scholarly journals Factors Affecting Adherence to Antihypertensive Medication: Results from a Rural Population Study in East of Iran

2016 ◽  
Vol 9 (5) ◽  
pp. 286 ◽  
Author(s):  
Reza Esmaeili ◽  
Mohammad Matlabi ◽  
Abduljavad Khajavi ◽  
Ehsan Aliasghari ◽  
Moosa Sajjadi
Keyword(s):  
Medication Adherence ◽  
Health System ◽  
Rural Population ◽  
Antihypertensive Medication ◽  
Cross Sectional Study ◽  
Time Interval ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Medication Therapy

<p><strong>INTRODUCTION: </strong>Medication therapy is one of the most important interventions for the control of hypertension and its complications, but patient nonadherence to prescribed antihypertensive medication is a challenge. This study was conducted to measure medication adherence and examine its determinants in patients with hypertension in a rural population of Iran.</p><p><strong>METHODS: </strong>This cross-sectional study was conducted on 422 patients with hypertension covered by the healthcare network of Bajestan, Razavi Khorasan Province, Iran. Medication adherence was measured by using the Persian version of the 8 items Morisky Medication Adherence Scale (MMAS-8). The Chi-square test and Spearman’s correlation coefficient were used to examine the relationship between the determinants of medication adherence in SPSS.</p><p><strong>RESULTS: </strong>The mean age of the patients was 65.02±8.88 years. Of the total of 422 patients, 299 (70.9%) were female. Based on the MMAS-8, medication adherence was high in 39.6% of the patients, moderate in 10.9% and low in 49.5%. The variables that correlated significantly with the level of medication adherence included age (P=0.032), education (P=0.022), income (P=0.001), the satisfaction of patients-physician communication (P=0.006), physician based education (P= 0.003), occupation, time interval of physician’s consultation (P=0.001), medication regime complexity (P=0.001), medications meals frequency (P=0.001), side effects (P=0.081) duration of the disease (P=0.015), comorbidities (P=0.001), smoking (P=0.047), patient’s ability to read medication instruction (P=0.011), the patient’s beliefs about the effectiveness of medications (P=0.001) and the patient’s beliefs about the effectiveness of health system (P=0.001). The variables of gender (P=0.147), marital status (P=0.054), and distance problems to the health center (P=0.181) were not significantly correlated with the level of medication adherence.</p><p><strong>CONCLUSION:</strong> The results of the present study revealed a low medication adherence in half of the patients with hypertension due to various personal and socioeconomic determinants as well as factors associated with the health system, therapy-related factors, disease-related factors and patient-related factors. Purposeful interventions therefore appear essential to improving medication adherence in rural populations with a focus on the effect of each determinant of medication adherence.</p>

scholarly journals Medication Adherence Status and its related Factors among Older Adults in Yazd, Iran

2020 ◽  
Author(s):  
Sara Jambarsang ◽  
Aliakbar Vaezi ◽  
Tayebeh Sanati
Keyword(s):  
Older Adults ◽  
Medication Adherence ◽  
Population Aging ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Age Group ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Adherence Scale

Introduction: One of the main problems facing different societies in the world, including Iran, is population aging and its consequences. With individuals entering old age, the possibility of being afflicted with one or more chronic diseases increases, which in turn results in more use of medications and medication adherence. This study has examined medication adherence status and its related factors among older adults in Yazd, Iran. Methods: Totally 196 individuals aged 60 years old and higher in Yazd were entered randomly in this cross-sectional study. The data were collected using Morisky Medication Adherence Scale. Chi-square and Gamma tests were used for data analysis. Results: The medication adherence was weak in 79.1%, average in 19.9%, and high in only 1% of the participants. There was not a significant relationship between demographic variables and medication adherence. Conclusion: As most of the participants were weak in medication adherence, the necessary actions for the identification of other factors that lead to the reduction of medication adherence can pave the way for providing solutions for increasing medication adherence in this age group.  

