scholarly journals Hubungan Letak Geografis dengan Kepatuhan Pengobatan pada Pasien Hipertensi di Kabupaten Pekalongan

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Benny Arief Sulistyanto ◽  
Mukti Lestari Madyoratri
Keyword(s):  
Medication Adherence ◽  
Health Workers ◽  
Geographical Location ◽  
Health Care Facilities ◽  
P Value ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

Abstrak. Kepatuhan pengobatan hipertensi dapat dipengaruhi oleh faktor sosial-demogafik. Perbedaan fasilitas penunjuang kesehatan pada daerah dataran rendah dan dataran tinggi mengakibatkan tidak meratanya informasi dan pengobatan terkait hipertensi. Penelitian ini bertujuan untuk mengidentifikasi hubungan letak geografis dengan tingkat kepatuhan pengobatan hipertensi di Kabupaten Pekalongan. Penelitian ini merupakan studi deskirptif dengan pendekatan cross-sectional. Kuesioner The 8-item Morisky Medication Adherence Scale (MMAS-8) versi Bahasa Indonesia digunakan untuk mengukur kepatuhan pengobatan hipertensi pada 65 responden di daerah dataran tinggi dan dataran rendah. Hasil penelitian ini menemukan bahwa letak geografis mempunyai korelasi terhadap kepatuhan pengobatan hipertensi (p-value < 0,01). Petugas kesehatan hendaknya menggunakan berbagai metode untuk meningkatkan kepatuhan pengobatan khususnya yang berlokasi di dataran rendah. Namun demikian, peningkatkan kualitas dan kuantitas fasilitas kesehatan di dataran tinggi tidak boleh diabaikan Kata kunci: kepatuhan pengobatan, hipertensi, MMAS-8, letak geografis Relationship between Geographical Location and Medication Adherence in Hypertensive Patients in Pekalongan DistrictAbstract. Medication adherence among hypertensive patients can be influenced by socio-demographic factors. The differences in health care facilities in the lowlands and highlands create a gap of information and treatment related to hypertension treatments. The purpose of this study is to identify the relationship between geographical location and medication adherence in Pekalongan Regency. A descriptive study with a cross-sectional approach was used. The Indonesian version of the Morisky Medication Adherence Scale (MMAS-8) questionnaire was used to measure the adherence of medication treatment among 65 respondents in the highlands and lowlands. The results of this study revealed that geographical location was highly correlated with medication adherence (p-value <0.01). Health workers should use various methods to improve medication adherence, especially those located in the lowlands. Although, improving the quality and quantity of health facilities in the highlands should not be ignored Keywords: medication adherence, hypertension, MMAS-8, geographical location

scholarly journals Evaluating the Medication Adherence From the Viewpoints of Patients With Mental Disorders and Their Families

2020 ◽  
Vol 24 (1) ◽  
pp. 44-55
Author(s):  
Reza Zeighami ◽  
◽  
Seyyed Mohsen Zamir ◽  
Amir Javadi ◽  
Tahereh Mahmoudi ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Mental Disorders ◽  
Sampling Method ◽  
Family Members ◽  
Risk Of Death ◽  
Increased Risk ◽  
Adherence Scale ◽  
The Mean ◽  
Convenience Sampling

Background: Medication non-adherence is common among patients with mental disorders. It can lead to worsening symptoms, recurrence, re-hospitalization, decreased performance, and increased risk of death. Objective: This study aimed to evaluate the medication adherence from the viewpoints of family and patients with mental disorders. Methods: In this descriptive-analytical study, 102 patients with mental disorders admitted to psychiatric wards of 22 Bahman Hospital in Qazvin province and 102 of their family members were selected using by a convenience sampling method in 2017. In order to collect data, a demographic form and Morisky Medication Adherence Scale (MMAS) were completed by the patients and one of their family members. Data were analyzed in SPSS V. 24 software. Findings: The mean MMAS score of patients was 5.8±1.52 and for their families, it was 5.9±1.46 (in a range of 2-8). Using the Spearman correlation coefficient, results showed a significant and positive correlation between the MMAS scores of patients and their families. Conclusion: Demographic characteristics of patients affect their medication adherence regardless of the type and severity of their disease. Therefore, the role of the patient as an active decision-maker in treatment should be considered. Training and useful advices from medical staff are essential to raise the awareness of the patients and their families about medications and their effectiveness as well as the condition caused by the disease.

