ASSESSMENT OF TREATMENT COMPLIANCE AMONG PREVIOUSLY DIAGNOSED HYPERTENSIVE PATIENTS IN TERTIARY CARE HOSPITAL OF WESTERN GUJARAT IN INDIA

Author:

R Damor Kaushik Kumar1,B Gandhi Rohan Kumar2,Pithadia Pradeep3,Kotecha Ilesh4,V Parmar Dipesh5

Affiliation:

1. Senior Resident Doctor.

2. Resident Doctor.

3. Assistant Professor.

4. Associate Professor.

5. Professor And Head.

Abstract

Background: A Burden of diabetes and hypertension is on rise in India. India, being a developing country, has unique problems regarding the treatment compliance which is a serious risk for morbidity and mortality. Hypertension is major risk factors for cardiovascular and cerebrovascular disease. Compliance is a primary determinant of the effectiveness of treatment because poor compliance attenuates optimum clinical benet and paves the way for complications. To assess the compliance to treatment Aim: of hypertension of diagnosed patients and study various factors affecting the compliance of treatment of hypertension. Cross sectional study conduc Materials And Methods: ted in the tertiary care hospital non communicable disease clinic. All the cases of hypertension diagnosed for more than 6 months were included. The data were collected over a period of two months (August -September 2021). All the study participants were interviewed using a semi- structured questionnaire after obtaining informed verbal consent. questionnaire was including details on demography, medical documentation, treatment details and factors assessing the, knowledge about hypertension and compliance towards the disease treatment. A t Results: otal 260 hypertensive participated in this study. According to Morisky8 scale of compliance of treatment of hypertension, 44.23% and 55.77% of participants were having moderate and low compliance, respectively. Males had lower compliance than females. Patients with comorbidities and on multiple medications, longer duration of treatment, senior citizens were factors related to non-compliance. In this study 67.3% of the respondents had comorbidities. Patients having hypertension with other comorbidities were poor compliant on treatment than who had not comorbidities. According to Morisky 8 Conclusion: scale compliance of treatment of hypertension, 44.23% and 55.77% of participants were having moderate and low compliance respectively. Males had lower compliance than females. Patients with comorbidities and on multiple medications, longer duration of treatment, senior citizens were factors related to non-compliance.

Publisher

World Wide Journals

Subject

Law,Surgery,Electrical and Electronic Engineering,Energy Engineering and Power Technology,Electrical and Electronic Engineering,Mechanical Engineering,Transportation,Automotive Engineering,Urban Studies,Environmental Science (miscellaneous),Urology,Urology,Urology,Urology

Reference20 articles.

1. Sverre E Kjeldsen Hypertension and cardiovascular risk: General aspects, Pharmocol Res 2018.

2. National family health survey 5. Available at ;http://rchiips.org/nfhs/factsheet_NFHS-5.shtml. Accessed on 12 august 2021.

3. Worldwide trends in hypertension prevalence and progress in treatment and control; available at ; https://doi.org/10.1016/ S0140-6736(21)01330-lancet, 390 (2017). Accessed on August 24, 2021.

4. Mohan S et al. Time to effectively address hypertension in India. Indian J Med Res. 2013;137:627–31

5. Bramley TJ, Gerbino PP, Nightengale BS, Frech-Tamas F. Relationship of blood pressure control to adherence with antihypertensive monotherapy in 13 managed care organizations. J Manag Care Pharm. 2006.

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