Ekanem Uwemedimbuk Smart, Dan Emem Ime, Etukudo George George, Ndon Idongesit Ibanga, Etebom Ekemini Essien, Nkobo Kingsley Bassey
Department of Community Health, University of Uyo Teaching Hospital, Uyo, Akwa Ibom, Nigeria.
Department of Obstetrics and Gyneacology, Emmanuel General Hospital, Eket, Akwa Ibom State, Nigeria.
Niger Med J. 2020 May-Jun;61(3):120-125. doi: 10.4103/nmj.NMJ_95_19. Epub 2020 Jul 4.
Hypertension is a global cause of significant morbidity, ranking top as a cause of increased disability-adjusted life years. Patients who do not take their prescribed medication show almost a fourfold increase in the risk of dying from stroke by the second year after being prescribed treatment and a nearly threefold increased risk in the 10 year when compared to patients who take their prescribed medication. Medication adherence is a key factor in the control of high blood pressure.
The objective of the study was to assess the antihypertensive medication adherence rate of patients attending the outpatient clinics at the University of Uyo Teaching Hospital (UUTH) and to explore factors that affect their adherence to the medications.
This was a descriptive cross-sectional study of adult hypertensive patients attending the outpatient clinics at UUTH, from May to July 2018, who had been placed on antihypertensive medication(s) for at least 6 months. A standardized Morisky Medication Adherence 8 Questionnaire for assessing medication adherence was modified and used for the data collection. The questionnaires were administered by trained interviewers. Data were analyzed using SPSS 20.0.
A total of 379 hypertensive patients took part in the study; 85.2% were adherent to antihypertensive medication(s), but only 14.2% showed good adherence. Four of the five dimensions considered in the Morisky Assessment greatly affected antihypertensive medication adherence. The mean age of the study participants was 60.8 ± 1.8 years, and 75% were male.
Good adherence to antihypertensive medication was quite low in this study population, and it was affected by all dimensions of the Morisky Assessment; health-care providers should pay more attention to their patient's drug adherence, educate them on medication adherence, and get them involved in their care.
高血压是全球重大发病原因，在导致残疾调整生命年增加的原因中排名第一。未按规定服药的患者在开始药物治疗后第二年死于中风的风险几乎增加四倍，与按规定服药的患者相比，10年内死亡风险增加近三倍。药物依从性是控制高血压的关键因素。
本研究的目的是评估在阿约大学教学医院（UUTH）门诊就诊的患者的抗高血压药物依从率，并探讨影响他们药物依从性的因素。
这是一项描述性横断面研究，研究对象为2018年5月至7月在UUTH门诊就诊、服用抗高血压药物至少6个月的成年高血压患者。修改了一份用于评估药物依从性的标准化Morisky药物依从性8问卷，并用于数据收集。问卷由经过培训的访谈员进行发放。使用SPSS 20.0对数据进行分析。
共有379名高血压患者参与了本研究；85.2%的患者坚持服用抗高血压药物，但只有14.2%的患者依从性良好。Morisky评估中考虑的五个维度中的四个对抗高血压药物依从性有很大影响。研究参与者的平均年龄为60.8±1.8岁，75%为男性。
本研究人群中抗高血压药物的良好依从性相当低，且受到Morisky评估所有维度的影响；医疗保健提供者应更加关注患者的药物依从性，对他们进行药物依从性教育，并让他们参与自身护理。