Assessment of adherence to anti-tuberculosis treatment and predictors for non-adherence among the caregivers of children with tuberculosis

2020 ◽  
Author(s):  
Madeeha Laghari ◽  
Bandeh Ali Talpur ◽  
Syed Azhar Syed Sulaiman ◽  
Amer Hayat Khan ◽  
Zohra Bhatti
Keyword(s):  
Risk Factors ◽  
Medication Adherence ◽  
Healthcare Workers ◽  
Formal Education ◽  
Positive Association ◽  
Significant Positive Association ◽  
Financial Barriers ◽  
Tb Treatment ◽  
Adherence Scale

Abstract Background Information on the extent of patient medication adherence and the use of interventions to advance adherence are scarce in clinical practice. This study aimed to assess medication adherence and risk factors for non-adherence among the caregivers of children with tuberculosis (TB). Methods This prospective study was conducted among the caregivers of 443 child TB patients registered during the study. Caregivers of children were queried using a structured questionnaire consisting of sociodemographic and socio-economic factors and the role of healthcare workers during the treatment course. Risk factors for non-adherence were estimated using a logistic regression model. Results In multivariate analysis, the independent variables that had a statistically significant positive association with non-adherence were male sex (adjusted odds ratio [AOR] 5.870 [95% confidence interval {CI} 1.99 to 17.29]), age ≥45 y (AOR 5.627 [95% CI 1.88 to 16.82]), caregivers with no formal education (AOR 3.905 [95% CI 1.29 to 11.79]), financial barriers (AOR 30.297 [95% CI 6.13 to 149.54]), insufficient counselling by healthcare workers (AOR 5.319 [95% CI 1.62 to 17.42]), insufficient counselling by health professionals (AOR 4.117 [95% CI 1.05 to 16.05]) and unfriendly attitude and poor support from healthcare professionals (AOR 11.150 [95% CI 1.91 to 65.10]). Conclusions Treatment adherence in the present study was 86% using the Morisky Green Levine Medication Adherence Scale and 90.7% using the visual analogue scale tool. Predictors of non-adherence need to be a focus and caregivers should be given complete knowledge about the importance of adherence to TB treatment.

Brief Medication Adherence Scale

2018 ◽  
Author(s):  
E. Chui ◽  
K. L. Wong ◽  
K. Y. Chan ◽  
M. Wong
Keyword(s):  
Medication Adherence ◽  
Adherence Scale

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 The role of partners in promoting self-care for misoprostol and subcutaneous DMPA in Pakistan

2021 ◽  
Vol 19 (S1) ◽  
Author(s):  
Qudsia Uzma ◽  
Nausheen Hamid ◽  
Rizwana Chaudhri ◽  
Nadeem Mehmood ◽  
Atiya Aabroo ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Private Sector ◽  
Healthcare System ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Self Care ◽  
Essential Element ◽  
Scaling Up ◽  
Reproductive Health Services

