A Community Based Study to Identify the Reasons for Non-Adherence in Hypertensive Patients

2021 ◽  
Vol 8 (2) ◽  
pp. 37-41
Author(s):  
Satish S ◽  
Manju Jose ◽  
A R Shabaraya
Keyword(s):  
Medication Adherence ◽  
Cross Sectional Study ◽  
Lifestyle Changes ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Validated Questionnaire ◽  
Adherence Data ◽  
Study Population ◽  
Social Habits ◽  
Health Complications

WHO describes adherence as ''the extent to which a person's behaviour taking medication, following a diet, and / or executing lifestyle changes-corresponds with agreed recommendations from a health care provider. Poor adherence to prescribed regimens can cause serious health complications. Objective: To identify the reasons for non-adherence in hypertensive patients using validated questionnaire from literature. Methodology: A prospective cross sectional study was carried out in Mangalore in Karnataka from September 2019 to March 2020. Hypertensive patients were selected and interviewed with validated questionnaire from literature to assess their medication adherence and reasons for non-adherence. Data were analysed using Microsoft Excel. Results: 150 subjects participated in the study among which 45.3% were males and 54.6% were females. The most common reasons for non-adherence were forgetfulness (62.6%), travels (36.6%), drugs out of supply (26.6%) and relief from symptoms (18%). Conclusion: The affordability of medicines is also one of the main factors for medication non-adherence. According to our study, only a negligible population of subjects has affirmed medication expenses as the reason for non-adherence. Gender difference had no much significant in medication adherence also social habits since study population does not include much alcoholics or smokers and hence the correlation cannot be analysed. The factors driving patients’ adherence to medications are multifactorial. Common barriers to adherence are under the patient's control, so that attention to them is a necessary and important step in improving adherence. Keywords: Medication adherence, Hypertension.

scholarly journals Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Olumuyiwa A. Olowe ◽  
Andrew J. Ross
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Health ◽  
Validated Questionnaire ◽  
Study Population ◽  
And Control

Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.

scholarly journals Patients’ knowledge of prescribed medication: a cross sectional study in a tertiary care centre, Mumbai

2019 ◽  
Vol 6 (10) ◽  
pp. 4238
Author(s):  
Ashis Samuel John ◽  
Kamaxi M. Bhate
Keyword(s):  
Tertiary Care ◽  
Treatment Compliance ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Study Population

Background: Inadequate understanding by patients of medical prescription given to them adversely affects treatment compliance; which can result in treatment failure and increase the incidence of adverse effects. The study site is a tertiary care hospital in a metropolitan city and the patients attending here are particularly vulnerable in this regard both due to the heavy patient load in the outpatient department and their low socioeconomic status.Methods: This was a cross sectional study conducted in the pharmacy of K.E.M. Hospital, Mumbai over a period of 1 month. Study population included general outpatient department patients of the hospital. Patients were interviewed using a pre validated questionnaire and their knowledge of the prescription analysed under five key aspects including dose, timing, duration, side effects and purpose of each drug. Data was entered using Microsoft Excel and analyzed using SPSS 22 software.Results: The mean age of the population was 37.6, with a standard deviation of 12.4. A good overall knowledge of the prescription was present only in 12.4% patients. In 52% of patients, the level of knowledge ranged from ‘no knowledge to little knowledge’. Age and literacy had statistically significant associations with overall knowledge of prescription.Conclusions: There is a significant gap in prescription knowledge in the study population. Age and literacy of the patient has an effect on prescription knowledge.

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 Dent-O-Myths Amid Young Community: A Cross-Sectional Study

2020 ◽  
Vol 4 (8) ◽  
pp. OR1-OR9
Author(s):  
Vinita Mary A ◽  
Kesavan R ◽  
Keerthana S ◽  
Kiruthiga G ◽  
Kowsalya M ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Cross Sectional Study ◽  
Strong Impact ◽  
Young Population ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Oral Pain ◽  
Social Media Platforms ◽  
Study Population ◽  
Level Of Knowledge

INTRODUCTION: The word ‘Myth’ is derived from the Greek word “Mythos”, meaning the stories passed by a group of certain population having a strong impact on seeking general and dental treatment even during illness. AIM: The aim of this study was to access the prevalence of dental myths among the young population and to interpret their level of knowledge, awareness and perception. MATERIALS AND METHOD: A cross-sectional questionnaire survey was conducted amongst 500 young population of age between 18-28 years between May to August 2020, COVID-19 pandemic period. A pretested validated questionnaire was formatted on Google forms and circulated in various social media platforms. The collected data was subjected to statistical analysis. RESULTS: The mean age of the study population was 22.66±2.38 years, and 59% were females and 41% were males. About 65% (325) and 56% (280) of the study subjects believed correctly that mouthwash alone will not maintain oral health and chewing gum will not clean their teeth, respectively. When asked about their responses in case of pain in oral cavity, most people 46% (230) reported they would visit a dentist and major segment of study subjects 56% (281) believed that there can be more methods for treating oral pain other than the extraction of the tooth itself.CONCLUSION: The result of this study revealed that the younger population are more aware and didn’t believe much regarding various dental myths.

