LEVEL OF TREATMENT ADHERENCE AND IT'S ASSOCIATED FACTORS AMONG HYPERTENSIVE PATIENTS IN A TERTIARY CARE CENTER, SMS HOSPITAL, JAIPUR: A CROSS SECTIONAL STUDY

Dr. Srishti Jain, Dr. Ravi Kant, Dr. Anamika Tomar, Dr. Rajeev Yadav

Abstract


Background Poor adherence among patients increases load on health care facilities as this increases
complications in patients and more of health care personal and infrastructure is required for their
management. Taking antihypertensive medications properly is a central point in the management of hypertension. Objective: To
assess level of Treatment Adherence and it's associated factors among Hypertensive patients in a tertiary care center, SMS Hospital,
Jaipur. Material and Methods: Observational cross-sectional study was conducted among 304 Hypertensive patients recruited from
OPD using MMAS-8 scale. Results: Out of total 304 enrolled in study 65% were female. The age of patients was between 35 to 70
years. 35% had high, 44% had medium and 21% had low level of Treatment Adherence. Conclusion: Increasing age, longer
duration of treatment, and higher education level were signicantly associated with higher Treatment Adherence. Health care
providers should pay due attention to the importance of adherence and the inuencing factors of adherence.


Keywords


Hypertension, Treatment Adherence, MMAS-8

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References


Anchala R, Kannuri NK, Pant H, et al. Hypertension in India: a systematic

review and meta-analysis of prevalence, awareness, and control of

hypertension. J Hypertens. 2014;32:1170e1177

Dragomir A, Côté R, Roy L, Blais L, Lalonde L, Bérard A, et al. Impact of

adherence to antihypertensive agents on clinical outcomes and

hospitalization costs. Med Care. 2010;48:418–25.

Venkatesan M, Dongre AR, Ganapathy K. A Community-Based Study on

Diabetes Medication Nonadherence and its Risk Factors in Rural Tamil Nadu.

Indian J Community Med. 2018 Apr-Jun;43(2):72-76. doi: 10.4103/ijcm.IJCM_

_17. PMID: 29899603; PMCID: PMC5974838.

Mazzaglia G, Ambrosioni E, Alacqua M, Filippi A, Sessa E, Immordino V, et al.

Adherence to antihypertensive medications and cardiovascular morbidity

among newly diagnosed hypertensive patients. Circulation. 2009;120:

–605

Mant J, McManus RJ. Does it matter whether patients take their

antihypertensive medication as prescribed? The complex relationship

between adherence and blood pressure control. J Hum Hypertens.

;20:551–3.

Yuvaraj K, Gokul S, Sivaranjini K, Manikandanesan S, Murali S, Surendran

G, Majella MG, Kumar SG. Prevalence of medication adherence and its

associated factors among patients with noncommunicable disease in rural

Puducherry, South India - A facility-based cross-sectional study. J Family Med

Prim Care. 2019 Feb;8(2):701-705. doi: 10.4103/jfmpc.jfmpc_350_18. PMID:

; PMCID: PMC6436260.

Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, De Beurs E, Van

Dyck R. A patient-doctor relationship questionnaire (PDRQ-9) in primary care:

development and psychometric evaluation. Gen Hosp Psychiatry.

;26:115–20.

Hyans RB, Taylor D, Sackett D. Determinants of compliance: the disease and

the mechanics of treatment in health care Baltimore in hypertensive patients

in Lusaka, Zambia. Med J Zambia. 2010;37:49–62

Youssef, Randa & Moubarak, I. (2002). Patterns and determinants of

treatment compliance among hypertensive patients. Eastern Mediterranean

health journal = La revue de santé de la Méditerranée orientale = al-

Majallah al-iyah li-sharq al-mutawassi. 8. 579-92. 10.26719/2002.8.4-5.579.

Lee HJ, Jang SI, Park EC. Effect of adherence to antihypertensive medication

on stroke incidence in patients with hypertension: a population-based

retrospective cohort study. BMJ Open. 2017 Jul 2;7(6):e014486. doi:

1136/bmjopen-2016-014486. PMID: 28674133; PMCID: PMC5734476.

Van der Sande MA, Milligan PJ, Nyan OA, Rowley JT, Banya WA, Ceesay SM,

et al. Blood pressure patterns and cardiovascular risk factors in rural and

urban Gambian communities. J Hum Hypertens. 2000;14:489–96.

Youssef RM, Moubarak II. Patterns and determinants of treatment compliance

among hypertensive patients. East Mediterr Health J. 2002;8:579–92.

Lee HJ, Jang SI, Park EC. Effect of adherence to antihypertensive medication

on stroke incidence in patients with hypertension: a population-based

retrospective cohort study. BMJ Open. 2017 Jul 2;7(6):e014486. doi:

1136/bmjopen-2016-014486. PMID: 28674133; PMCID: PMC5734476.

Santhanakrishnan I, Lakshminarayanan S, Kar SS. Factors affecting

compliance to management of diabetes in Urban Health Center of a tertiary

care teaching hospital of south India. J Nat Sci Biol Med. 2014 Jul;5(2):365-8.

doi: 10.4103/0976-9668.136186. PMID: 25097416; PMCID: PMC4121916.

Asgedom, S.W., Atey, T.M. & Desse, T.A. Antihypertensive medication

adherence and associated factors among adult hypertensive patients at

Jimma University Specialized Hospital, southwest Ethiopia. BMC Res Notes

, 27 (2018). https://doi.org/10.1186/s13104-018-3139-6

Bhandari S, Sarma PS, Thankappan KR. Adherence to antihypertensive

treatment and its determinants among urban slum dwellers in Kolkata, India.

Asia Pac J Publ Health. 2015;27. NP74e84.


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