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Publicatie
Compliance to antihypertensive and antidiabetic medications
Boekbijdrage - Boekhoofdstuk Conferentiebijdrage
Background and Objective: Good pharmacological compliance is important
in the management of hypertension and diabetes mellitus to maintain optimal
. blood pressure and metabolic control, reducing risk of complications. The objective
of this study was to evaluate compliance to antihypertensive and
antidiabetic medications.
Setting and Method: Four-week study at Diabetes and Endocrine Centre,
MOH. Patients recruited were asked to complete a self-administered questionnaire,
including 7 'Yes and No' questions and 1 'multiple choice' question on
pharmacological compliance ('Morisky test'). Each question was given a score
of 1 or 0, depending on the question. A total score of 0 was classified as 'high;
1-2 'medium' and> 2 'low' compliance.
Main outcome measures: Categorisation of patients into 'high; 'medium' or
'low' medication compliance score .
Results:125 patients participated; 55% were male, most (49%) were between
50 and 59 years, most (41%) had a primary education, the majority (52%) were
retired and 87% did not live alone. A 'high' compliance score was obtained by
43% of patients, while 31% and 26% obtained a 'medium' and 'low' compliance
score respectively. 98% of patients claimed to have taken all their
medications the day before the questionnaire was distributed. 70% of patients
said that they do not frequently forget to take their medications, 82% said that
over the previous 2 weeks they did not miss any medication doses, 92% of
patients never stopped their medication without consulting their physician
even when they felt worse, 85% of patients do not forget to take their medications
with them when travelling or going to work and 74% of patients do not
feel stressed to comply with their treatment plan.
Conclusions:This study showed that most patients showed a 'high' pharmacological
compliance. Systems to identify the 'medium' and 'low 'compliers
should be adopted so that pharmacists in this setting could support patients
to improve compliance.
in the management of hypertension and diabetes mellitus to maintain optimal
. blood pressure and metabolic control, reducing risk of complications. The objective
of this study was to evaluate compliance to antihypertensive and
antidiabetic medications.
Setting and Method: Four-week study at Diabetes and Endocrine Centre,
MOH. Patients recruited were asked to complete a self-administered questionnaire,
including 7 'Yes and No' questions and 1 'multiple choice' question on
pharmacological compliance ('Morisky test'). Each question was given a score
of 1 or 0, depending on the question. A total score of 0 was classified as 'high;
1-2 'medium' and> 2 'low' compliance.
Main outcome measures: Categorisation of patients into 'high; 'medium' or
'low' medication compliance score .
Results:125 patients participated; 55% were male, most (49%) were between
50 and 59 years, most (41%) had a primary education, the majority (52%) were
retired and 87% did not live alone. A 'high' compliance score was obtained by
43% of patients, while 31% and 26% obtained a 'medium' and 'low' compliance
score respectively. 98% of patients claimed to have taken all their
medications the day before the questionnaire was distributed. 70% of patients
said that they do not frequently forget to take their medications, 82% said that
over the previous 2 weeks they did not miss any medication doses, 92% of
patients never stopped their medication without consulting their physician
even when they felt worse, 85% of patients do not forget to take their medications
with them when travelling or going to work and 74% of patients do not
feel stressed to comply with their treatment plan.
Conclusions:This study showed that most patients showed a 'high' pharmacological
compliance. Systems to identify the 'medium' and 'low 'compliers
should be adopted so that pharmacists in this setting could support patients
to improve compliance.
Boek: 42nd ESCP Symposium on Clinical Pharmacy, Prague, Czech Republic
Aantal pagina's: 1
Jaar van publicatie:2013
Trefwoorden:antihypertensive and antidiaetic medications