Factors Influencing Medication Adherence in Nepalese Patients with Essential Hypertension
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Abstract
Purpose: To identify the level of medication adherence and to examine the predicting factors of medication adherence in Nepalese patients with essential hypertension.
Design: Correlational predictive study.
Methods: A cross-sectional study was conducted amongst 140 participants attending the tertiary level university hospital in Kavre, district of Nepal between December 2017 and January 2018. Research instruments included Hill Bone Medication Adherence Scale, Modified Medical Outcome Study Social Support Survey, Patient Doctor Relationship Questionnaire, and Hypertension Knowledge Level Scale. Descriptive statistics, and binary logistic regression analysis were applied for data analysis.
Main findings: Mean age of the participants was 53.82 (SD = 12.12), in which 55% were male. Medication adherence rate in Napalese patients with essential hypertension was 62.1%. Logistic regression model explained 39% of the variance on medication adherence. The significant predictors of medication adherence were; Patient-doctor relationship (OR = 1.10, 95% CI[1.01-1.20]) and knowledge about hypertension (OR = 1.29, 95% CI: 1.14-1.45). Participants who had better relationships with their doctor were 1.10 times more likely to adhere with their medication regimen. Similarly, the participants with more knowledge about hypertension were 1.29 times more likely to have the better adherence medication regimen.
Conclusion and recommendations: Medication adherence rate among Nepalese hypertensive patients were low which is significantly predicted by patient-doctor relationship and the patients' knowledge about hypertension. Health care facilities and nursing authorities of Nepal need to promote knowledge about hypertension and encourage positive relationship between patients and providers to improve medication adherence.
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