Abstract Background Pakistan is among a number of countries facing protracted challenges in addressing maternal mortality with a concomitant weak healthcare system complexed with inequities. Sexual and reproductive health and rights (SRHR) self-care interventions offer the best solution for improving access to quality healthcare services with efficiency and economy. This manuscript documents country experience in introducing and scaling up two selected SRHR self-care interventions. A prospective qualitative study design was used and a semi-structured questionnaire was shared with identified SRHR private sector partners selected through convenience and purposive sampling. The two interventions include the use of misoprostol for postpartum hemorrhage and the use of subcutaneous depomedroxyprogesterone acetate (DMPA) as injectable contraceptive method. Data collection was done through emails and telephone follow-up calls. Results Nine of the 13 partners consulted for the study responded. The two selected self-care interventions are mainly supported by private sector partners (national and international nongovernmental organizations) having national or subnational existence. Their mandates include all relevant areas, such as policy advocacy, field implementation, trainings, supervision and monitoring. A majority of partners reported experience related to the use of misoprostol; it was introduced more than a decade ago, is registered and is procured by both public and private sectors. Subcutaneous DMPA is a new intervention, having been introduced only recently, and commodity availability remains a challenge. It is being delivered through health workers/providers and is not promoted as a self-administered contraceptive. Community engagement and awareness raising is reported as an essential element of successful field implementation; however, no beneficiary data was collected for the study. Training approaches differ considerably, are standalone or integrated with SRHR topics and their duration varies between 1 and 5 days, covering a range of cadres. Conclusion Pubic sector ownership and patronage is essential for introducing and scaling up self-care interventions as a measure to support the healthcare system in delivering quality sexual and reproductive health services. Supervision, monitoring and reporting are areas requiring further support, as well as the leadership and governance role of the public sector. Standardization of trainings, community awareness, supervision, monitoring and reporting are required together with integration of self-care in routine capacity building activities (pre- and in-service) on sexual and reproductive health in the country.

scholarly journals The 8-item Morisky medication adherence scale: validation of a Portuguese version in HIV patients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Aguiar ◽  
C Piñeiro ◽  
R Serrão ◽  
R Duarte
Keyword(s):  
Medication Adherence ◽  
Psychometric Properties ◽  
Reliability Analysis ◽  
Cronbach’S Alpha ◽  
Portuguese Version ◽  
Cronbach's Alpha ◽  
Adherence To Medication ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
The Mean

Abstract Background Antiretroviral therapy (ART) has the most effective treatment for people with HIV, but its effectiveness depends on the individual medication adherence. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used scales to assess patient adherence. Thus, we aimed to validate a Portuguese version of MMAS-8 and determine its psychometric properties in HIV positive patients. Methods A cross-sectional survey was conducted in Centro Hospitalar Universitário São João (Porto, northern Portugal) at the infectious diseases department. After authorization to use the scale - granted by the author - and, a standard forward-backwards procedure to translate MMAS-8 to Portuguese, the questionnaire was applied to 233 patients with HIV doing ART. Reliability was assessed using Cronbach's alpha and test-retest reliability. Three levels of adherence were considered: 0 to &lt; 6 (low), 6 to &lt; 8 (medium), 8 (high). Results In the studied sample, the mean age was 45.03 years (SD = 11.63), 80.3% men, 19.3% women and 1 transgender, and 53.8% had ≤9 years of education. The mean number of prescribed ART per patient was 1.76. The mean score for the medication adherence scale was 7.29 (SD = 6.74). For the reliability analysis, 12 patients were excluded due to missing data (n = 221). Regarding the level of adherence, 22.5% were low adhering, 71.6% medium and 5.9% high. Corrected item-total correlations showed that 1 item does not correlate very well with the overall scale and was dropped. Scale reliability analysis for the remaining 7 items revealed an overall Cronbach's alpha of 0.661. Women had a protective effect on adherence (OR = 0.31;95%CI:0.15-0.66). Number of years doing ART, age of participants, and type of residence didn't show to be correlated with adherence. Conclusions MMAS-8 is a reliable and valid measure to detect patients at risk of non-adherence. A satisfactory Cronbach's alfa (0.661) was obtained. In general, adherence to medication was medium or high. Key messages This scale can be applied nationwide in other different hospitals, as it could serve as a tool for measuring adherence to ART that can allow for better health care to the ones that are low adhering. A Portuguese version of the MMAS-8 was created for measuring adherence to ART that maintained a similar structure to the original MMAS-8 and good psychometric properties.

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