scholarly journals Medication adherence and its associated factors among hypertensive patients in a tertiary health facility in Minna, North Central Nigeria

2019 ◽  
pp. 003-007
Author(s):  
Usman Mohammed Ndagi
Keyword(s):  
Medication Adherence ◽  
Health Facility ◽  
Associated Factors ◽  
North Central ◽  
Hypertensive Patients

scholarly journals Adherence to antihypertensive medications and associated factors among hypertensive patients in Ethiopia: Systematic review and meta-analysis

2020 ◽  
Vol 8 ◽  
pp. 205031212098245
Author(s):  
Assefa Tola Gemeda ◽  
Lemma Demissie Regassa ◽  
Adisu Birhanu Weldesenbet ◽  
Bedasa Taye Merga ◽  
Nanti Legesse ◽  
...  
Keyword(s):  
Systematic Review ◽  
Medication Adherence ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Associated Factors ◽  
Antihypertensive Medication ◽  
Meta Analysis ◽  
Group Analysis ◽  
Hypertensive Patients ◽  
Pooled Prevalence

The foundation of controlling hypertension is adherence to antihypertensive medication adherence. This systematic review and meta-analysis aimed to assess the magnitude and associated factors of adherence to antihypertensive medication among adult hypertensive patients in Ethiopia. A comprehensible bibliographic searching was conducted from PubMed, EMBASE, Scopus, and Web of Science core collection. All published and unpublished studies that had been accessible before 31 May 2020, and written in English were eligible. Joanna Briggs Institute assessment tool was used to evaluate the quality of the findings of the included studies. Stata software 16.0 was used to analyze the data. Study-specific estimates were pooled to determine the overall prevalence estimate across studies using a random-effects meta-analysis model. Publication bias and heterogeneity were checked. Fourteen studies with a total of 4938 hypertensive patients were included in the final systematic review and meta-analysis. The pooled prevalence of medication adherence among hypertensive patients in Ethiopia was 65.41% (95% confidence interval: 58.91–71.91). Sub-group analysis shown that the pooled prevalence of medication adherence was the highest (69.07%, 95% confidence interval: 57.83–80.31, I2 = 93.51) among studies using questionnaire technique whereas the lowest in Morisky Medication Adherence Scale eight-items (60.66%, 95% confidence interval: 48.92–72.40, I2 = 97.16). Moreover, medication adherence was associated with the presence of comorbidities (pooled odds ratio = 0.23, 95% confidence interval: 0.07–0.38, p = 0.030, I2 = 54.9%) and knowledge about the disease and its management (pooled odds ratio = 2.98, 95% confidence interval: 1.72–4.24, p = 0.04, I2 = 55.55%) but not with place of residence (pooled odds ratio = 1.22, 95% confidence interval: 0.51–1.93, p = 0.00, I2 = 76.9%). Despite a lack of uniformity among included studies, adherence to antihypertensive medication among the hypertensive population in Ethiopia was moderate. The presence of comorbidities and/or complications reduced the odds of adherence whereas having good knowledge about the disease increased chance of medication adherence among hypertensive patients.

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.

scholarly journals Evaluation of Medication Adherence and Associated Factors in Hypertensive Patients in Bangalore, India; A Cross-Sectional Study

2021 ◽  
Vol 11 (4) ◽  
pp. 426-431
Author(s):  
Amar Prashad Chaudhary ◽  
Jeswin George ◽  
Kaveri Kadowade ◽  
Lubna Faiyza ◽  
Rabiya Anjum ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

scholarly journals Medication Adherence: Assess Compliance and Associated Factors among Hypertensive Patients

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ramawat Yashawant ◽  
Kumawat Nitesh ◽  
Pareek Shatrughan ◽  
Kumar Vijay ◽  
Sharma Ankur
Keyword(s):  
Medication Adherence ◽  
Associated Factors ◽  
Hypertensive Patients

scholarly journals Associated Factors of Treatment Compliance among Hypertensive Patients of Selected Hospital of Rupendehi

