Factors Contributing to Lack of Adherence to Antihypertensive Medications Among Patients at Nishtar Hospital in Multan, Pakistan

被引：0

作者：

Khan, Allahdad ^{[1
]}

Maqbool, Ayesha ^{[1
]}

Khan, Ahmed A. ^{[1
]}

Jamil, Muhammad Farhan ^{[2
]}

Aziz, Beshair ^{[1
]}

Aziz, Aamir ^{[1
]}

Khan, Jawad A. ^{[3
]}

Riaz, Muhammad Hamza ^{[4
]}

Naeem, Wania ^{[5
]}

Rasheed, Ahsan ^{[5
]}

机构：

[1] Nishtar Med Univ, Dept Med, Multan, Pakistan

[2] Nishtar Med Univ, Dept Community Med, Multan, Pakistan

[3] Al Barsha Hlth Ctr, Dept Family Med, Dubai, U Arab Emirates

[4] Swansea Bay Univ Hlth Board, Dept Internal Med, Swansea, Wales

[5] Multan Med & Dent Coll, Dept Med, Multan, Pakistan

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 09期

关键词：

pakistan; nonadherence; high blood pressure; hypertension; medication adherence; associated factors; antihypertensive medication; NONADHERENCE;

D O I：

10.7759/cureus.69396

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Hypertension affects 26.7% of Pakistan's population, with only 6% achieving control. This study investigates antihypertensive medication adherence in Multan, focusing on socioeconomic and patient-related factors influencing non-adherence to study the lack of adherence to antihypertensive medications in hypertensive patients and its associated factors at Nishtar Hospital in Multan, Pakistan. Methods: This cross-sectional study was conducted among hypertensive patients admitted at Nishtar Hospital Multan, Pakistan. Patients under the age of 20 years were excluded from the study. A self-developed questionnaire was used to gather the demographic details of patients. The Hill-Bone Medication Adherence Scale was used via a non-probability convenience sampling technique to deduce the adherence level in patients. Data analysis was done using SPSS (Statistical Package for the Social Sciences) v23 (IBM Corp., Armonk, NY). p-value < 0.05 was considered significant. Results: Out of 217 respondents, most were female, married, unemployed, and residing in urban areas. Most of them had a higher level of education and a monthly income averaging below 30,000 PKR (Pakistani Rupee). The insight into the hypertensive history showed that most of them had a positive family history and comorbid conditions, and were hypertensive for more than five years. The majority of the patients had a complex regimen prescribed to them with multiple doses throughout the day. The minority were smokers and had medications provided to them for free, through public or government-funded institutions. More importantly, adherence to the antihypertensive therapy was negatively correlated with the age of the patients (p = 0.004, r =-0.195), complexity of regimen (p = 0.041), multiple dosing (p = 0.039), and cost of medication (p = 0.043). All of these relations were statistically significant. Conclusion: Lack of adherence to antihypertensive medications in hypertensive patients is more common in populations belonging to older age groups, complex regimens, multiple doses, and higher medicine fees.

引用

页数：8