Noncompliance to Antihypertensive Medication in Patients with Essential Hypertension attending Dhaka Medical College Hospital

TAJ: Journal of Teachers Association Pub Date : 2023-01-04 DOI:10.3329/taj.v35i2.63758

M. Rashid, M. Haque, Md Shafiqul Islam, M. Parvin, A. Kahhar

{"title":"Noncompliance to Antihypertensive Medication in Patients with Essential Hypertension attending Dhaka Medical College Hospital","authors":"M. Rashid, M. Haque, Md Shafiqul Islam, M. Parvin, A. Kahhar","doi":"10.3329/taj.v35i2.63758","DOIUrl":null,"url":null,"abstract":"Introduction: Medication noncompliance is a necessary but neglected factor for the negative cardiovascular outcome. Despite various studies on the issue, the factors behind noncompliance still need to be explored properly. Therefore, this study was conducted to determine the magnitude and factors associated with noncompliance with antihypertensive Medication. \nMaterials and Methods: This is a cross-sectional study that was conducted on 200 hypertensive patients in Dhaka Medical College Hospital for six months. Patients were included by purposive sampling, aged 18-70 years, and the duration of diagnosis of at least three months. In addition, demographic data, hypertension diagnosis, antihypertensive drugs, factors related to noncompliance, knowledge of hypertension, perception, and family support were included in the questionnaire. \nResult: About 85% of the patients were non-compliant with treatment in their course of illness, and the main reason behind it was forgetfulness (48.2%). Other factors were inability to buy, side effects, busy schedule, intentionally, bored, and traveling. The highest prescribed drug was beta blockers (41%). Eighty percent of the patients knew that uncontrolled hypertension could lead to stroke, and 54% knew it could lead to heart disease. The majority (87.5%) of the participant went for follow-up only when they felt hypertensive. Regarding perception, 63% of patients felt hypertension is not a curable disease. Furthermore, though all patients were asked for follow-up by their physician, 94% missed their follow-up. \nConclusion: Despite the availability of various types of effective antihypertensive drugs, many patients experience difficulty controlling hypertension due to noncompliance. Patient and family member education efficiently prevented many factors behind the disobedience. However, further studies with large sample sizes in multiple centers could explain this more precisely. \nTAJ 2022; 35: No-2: 103-110","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"23 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"TAJ: Journal of Teachers Association","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/taj.v35i2.63758","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 1

Abstract

Introduction: Medication noncompliance is a necessary but neglected factor for the negative cardiovascular outcome. Despite various studies on the issue, the factors behind noncompliance still need to be explored properly. Therefore, this study was conducted to determine the magnitude and factors associated with noncompliance with antihypertensive Medication. Materials and Methods: This is a cross-sectional study that was conducted on 200 hypertensive patients in Dhaka Medical College Hospital for six months. Patients were included by purposive sampling, aged 18-70 years, and the duration of diagnosis of at least three months. In addition, demographic data, hypertension diagnosis, antihypertensive drugs, factors related to noncompliance, knowledge of hypertension, perception, and family support were included in the questionnaire. Result: About 85% of the patients were non-compliant with treatment in their course of illness, and the main reason behind it was forgetfulness (48.2%). Other factors were inability to buy, side effects, busy schedule, intentionally, bored, and traveling. The highest prescribed drug was beta blockers (41%). Eighty percent of the patients knew that uncontrolled hypertension could lead to stroke, and 54% knew it could lead to heart disease. The majority (87.5%) of the participant went for follow-up only when they felt hypertensive. Regarding perception, 63% of patients felt hypertension is not a curable disease. Furthermore, though all patients were asked for follow-up by their physician, 94% missed their follow-up. Conclusion: Despite the availability of various types of effective antihypertensive drugs, many patients experience difficulty controlling hypertension due to noncompliance. Patient and family member education efficiently prevented many factors behind the disobedience. However, further studies with large sample sizes in multiple centers could explain this more precisely. TAJ 2022; 35: No-2: 103-110

查看原文本刊更多论文

达卡医学院医院原发性高血压患者抗高血压药物不依从性分析

药物不依从性是导致心血管不良结局的必要但被忽视的因素。尽管对这一问题进行了各种各样的研究，但不合规背后的因素仍需要适当地探讨。因此，本研究旨在确定抗高血压药物不依从性的程度和相关因素。材料与方法:对达卡医学院附属医院200例高血压患者进行为期6个月的横断面研究。患者通过目的抽样纳入，年龄18-70岁，诊断时间至少三个月。此外，问卷还包括人口统计资料、高血压诊断、降压药、不遵医嘱相关因素、高血压知识、认知、家庭支持等内容。结果:85%的患者在病程中出现不遵医嘱的情况，主要原因为健忘(48.2%)。其他因素包括无力购买、副作用、繁忙的日程、故意、无聊和旅行。最高的处方药是受体阻滞剂(41%)。80%的患者知道不受控制的高血压会导致中风，54%的患者知道高血压会导致心脏病。大多数(87.5%)的参与者只有在感到高血压时才进行随访。在认知方面，63%的患者认为高血压不是一种可治愈的疾病。此外，尽管所有患者都被医生要求随访，但94%的患者没有随访。结论:尽管有各种有效的降压药可供选择，但仍有许多患者由于不遵医嘱而难以控制高血压。患者和家属的教育有效地防止了许多不服从背后的因素。然而，在多个中心进行大样本量的进一步研究可以更准确地解释这一点。泰姬酒店2022;35: No-2: 103-110

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

TAJ: Journal of Teachers Association

自引率

0.00%

发文量