Abstract

Background: This survey aims to determine medication compliance among hypertension patients and discover factors influencing medication compliance. Methods: This study incorporated a cross-sectional study design. The Hill-Bone Compliance to High Blood Pressure Therapy Scale was used in this study to evaluate medication adherence in hypertensive individuals. Additionally, this scale aids in monitoring sodium intake control and appointment-keeping habits. Results: 69 (77%) of 90 hypertension patients comply with their antihypertensive therapy, whereas 21 (23%) are non-compliant. The average score of patients on the Hill-Bone Compliance to High Blood Pressure Therapy Scale is 20.21 ± 4.21. Subsequently, the medication-taking score is 11.97 ± 3.44, the sodium reduction score is 4.37 ± 1.4, and the appointment-keeping score is 3.88 ± 1.34. Simultaneously, studying the impact of patients’ socio-demographic characteristics and medical history on medication adherence. There was a considerable drop in the overall score of patients having more than five children by 5.59 (P-value < .05), thus improving medication adherence. In contrast, the total score of patients with hypertension from 6 to 10 years shot up by 2.4 (P-value < .05), whereas the total score of patients with comorbidities more than 5 have a sharp rise of 3.4 (P-value < .05). Therefore, reducing medication adherence. Conclusion: According to this survey, only 77% of patients are adherent to their antihypertensive medicines. Additionally, this study reveals that individuals with more than five children positively affect medication adherence. However, patients with long-term hypertension and many comorbidities have a detrimental effect.

Highlights

  • Almost one-fourth of the world’s population is affected by hypertension and is estimated to affect 1.56 billion individuals by 2025.1,2 Hypertension is prevalent in 30.7% of the people in India and is significantly more frequent in those over the age of 65.3 Hypertension is asymptomatic for a lengthy period; its detrimental effects may manifest years later

  • The target group consisted of adults who had been diagnosed with hypertension at least one year before data collection and were using at least one antihypertensive medication

  • This study excluded individuals who had been diagnosed with hypertension but were younger than 18 years old, had been diagnosed with hypertension for less than one year or were not taking any antihypertensive medication

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Summary

Introduction

Almost one-fourth of the world’s population is affected by hypertension and is estimated to affect 1.56 billion individuals by 2025.1,2 Hypertension is prevalent in 30.7% of the people in India and is significantly more frequent in those over the age of 65.3 Hypertension is asymptomatic for a lengthy period; its detrimental effects may manifest years later. About half of those take at least 80% of their prescription medicines.[4] As a result of inadequate adherence to antihypertensive therapy, about two-thirds of individuals diagnosed with hypertension do not attain optimal blood pressure control.[4] The situation in India isn’t different, with about a quarter of the patient having poor medication adherence.[5,6]. This survey aims to determine medication compliance among hypertension patients and discover factors influencing medication compliance. The total score of patients with hypertension from 6 to 10 years shot up by

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