scholarly journals Knowledge, Attitude and Practice on Hypertension among Antihypertensive Medication Users

2016 ◽  
Vol 55 (204) ◽  
pp. 86-92 ◽  
Author(s):  
Shakti Shrestha ◽  
Bhojraj Adhikari ◽  
Ramesh Sharma Poudel ◽  
Kailash Thapaliya ◽  
Tikaram Kharal ◽  
...  
Keyword(s):  
Antihypertensive Medication ◽  
Current Knowledge ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Level Of Education ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

Introduction: Hypertension is growing among the population of Nepal. We aimed to determine the current knowledge, attitude and practice of hypertension among hypertensive patients taking antihypertensive medication in the community of Central Nepal.Methods: A cross-sectional study was conducted among the hypertensive patients in Bharatpur, Chitwan, Nepal from July 2015 to September 2015 using clustered sampling technique. Suitably designed and validated questionnaire of knowledge, attitude and practice on hypertension consisting of 27 questions were used to determine the KAP scores. The difference in the median KAP scores between sex, level of education and duration of hypertension were assessed using Mann-Whitney U test.Results: A total of 200 patients met the inclusion criteria and majority of them were male (60%), had received primary education (36%) and had hypertension for ≥5 years (46.5%). The blood pressure ranged from 100-180/60-110 mmHg. The median K, A and P scores were 8 (6), 5 (1) and 6 (3) respectively. K and A were statistically associated with sex both at p<0.001 and level of education (K at p<0.001 and A at p=0.016).Conclusions: The current knowledge, attitude and practice among hypertensive patients using antihypertensive medication can be improved. Keywords: attitude; hypertension; knowledge; practice. | PubMed

scholarly journals A study to evaluate risk factors and factors associated with non-adherence to the prescribed treatment among essential hypertensive patients attending tertiary care hospital

2020 ◽  
Vol 7 (9) ◽  
pp. 3623
Author(s):  
Venkat Sunil Bommishetty ◽  
Suresh Keshav Kumbhar
Keyword(s):  
Risk Factors ◽  
Medication Adherence ◽  
Life Style ◽  
Tertiary Care ◽  
Positive Family History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Factors Associated

Background: Prevalence of hypertension is on rising trend with rise in life style and behavioral changes. It is also a major risk factor for most of the dreadful conditions like coronary artery disease, stroke, etc. Medication adherence would help in reducing the chance of occurrence of such complications. Thus objectives of study are 1) to evaluate the risk factors of hypertension among the diagnosed essential hypertensive patients; and 2) to assess the magnitude and the factors associated with non-adherence to the prescribed treatment.Methods: A hospital based cross-sectional study among 71 participants was conducted, using a pre-structured questionnaire and physical examination to assess risk factors of hypertension and CULIG’s 16 questionnaire medication adherence scale to assess the non-adherence. Data analysed with proportions and Chi square test.Results: Out of 71 participants, 60 (84.5%) were found to be non-adherent to their anti-hypertensive medication and factors like being male (p=0.0055), alcohol consumption (p=0.0485) and paid medication (p=0.0091) were found to be significantly affecting the medication non-adherence. Positive family history, sedentary life style, preference of extra salt and smoking/tobacco products usage were the most common risk factors of essential hypertension observed along with others.Conclusions: The participants who experienced the complications/ill effects of hypertension were more adherent as compared to others. Factors which are responsible for non -adherence need to be addressed and appropriate interventions required to improve adherence by educating the people about its importance in prevention of complications.

scholarly journals Effects of medication knowledge on medication adherence among hypertensive patients at Matero level one hospital, Lusaka city, Zambia: a cross sectional study

2021 ◽  
Vol 10 (8) ◽  
pp. 893
Author(s):  
Martin Kampamba ◽  
Farhiyyah Abanur ◽  
Christabel Nang’andu Hikaambo ◽  
Steward Mudenda ◽  
Kennedy Saini ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Medication Adherence ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Medication Knowledge ◽  
Hypertensive Patients

Background: Medication adherence is the mainstay to good treatment outcomes. Failure to adhere to medication in hypertensive patients may lead to considerable deterioration of the disease resulting in increased costs of healthcare and mortality. Knowledge about the name of the drug, indications and side effects may enhance medication adherence. Therefore, the aim of this study was to assess effects of medication knowledge on medication adherence among hypertensive patients.Methods: This was a cross-sectional study that involved 120 hypertensive patients. A structured questionnaire was used to collect data on demographic characteristics. Adherence was assessed using the 8-item Morisky medication adherence scale while patient’s medication knowledge was assessed using a 7-item scale. Multiple logistic regression was used to assess factors associated with medication adherence.Results: The mean age of participants was 59 years (SD±14.9) and 10 (8.3%), 42 (35%) and 68 (56.7%) had adequate, average and poor medication knowledge respectively. The prevalence of adherence in this study was 37.5%. In multivariable logistic regression analysis, uncontrolled blood pressure (BP) (AOR: 0.38, CI: 0.16-0.90) was associated with lower likelihood of adhering to medication.Conclusions: The adherence level to treatment was low and medication knowledge of hypertensive patients was generally poor. Uncontrolled BP was associated with non-adherence. Patients with uncontrolled hypertension should be given health education and counselling regarding their condition to improve medication adherence. 

