ASSESSMENT OF MEDICATION ADHERENCE AMONG PATIENTS WITH HYPERTENSION AND DIABETES MELLITUS IN URBAN FIELD PRACTICE

Manikandan R; Nandamuri Sri Sai Sudha; Logaraj M

doi:10.22159/ajpcr.2018.v11i4.23236

Authors

Manikandan R Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kancheepuram, Tamil Nadu, India.
Nandamuri Sri Sai Sudha Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kancheepuram, Tamil Nadu, India.
Logaraj M Department of Community Medicine, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kancheepuram, Tamil Nadu, India.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i4.23236

Keywords:

Medication adherence, Hypertension, Diabetes mellitus, Morisky scale

Abstract

Â Objective: The present study was conducted to assess the medication adherence among patients with hypertension (HTN) and diabetes mellitus in the urban area of Tamil Nadu and to assess the reasons for non-adherence.

Methods: A cross-sectional study was conducted in an urban area of Tamil Nadu. A total of 100 subjects were enrolled in the study. The patients are diagnosed with HTN and diabetes was included in the study. Morisky medication adherence scale was used to measure adherence among the selected subjects and each patient's details were regarding non-adherence was noted. The results were tabulated.

Results: In our study, the medication adherence of the patients was 84% and the non-adherence patients were 16%. Medication adherence was found to be more in male (58%) when compared with females (42%). In our study, the reasons for non-adherence include high drug cost was more when comparing other factors. In our study, the patients receiving drugs from the medical shop were more comparing with government and private hospitals.

Conclusion: A four-fifth of the subjects is adherence to the prescribed medications. The patients having poor medication adherence due to the high cost of the drug and forgot to take use their medication.

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References

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 2006;20:551-3.

Rwegerera GM. Adherence to antidiabetic among patients with Type II diabetes at Muhimbii national hospital, Dar Es Selaam, Tanzania-A cross sectional study. Pan Afr Med J 2014;17:252.

Rampal L, Rampal S, Azhar MZ, Rahman AR. Prevalence, awareness, treatment and control of hypertension in Malaysia: A national study of 16,440 subjects. Public Health 2008;122:11-8.

Fung V, Huang J, Brand R, Newhouse JP, Hsu J. Hypertension treatment in a medicare population: Adherence and systolic blood pressure control. Clin Ther 2007;29:972-84.

Khalil SA, Elzubier AG. Drug compliance among hypertensive patients in Tabuk, Saudi Arabia. J Hypertens 1997;15:561-5.

Bovet P, Burnier M, Madeleine G, Waeber B, Paccaud F. Monitoring one-year compliance to ant hypertension medication in the Seychelles. Bull World Health Organ 2002;80:33-9.

Elbur AI. Levels of Adherence to the lifestyle changes and medication among male hypertensive patients in two hospitals in taif; Kingdom of Saudi Arabia. Int J Pharm Sci 2015;7:168-72.

Ho PM, Bryson CL, Rumsfled JS. Medication adherence: Its importance in cardiovascular outcomes. Circulation 2009;119:3028-35.

Lavakumar S, Jesurun RS. A study on the level of drug compliance among the outpatients who are on a long-term drug therapy in a tertiary care teaching hospital at Kancheepuram district in Tamil Nadu. Asian J Pharm Clin Res 2017;10:174-6.

Alkharfy KM, Ahmed NJ, Aljirs WS, Rabba AK. Medication adherence in Type 2 diabeticsâ€™patients: A study in Saudi Arabia. Int J Pharm Sci 2017;9:247-50.

Briadar SS, Rajashekhar K, Srinivas R, Raju SA. Assessment of pharmacist mediated patient counseling on medication adherence in hypertension patients of south Indian city. Int Res J Pharm 2012;3:251-5.

Alekhya P, Sriharsha M, Ramudu RV, Shivanandh B, Darsini TP, Reddy KS, et al. Adherenceto antidepressant therapy: Sociodemographic factor Wise distribution. Int J Curr Pharm Res 2015;7:180-4.

Medi RK, Mateti UV, Kanduri KR, Konda SS. Medication adherence and determinants of non-adherence among south Indian diabetes patients. J Soc Health Diabetes 2015;3:26-9.

American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2005;28:S4-S36.

Sharma T, Kalra J, Dhasmana DC, Basera H. Poor adherence to treatment: A major challenge in diabetes. JIACM 2014;15:26-9.

Ramli A, Ahmad NS, Paraidathathu T. Medication adherence among hypertensive patients of primary health clinics in Malaysia. Patient Prefer Adherence 2012;6:613-22.

Presetiawati II, Andrajati R, Sauriasari R. Effectiveness of a medication booklet and counseling on treatment adherence in Type 2 diabetes mellitus patients. Int J Appl Pharm 2017;9:27-31.