Patient Medication Adherence to Hypertension therapy in Tertiary care Hospital of Tropical western Region of Nepal

• Main Authors: Dipendra Khadka, Pradip Kumar Das, Bishnu Basnet
• Format: Article
• Language: English
• Published: Al Ameen Medical College 2017-10-01
• Series: Al Ameen Journal of Medical Sciences
• Subjects: Adherence; Hypertension; Blood pressure; Morisky Medication Adherence Scale; Western Nepal
• Online Access: http://ajms.alameenmedical.org/ArticlePDFs/3%20AJMS%20V10.N4.2017%20p%20234-240.pdf

Background: The study was carried out to obtain socio-demographic profile of hypertensive patients and to measures the medication adherence using Morisky Medication Adherence Scale (MMAS-8). Methodology: The study was carried out in Out Patient Department (OPD) of Medicine in Universal College of Medical Sciences, Bhairahawa, Nepal. The random samples of 673 patients were enrolled in the study those who were already using Hypertension Medicines. The data were collected primarily by self-administered questionnaires and pre and post adherence were compared using Morisky Medication adherence scale. Results: The results showed that the elderly patients of age 51-60 years and smokers were hypertensive. The post test has improved medication adherence than the pre test experimental. The missed pills, the bad perception regarding disease, medicines use will be corrected by counseling. The results shows that forget to bring medications while travelling is improved to 100 % after counseling and motivation. It also showed that the patients stopped medication without telling doctors improved adherence from 1.040 to 0.297 after counseling. Conclusion: Our study concluded that elderly people with drinking alcohol regularly, non vegetarian's life style has not only the risk of hypertension and cardiovascular diseases but also leads to poor adherence to the therapy. Counseling has good impact for these patients. All the eight factor of Morisky adherence scale has improved after counseling and motivation in the study.