2020 ◽  
Vol 8 (1) ◽  
pp. 70-73
Author(s):  
Ikshaya Rana ◽  
Pragya Shrestha ◽  
Astha Sharma Pokharel
Keyword(s):  
Medication Adherence ◽  
Associated Factors ◽  
Antihypertensive Drugs ◽  
Multinomial Logistic Regression ◽  
Treatment Compliance ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Adequate Treatment ◽  
Hypertensive Patients ◽  
Female Patients

INTRODUCTION: Hypertension is a chronic medical health problem which needs adequate treatment management. It is important to understand the factors affecting compliance in patients to achieve successful treatment compliance. Here study aim to identify the associated factors of medication adherence among hypertensive patients. MATERIAL AND METHODS: We conducted a hospital-based cross-sectional study in UCMS Bhairahawa from April to November 2019. We collected data of 384 hypertensive patients who are in medication of hypertension for at least 6 months. Data was collected by interview method and the medication adherence was measured by eight questions that were developed following the Morisky-Green Test and analyzed by using descriptive and inferential statistics with SPSS software version 22. RESULTS: Good adherence with medication was observed in 58% of the 384 hypertensive patients. Female patients (56.2%) were found to be more likely to adhere to their medication regime, compare to their male patients (43.8%). Multinomial logistic regression indicates that patients who have own house were 6.6 times likely (95% CI: 2.28-19.29 P< 0.00) to adhere; compare to live in rent house. It is also appeared that the patients on medication 6 to 10 years were 0.14 more likely to be compliant compared to the hypertensive patients who were on medication more than 10 years (95% CI: .022-0.94; P<0.043). Availability of the antihypertensive drugs near the house (more than 5 minutes of walking) is important to reduce the poor adherence (OR= 12.2, CI: 1.1-104.1; P<.022). CONCLUSION: Adherence level were higher in female patients who are live in own house having medication for 6 to 10 years. Availability of the hypertensive drugs near to house (more than 5 minutes of walking) is also important to reduce the non-adherence on hypertensive drugs.

scholarly journals Magnitude and associated factors of poor medication adherence among diabetic and hypertensive patients visiting public health facilities in Ethiopia during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249222
Author(s):  
Tariku Shimels ◽  
Rodas Asrat Kassu ◽  
Gelila Bogale ◽  
Mahteme Bekele ◽  
Melsew Getnet ◽  
...  
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Medication Adherence ◽  
Associated Factors ◽  
Addis Ababa ◽  
Health Facilities ◽  
Poor Adherence ◽  
Hypertensive Patients ◽  
Public Health Facilities ◽  
Poor Medication Adherence

Objective This study aims to assess the magnitude and associated factors of poor medication adherence among diabetic and hypertensive patients visiting public health facilities in Addis Ababa, Ethiopia during the COVID-19 pandemic. Methods A multi-site cross-sectional design was conducted from 1st through 30th of August 2020 at public health facilities of the study area. Adult outpatients with T2DM and hypertension visiting hospitals and health centers were included in the study. A proportion to size allocation method was used to determine the required sample size per facility. Data was collected using the 8-item Morisky medication adherence scale. Descriptive statistics and binary logistic regression were used to analyze data. A 95% confidence interval and p≤0.05 statistical significance was considered to determine factors associated with poor medication adherence. Results A total of 409 patients were included in the present study. About 57% of the patients reported that the COVID-19 pandemic has posed negative impacts on either of their follow-up visits, availability of medications, or affordability of prices. And, 21% have reported that they have been affected in all aspects. The overall magnitude of poor medication adherence was 72%. Patients with extreme poverty were more likely to have good medication adherence (AOR: 0.59; 95%C.I: 0.36–0.97), whereas attendance to a health center (AOR: 1.71; 95%C.I: 1.02–2.85), presence of comorbidity (AOR: 2.05; 95%C.I: 1.13–3.71), and current substance use history (AOR: 11.57; 95%C.I: 1.52–88.05) predicted high odds of poor adherence. Conclusion Over a three-fourth of the patients, in the study setting, have poor adherence to their anti-diabetic and antihypertensive medications. Health facility type, income level, comorbidity, and current substance use history showed a statistically significant association with poor adherence to medication. Stakeholders should set alternative strategies as perceived impacts of the COVID-19 pandemic on medication adherence are high in the study area.

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.

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