scholarly journals Medication adherence and its determinants amongst anti-hypertensive patients in a tertiary care hospital in Navi Mumbai

2020 ◽  
Vol 9 (2) ◽  
pp. 328
Author(s):  
Satyendra B. Badhe ◽  
Pramila V. Yadav ◽  
Pradnya S. Deolekar ◽  
Suvarna B. Badhe ◽  
Mihika Aggarwal
Keyword(s):  
Medication Adherence ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sociodemographic Factors ◽  
Uncontrolled Hypertension ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Validated Questionnaire ◽  
Chi Squared

Background: Anti-hypertensive drugs can effectively control hypertension, subject to good adherence. Uncontrolled hypertension can lead to numerous complications, some even potentially fatal, such as myocardial infarction, atherosclerosis, thromboembolism, shock and stroke.Methods: A cross-sectional prospective study was conducted with the help of a pre-validated questionnaire during the course of 6 months in the medicine outpatient department and the inpatient department (wards) at a tertiary care hospital, Navi Mumbai in 200 hypertensive patients to calculate the correlation of the sociodemographic factors with adherence by the chi-squared test.Results: The overall percentage of adherence to antihypertensive medication was 34.8%. It was the highest (72.1%) in the younger age group, i.e., below 50 years. It was observed that as the age increases, the adherence to treatment decreases. Adherence rates were significantly higher among females and those individuals who had never attended school. Among the employed, 70.3% were adherent to their treatment and among the unemployed, 64.4% were adherent. The percentage of adherence was lower in alcohol consumers (9.5%) as compared to nonusers (76% and 32%, respectively).Conclusions: The clinician advising anti-hypertensive therapy should provide thorough counselling and stress on the issues created due to poor medication adherence as hypertension can be associated with severe outcomes. Treatments should be given in accordance with each patient’s lifestyles in mind such that they may continue taking their medications till the completion of their therapy.

Abstract 156: Gender Differences Related to Increased Vascular Age in Hypertensive Patients

Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Marcela Casanova ◽  
Michelle Trindade ◽  
Ana Rosa Cunha ◽  
Jenifer DEl-Rei ◽  
Fernanda Medeiros ◽  
...  
Keyword(s):  
Gender Differences ◽  
Pulse Wave ◽  
Cross Sectional Study ◽  
Flow Mediated Dilation ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Heart Study ◽  
Significant Difference ◽  
Study Population ◽  
Vascular Age

Background: Vascular age (VA) has been increasingly considered in the evaluation of hypertensive patients but the gender differences have not established yet. Objective: To characterize gender differences in clinical and vascular parameters in treated hypertensive patients with increased vascular age. Methods: A cross-sectional study was carried out to evaluate hypertensive patients on stable drug therapy, both genders, aged 30-74 years. Blood pressure (BP) was measured and ultrasonography was performed to evaluate brachial flow-mediated dilation (FMD). Carotid-femoral pulse wave velocity (cfPWV) was obtained by Complior SP and normalized by mean BP (cfPWV-N). The 10-year risk for general cardiovascular disease from Framingham Heart Study was used to calculate VA. The median of VA was 76 years, and the study population was divided into four groups: women with lower vascular age (LVA, < 76 years, n=50) or higher vascular age (HVA, ≥ 76 years, n=82), men with LVA (n=26) or HVA (n=27). Results: Mean age was similar between men and women with HVA (62±5 vs 60±6 years) and with LVA (49±8 vs 51±8 years). LVA men presented greater systolic BP (143±15 vs 132±16 mmHg, p<0.01) compared to LVA women, but no difference between gender was observed in HVA groups (154±15 vs 152±17 mmHg) and diastolic BP was similar in LVA (88±10 vs 88±13 mmHg) and in HVA (89±10 vs 92±14 mmHg) groups. Men with HVA presented greater cardiovascular risk (31±2 vs 18±6 %, p<0.001), cfPWV (12±2 vs 10±2 m/s, p<0.05), cfPWV-N (11±2 vs 9±2 m/s, p<0.05) compared to HVA women. FMD was significantly reduced in HVA women compared to LVA group (11±7 vs 6±5 %, p<0.01), but no significant difference was noted in men due to reduced values even in LVA group (8±5 vs 6±5 %). There was a stronger correlation of vascular age to systolic BP in women (r=0.56, p<0.001) than in men (r=0,30, p<0.05) although the correlation to cfPWV was stronger in men (r=0.45 and r=0.30, p<0.01 for both). On the other hand, VA was inversely correlated to brachial FMD only in women (r=-0.28, p<0.05). Conclusion: In this population of treated hypertensive patients, men seem to develop endothelial dysfunction earlier than women, and vascular stiffness is more exacerbated in men with higher vascular age, showing more advanced vascular disease in this gender.

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