scholarly journals Prevalence of Cardiac Depression and its Related Factors among Patients with Acute Coronary Syndrome

2016 ◽  
Vol 8 (1) ◽  
pp. 30 ◽  
Author(s):  
Amir Hossein Goudarzian ◽  
Hamid Sharif Nia ◽  
Heydar Tavakoli ◽  
Mohammad Ali Soleimani ◽  
Ameneh Yaghoobzadeh ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Depression Score ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Psychological Reactions ◽  
Coronary Syndrome ◽  
Cardiac Depression

Cardiac depression is one of the most common psychological reactions of patients with acute coronary syndrome (ACS). This study aimed to determine the prevalence of cardiac depression and its related factors among patients with ACS. This cross-sectional study was conducted during 2016 in patients with ACS who were admitted to hospitals affiliated to the Mazandaran University of Medical Sciences, Iran. In the present study, 407 patients completed the Cardiac Depression Scale (CDS) within two months (March - June). The data were analyzed by a chi-square test and a general linear model multivariate analysis. According to the results, the mean cardiac depression score in patients with ACS was 109.00 ± 16.49 (CI95: 107.39 to 110.60). Among the participants, 37 (9.1%), 72 (17.7%), and 298 (73.2%) patients had mild, moderate, and severe levels of depression, respectively. Although the two-way ANOVA was not significant, but there was a difference between cardiac depression score of a type of ACS. Given the high prevalence of cardiac depression among these patients, it is necessary to develop measures for routine screening in cardiac treatment units.

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 Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal

2019 ◽  
Vol 17 (1) ◽  
pp. 200 ◽  
Author(s):  
Daniel Gomes ◽  
Ana Isabel Placido ◽  
Rita Mó ◽  
João Lindo Simões ◽  
Odete Amaral ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Side Effects ◽  
Medication Management ◽  
Relevant Information ◽  
Cross Sectional Study ◽  
Daily Routine ◽  
Improve Medication Adherence ◽  
Related Factors ◽  
Cross Sectional ◽  
Age Related

The presence of age-related comorbidities prone elderly patients to the phenomenon of polypharmacy and consequently to a higher risk of nonadherence. Thus, this paper aims to characterize the medication consumption profile and explore the relationship of beliefs and daily medication management on medication adherence by home-dwelling polymedicated elderly people. A questionnaire on adherence, managing, and beliefs of medicines was applied to polymedicated patients with ≥65 years old, in primary care centers of the central region of Portugal. Of the 1089 participants, 47.7% were considered nonadherent. Forgetfulness (38.8%), difficulties in managing medication (14.3%), concerns with side effects (10.7%), and the price of medication (9.2%) were pointed as relevant medication nonadherence-related factors. It was observed that patients who had difficulties managing medicines, common forgetfulness, concerns with side effects, doubting the need for the medication, considered prices expensive, and had a lack of trust for some medicines had a higher risk of being nonadherent. This study provides relevant information concerning the daily routine and management of medicines that can be useful to the development of educational strategies to promote health literacy and improve medication adherence in polymedicated home-dwelling elderly.

scholarly journals Influence of symptoms of depression on the quality of life of men diagnosed with prostate cancer

2018 ◽  
Vol 21 (1) ◽  
pp. 70-78
Author(s):  
Taysi Seemann ◽  
Fernanda Pozzobom ◽  
Melissa de Carvalho Souza Vieira ◽  
Leonessa Boing ◽  
Zenite Machado ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
European Organization ◽  
Exact Test ◽  
Symptoms Of Depression

