The Impact of Counseling on Drug Adherence in Hypertensive Patients at Tertiary Care Hospital in Larkana, Sindh

Sajid Ali, Jaghat Ram, M. Hashim Kalwar, Asif Ali, Muhammad Siddique Rajput, Arslan Ahmer, Muhammad Aslam Abbasi, Ayaz Ali Khan

Abstract

This study aimed to monitor the impact of counseling on adherence in hypertensive patients. Patient adherence was measured using the Hill-Bone medication adherence scale; non-adherent participants were counseled regarding antihypertensive medicines. The counseling impact was measured among enrolled participants. Most participants were male (n = 135), and only five were transgender. 52% of patients were from rural areas, and 48% were from urban areas. The 70 participants were intermediate and passed only 23. 38% of study participants were unemployed, while 26% were government employees. The 116 patients were 61–70 years old, while only 29 participants were 71–80. 33% of participants were prescribed 5 drugs, whereas no reported patient was prescribed one drug. Extremely low adherence was observed before counseling, whereas excellent results were achieved after patient counseling regarding antihypertensive medicines. To date, no study exists to measure adherence to antihypertensive medications. This study will help the doctors to counsel the patients so that patients will take the medications according to the prescription. The adherence rate of hypertensive patients can be improved if the patients are properly counseled regarding antihypertensive medicines.  

 

Keywords: adherence, counseling, hypertension.

 

https://doi.org/10.55463/issn.1674-2974.49.11.7


Full Text:

PDF


References


MUTNEJA E., YADAV R., DEY A.B., and GUPTA P. Frequency and predictors of compliance among patients taking antihypertensive medicines. Indian Heart Journal, 2020, 72(2): 136-139. https://doi.org/10.1016/j.ihj.2020.03.008.

MILLS K.T., STEFANESCU A., and HE J. The global epidemiology of hypertension. Nature Reviews. Nephrology, 2020, 16(4): 223-237. https://doi.org/10.1038/s41581-019-0244-2.

OORI M.J., MOHAMMADI F., NOROUZI-TABRIZI K., FALLAHI-KHOSHKNAB M., and EBADI A. Prevalence of medication adherence in patients with hypertension in Iran: A systematic review and meta-analysis of studies published in 2000-2018. ARYA Atherosclerosis, 2019, 15(2): 82-92.

AIN N., KHAN S., MARWAT M., KHAN N., AHMAD I., RAMZAN F., AKHTAR W., FAKHAR H., JEHAN Y., ZEB A., KUNDI, M. BIBI S., FATIMA M., and RAZA A. Frequency, distributionand determinants of hypertension in adult stroke population of D.I.Khan Division, Pakistan. Gomal Journal of Medical Sciences, 2019, 17(3): 81-89. https://doi.org/10.46903/gjms/17.03.2076

YASSINE M., AL-HAJJE A., AWADA S., RACHIDI S., ZEIN S., BAWAB W., ZEID M.B., EL HAJJ M., and SALAMEH P. Evaluation of medication adherence in Lebanese hypertensive patients. Journal of Epidemiology and Global Health, 2016, 6(3): 157-167.

ARBABSHASTAN M.E., IRANMANESH S., and DEHGHAN M. An analytical assessment of medication adherence among patients with hypertension. Der Pharmacia Lettre, 2016, 8(5): 98-104.

IZADIRAD H., and ZAREBAN I. Assessment of Knowledge, treatment and blood pressure control in hypertensive patients. Journal of Health Literacy, 2016, 1(1): 61-66.

NEWBERRY S.J., CHUNG M., ANDERSON C.A.M., CHEN C., FU Z., TANG A., ZHAO N., BOOTH M., MARKS J., HOLLANDS S., MOTALA A., LARKIN J., SHANMAN R., and HEMPEL S. Sodium and Potassium Intake: Effects on Chronic Disease Outcomes and Risks. Agency for Healthcare Research and Quality (US), 2018.

IWAHORI T., MIURA K., UESHIMA H., TANAKA-MIZUNO S., CHAN Q., ARIMA H., DYER A.R., ELLIOTT P., STAMLER J., and INTERSALT RESEARCH GROUP. Urinary sodium-to-potassium ratio and intake of sodium and potassium among men and women from multiethnic general populations: the INTERSALT Study. Hypertension Research: Official Journal of the Japanese Society of Hypertension, 2019, 42(10): 1590-1598. https://doi.org/10.1038/s41440-019-0263-1

BUNDY J.D., MILLS K.T., CHEN J., LI C., GREENLAND P., and HE J. Estimating the Association of the 2017 and 2014 Hypertension Guidelines with Cardiovascular Events and Deaths in US Adults: An Analysis of National Data. Journal of the American Medical Association Cardiology, 2018, 3(7): 572-581. https://doi.org/10.1001/jamacardio.2018.1240

MUNTNER P., SHIMBO D., CAREY R.M., CHARLESTON J.B., GAILLARD T., MISRA S., MYERS M.G., OGEDEGBE G., SCHWARTZ J.E., TOWNSEND R.R., URBINA E.M., VIERA A.J., WHITE W.B., and WRIGHT J.T. Measurement of Blood Pressure in Humans: A Scientific Statement from the American Heart Association. Hypertension, 2019, 73(5): 35-66. https://doi.org/10.1161/HYP.0000000000000087

MILLS K.T., BUNDY J.D., KELLY T.N., REED J.E., KEARNEY P.M., REYNOLDS K., CHEN J., and HE J. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-Based Studies from 90 Countries. Circulation, 2016, 134(6): 441-450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912

UCHMANOWICZ B., CHUDIAK A., UCHMANOWICZ I., ROSIŃCZUK J., and FROELICHER E.S. Factors influencing adherence to treatment in older adults with hypertension. Clinical Interventions in Aging, 2018, 13: 2425-2441. https://doi.org/10.2147/CIA.S182881

JAFAR T.H., GANDHI M., JEHAN I., NAHEED A., DE SILVA H.A., SHAHAB H., ALAM D., LUKE N., WEE LIM C., and COBRA-BPS STUDY GROUP. Determinants of Uncontrolled Hypertension in Rural Communities in South Asia-Bangladesh, Pakistan, and Sri Lanka. American Journal of Hypertension, 2018, 31(11): 1205-1214. https://doi.org/10.1093/ajh/hpy071


Refbacks

  • There are currently no refbacks.