Medication adherence in outpatient hypertension managed in the Cardiovascular Oupatient Clinic in 108 Military Central Hospital

  • Do Thi Hien 108 Military Central Hospital
  • Pham Truong Son 108 Military Central Hospital
  • Le Thi Binh Thang Long University

Main Article Content

Keywords

Hypertension, medication adherence, knowledge

Abstract

Objective: To assess patient’s knowledge, their medication adherence level and the correlation between them among hypertensive patients managed in Outpatient Department of Cardiology in 108 Military Central Hospital. Subject and method: A cross-sectional, descriptive study was conducted with 400 hypertensive patients. Patient’s knowledge of hypertension was determined using the pre-existing Hypertension Knowledge Questionnaire. Adherence level was assessed using the 8-item Morisky Medication Adherence Scale (MMAS-8); and factors associated with medication adherence were determined using multivariate logistic regression. Result: Percentage of patients having low, medium and high medication adherence was 31.75%, 33% and 35.25%, respectively. There was a significant correlation between the knowledge of disease and hypertension drugs and the medication adherence level (p<0.05). Multivariate analysis demonstrated that the general knowledge of the disease and hypertension drugs was the most significant factor affecting the medication adherence. Conclusion: Patients with a sound knowledge of hypertension show better medication adherence.

Article Details

References

1. Nguyễn Thị Mỹ Hạnh (2011) Kiến thức, thái độ và sự tuân thủ dùng thuốc của bệnh nhân tăng huyết áp đang điều trị ngoại trú tại Bệnh viện Cấp cứu Trưng Vương. Tạp chí Y học TP. Hồ Chí Minh, số 15, tr. 154-158.
2. Akoko BM et al (2016) Knowledge of hypertension and compliance with therapy among hypertensive patients in the bamenda health district of Cameroon: A cross-sectional study. Cardiol Ther: 1-15.
3. Jankowska-Polanska B, Uchmanowicz I et al (2016) Relationship between patients' knowledge and medication adherence among patients with hypertension. Patient Prefer Adherence 10: 2437-2447.
4. Hyre AD, Krousel-Wood MA et al (2007) Prevalence and predictors of poor antihypertensive medication adherence in an urban health clinic setting. J Clin Hypertens (Greenwich) 9(3): 179-186.
5. Kang CD, Tsang PP et al (2015) Determinants of medication adherence and blood pressure control among hypertensive patients in Hong Kong: A cross-sectional study. Int J Cardiol 182: 250-257.
6. Lee GK et al (2013) Determinants of medication adherence to antihypertensive medications among a Chinese population using morisky medication adherence scale. PLoS One 8(4): 62775.
7. Morisky DE, Ang A et al (2008) Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich) 10(5): 348-354.
8. World Health Organization (2003) Adherence to long-term therapies. 107-115.