Abstract Objective: to evaluate the prevalence of symptoms of depression among men diagnosed with prostate cancer and their association with quality of life and treatment-related factors. Methods: a cross-sectional study of 85 men with a mean age of 66±8 years who were diagnosed with prostate cancer was performed. The survey was based on a questionnaire with previously validated instruments which investigated social, demographic and economic characteristics, the history of the disease, quality of life (European Organization for Research and Treatment of Cancer Questionnaire C30 - EORTC QLQ-C30 / QLQ-PR25) and symptoms of depression (Beck Depression Inventory). The presence of symptoms of depression was considered an outcome, and statistical analyzes were performed using the Chi-square test, Fisher's exact test, Mann Whitney U test and Poisson regression (p<0.05). Results: significant results were found for quality of life in relation to symptoms of depression in the functional, global and symptomatic health scale (p<0.001). This demonstrates that the presence of symptoms of depression is related to a negative quality of life. Conclusions: for a greater understanding of prostate cancer and its consequences on the quality of life of patients it is important to consider possible disorders in psychological aspects caused by the illness, as symptoms of depression are frequent in patients undergoing treatment for prostate cancer.

scholarly journals The Frequency and Related Factors of Internet Addiction in Externship and Internship Students of Kerman University of Medical Sciences, 2018

2021 ◽  
Author(s):  
Mina Danaei ◽  
Ali Akbar Rohani ◽  
Ali Sajadi ◽  
Mohsen Momeni
Keyword(s):  
Medical Students ◽  
Internet Addiction ◽  
Cross Sectional Study ◽  
The Internet ◽  
Medical Sciences ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Chi Square Test

Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that  higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) were at risk, and 77 (30.8%) were addicted to the Internet. Among the demographic factors, a significant relationship was found between gender (p = 0.041) and educational level (p = 0.024) with Internet addiction. Conclusion: policymakers should pay particular attention to the issue of Internet addiction in medical students, since Internet addiction may cause these students to neglect their critical duties during externship and internship. In this regard, holding effective training courses can be helpful.

scholarly journals Prevalence, pattern and distribution of MIH defects in Sudanese children

2020 ◽  
Author(s):  
Hanna Elhassan Abdalla ◽  
Amal Hussein Abuaffan ◽  
Arthur Musakulu Kemoli
Keyword(s):  
Demographic Data ◽  
Rank Correlation ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Statistical Significant Difference ◽  
Tooth Structure ◽  
Significant Difference ◽  
Study Population

Abstract Background: Molar incisos hypomineralization (MIH) has serious impact on oral health-related quality of life for a child, due to its effects on tooth structure, aesthetics and behavior of the child. The current study was designed to determine the prevalence, pattern and distribution of MIH in school children in Sudan.Methods: This was a descriptive, cross-sectional study involving 568 children, aged 8-11 years from schools in Khartoum State. After collecting their socio-demographic data, the children were examined for hypomineralization on the 12 MIH indexed teeth, and assessed on the MIH pattern and distribution. The data collected were analyzed to obtain descriptive statstics, and the results related to the socio-demographic and other dental-related factors of the children using chi-square test and Spearman Rank Correlation, with the significant level set at p<0.05.Results: The prevalence of MIH in the study population was 20.1%. Majority of the affected teeth were permanent first molars (PFMs) (12.5%), but there was no statistical significant difference between the occurrence of hypomineralization on mandibular and maxillary molars (p=0.22). However, in the case of incisors, there was a statistical significant difference between the maxillary incisors that had higher hypomineralization rate when related to the mandibular incisors ( p=0.00). In terms of the pattern of hypomineralization, demarcated opacities were the commonest MIH defects (69.9%) in the study group.Conclusions: While the prevalence of MIH in the study population was 20.1%, both molars and incisor teeth were frequently affected in both dental arches, and the demarcated opacity type were the most frequent form of defect found in the teeth of the participants.

scholarly journals An Evaluation of Internet Addiction and Its Related Factors among the Students of Yazd University of Medical Science

2020 ◽  
Author(s):  
Nasim Namiranian ◽  
Seied Saman Mansouri ◽  
Mohammad Shafiee
Keyword(s):  
Medical Students ◽  
Internet Addiction ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Statistical Relationship ◽  
Medical Sciences ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Significance Level

