Bader R J K, Koprulu F, Hassan N A G M, Ali A A A, Elnour A A
Gulf Medical Centre Al-Noor Pharmacy, Ajman, United Arab Emirates.
Department of Medicinal Chemistry; College of Pharmacy and Health Sciences, Ajman University of Sciences and Technology, Ajman, United Arab Emirates.
East Mediterr Health J. 2015 Aug 27;21(5):309-18. doi: 10.26719/2015.21.5.309.
This study aimed to assess the predictors of non-adherence to antihypertensive medications in northern United Arab Emirates. In a cross-sectional, multicentre study in Ajman Emirate, 250 patients with hypertension were randomly selected from outpatient clinics. Participants answered an interview questionnaire about sociodemographic and clinical data and completed the Morisky medication adherence scale. Non-adherence to antihypertensive medication was reported by 45.6% of patients. Sociodemographic predictors of non-adherence were sex and number of children. Therapy-related predictors of adherence were hospital admissions, number and cost of medications, medication perceived effectiveness and use of traditional remedies. Patient-related predictors of non-adherence were forgetfulness, method of identifying medication and poor awareness of hypertension complications. Health-care-related predictors were regular follow up at clinics, education and counselling, frequency of changing medication by physicians and awareness of physicians' instructions.
本研究旨在评估阿拉伯联合酋长国北部地区抗高血压药物治疗依从性的预测因素。在阿治曼酋长国进行的一项横断面多中心研究中,从门诊诊所随机选取了250名高血压患者。参与者回答了一份关于社会人口统计学和临床数据的访谈问卷,并完成了Morisky药物治疗依从性量表。45.6%的患者报告存在抗高血压药物治疗不依从的情况。不依从的社会人口统计学预测因素为性别和子女数量。治疗相关的依从性预测因素为住院次数、药物数量和费用、药物感知疗效以及传统疗法的使用。患者相关的不依从预测因素为健忘、识别药物的方法以及对高血压并发症的认识不足。医疗保健相关的预测因素为在诊所的定期随访、教育与咨询、医生更换药物的频率以及对医生指示的知晓情况。