Medication Adherence Factors Among Hypertensives Attending Out Patient Department Of A Tertiary Care Hospital In West Bengal.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Background: Hypertension is the commonest cardiovascular disorder. Small reduction in blood pressure can largely reduce complications and mortality. Poor adherence reduces treatment benefits, obscures assessment of therapeutic effectiveness and costs the health care system heavily to manage resultant effects. Identification of factors affecting medication adherence can facilitate tailoring of interventions to specific patient issues. Objectives: To find out the status of adherence to medication among known hypertensive patients attending an Out Patient Department (OPD) and its association with their socio-demographic profile, knowledge & practice regarding hypertension and its treatment. Methodology: 52 known hypertensive patients on treatment for at least 6 months, attending the General Medicine OPD at Medical College, Kolkata, chosen by systematic random sampling. Exit interview was done with a pre-designed & pre-tested data collection form. Results: Among 52 patients 53.85% were female and rest were male, 65.38% were in 41-60 year age group, 73.07% were Hindu, 61.54% urban residents and 61.54% belonged to lower socio-economic class. 26.92% were educated up to Primary level and 36.54% were homemaker. 61.54% had no addiction, 48.08% had developed hypertension within last 3 years. Co-morbidities were seen among 51.92%, among whom 53.84% were consuming 2-4 medicine doses daily. 78.85% participants were aware of at least one risk factor of hypertension, 65.38% knew at least one complication of the disease and 63.46% knew that anti-hypertensive medication needs to be continued lifelong, but 55.77% cases were found to have low-adherence to medication. Educational status significantly affected medication adherence (p<0.05), while other factors were not found to be statistically significantly associated. Conclusion: Educational status was found to significantly affect medication adherence, with the less educated tending to be less adherent.
Authors and Affiliations
Dr. Shibaji Gupta, Dr. Debasis Das, Dr. Debjani Guchhait, Dr. V. Abinesh
Keywords
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- EP ID EP467815
- DOI 10.9790/0853-1802174147.
- Views 39
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