Introduction: Considering the increase in Internet addiction rate, we tried to investigate the rate of internet addiction among medical students of Shahid Sadoughi University of Medical Sciences in Yazd in 2016. Methods: This analytic-cross-sectional study was performed on 350 students of Shahid Sadoughi University of Medical Sciences in Yazd. The data collection tool was a demographic questionnaire, and Yang's Internet addiction inventory. The questionnaire contains 20 questions, according to which the person is placed in one of four classes: normal, mild, moderate, and severe. After collecting the data, the data were entered into SPSS 16 software and analyzed using Chi-square and independent t-tests. The significance level was considered less than 0.05. Results: According to Internet addiction, students were 65% normal, 33.3% border lip and 1.7% were addicted to the Internet. The results also showed that there was a significant statistical relationship between the prevalence of internet addiction among students and sex, smoking, and registration in cyberspace (p<0.05), and there was no significant statistical relationship between the prevalence of internet addiction and marital status, place of residence and birthplace (p>0.05). Conclusion: According to the results of the study, it can be concluded that by increasing the awareness of medical students, the rate of Internet addiction in them can be minimized  

scholarly journals Development of children of 2 – 3 years old from pre-prosperous family and prosperous family stage II

2001 ◽  
Vol 41 (2) ◽  
pp. 100
Author(s):  
Haris Marta Saputra ◽  
Sulaiman Yusuf ◽  
Noval Azis ◽  
Amir Syarifuddin ◽  
Bistok Saing
Keyword(s):  
Significant Relationship ◽  
Normal Development ◽  
Cross Sectional Study ◽  
Stage Ii ◽  
Abnormal Development ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Significant Difference ◽  
Children Development

In this study we assess the condition of children development of 2-3 years of age in prosperous family, preprosperousfamily and prosperous family stage II, and find the related factors. This was a cross sectional study on 94children of pre-prosperous family and 94 children of prosperous family stage II at Medan Tuntungan district from December1998 up to March 1999. Data is obtained by questionnaires and examination of the developmental bases by Denver II Method.Statistical analysis of relationship between 2 qualitative variables is tested by chi-square. In the pre-prosperous family wefound 67 children with (35.6%) normal development and 27 (14.4%) children with abnormal development, on the prosperousfamily stage II there were 81 (43.1%) children with normal development and 13 (6.9%) children with abnormal development.We found significant difference between the children development of pre-prosperous and prosperous stage II (p<0.05),significant relationship between children development within 2-3 years of age and the parents’ education level of the Preprosperousfamily (p<0.05), and no significant relationship of the following factors: mothers employment status, mother’sage, number of family and the child’s order in the family.

scholarly journals The Prevalence of Complementary and Alternative Medicine Use Among Dermatology Outpatients in Shiraz, Iran

2017 ◽  
Vol 22 (4) ◽  
pp. 731-735 ◽  
Author(s):  
Ladan Dastgheib ◽  
Saman Farahangiz ◽  
Zeinab Adelpour ◽  
Alireza Salehi
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Binary Logistic Regression ◽  
Skin Condition ◽  
Cross Sectional Study ◽  
Medicine Use ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Complementary And Alternative

The objective of this study was to assess complementary and alternative medicine use and its related factors among Iranian dermatology outpatients. In this cross-sectional study, a self-structured questionnaire was administered to 600 dermatology outpatients. Mann-Whitney U test, chi-square test, and binary logistic regression test were used. A total of 188 (31.3%) patients had used one of complementary and alternative medicine methods. The most frequent method used was herbal medicine (89.9%). The mean years of duration of the skin condition were significantly higher in complementary and alternative medicine users compared with nonusers ( P = .037). Patients with acne and alopecia significantly used more complementary and alternative medicine (odds ratio: 2.48 and 3.19, respectively). There was a significant relationship between education and using complementary and alternative medicine ( P < .001). Complementary and alternative medicine use is prevalent among our patients and we should think of ways of educating general population about complementary and alternative medicine methods and their potential risks and benefits and encourage our health care workers to communicate these materials with their patients.

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