Medical and Psychological Factors Associated with Medication Adherence among Hypertensive Patients at Menelik II Referral Hospital, Addis Ababa, Ethiopia
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Date
2020-06
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AAU
Abstract
Studies that examined the multidimensional factors in hypertension patients’ medication
adherence are scant. The present study aimed at investigating the effects of demographic,
medical and psychological factors over hypertension patients’ medication adherence. A
hospital-based, cross-sectional study was conducted among 367 hypertensive patients who
were receiving treatment and on follow-up at Menelik II Referral Hospital. Data was
collected using questionnaire assessing patients’ demographic, medical, psychological
characteristics as well as their adherence. Adherence to medication was assessed by the
Morisky’s Medication Adherence Scale (MMAS-8). Descriptive and inferential statistics were
used to analyse the data collected. In the present study it was revealed that 72.5% of the
respondents were adherent to their medication. Besides, the independent effects of
demographic, medical and psychological factors were found to be insignificant. Further,
patients with controlled BP were found to have higher adherence level than their
counterparts. Finally it is concluded that the cumulative effects of demographic, medical and
psychological factors over patients’ adherence far exceeds their independent effects.
Therefore, it is recommended that interventions to improve patients’ adherence need to
consider variables from the three domains equally
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Keywords
Medication, Adherence, Medication, Adherence