Adherence To Medication Among Hypertensive Outpatients In The Penang General Hospital, Malaysia

Suleiman, Amal Khalil Turki (2010) Adherence To Medication Among Hypertensive Outpatients In The Penang General Hospital, Malaysia. PhD thesis, Universiti Sains Malaysia.

Download (176kB) | Preview


Adherence to antihypertensive medications in general is not well documented in developing countries, and what is known is far from encouraging. Despite the effectiveness of antihypertensive treatment, medication adherence is often suboptimal in hypertensive Malaysian population. This retro-prospective cohort study aimed to assess the medication adherence, and factors affecting this. A cohort of 380 hypertensive patients was conveniently recruited from the outpatient hypertension clinic at Penang General Hospital, Malaysia. The Morisky self-report scale revealed that 51.3% patients (n=195) had poor adherence to prescribed antihypertensive medication. A Semistructured interview revealed forgetfulness due to a lack of symptoms; poor social support, medication side effects, and the perception that long-term medication may be addictive were principal factors of poor adherence to medication. The structural equation modelling (SEM), which identified the multivariate hypothesized predictors of poor adherence to medication, showed that a lack of self discipline, aversion towards medication, and a negative attitude towards medication in general negatively accounted for 75% of factors affecting medication adherence. The one-way ANOVA and independent t-tests of independent samples revealed no statistically significant differences (p>0.05 for all) between adherent and non-adherent patients with regards to demographic variables, including age, gender, family history of hypertension, race, educational level, and income.

Item Type: Thesis (PhD)
Subjects: R Medicine > RS Pharmacy and materia medica > RS1-441 Pharmacy and materia medica
Divisions: Pusat Pengajian Sains Farmasi (School of Pharmacy)
Depositing User: Mr Mohammad Harish Sabri
Date Deposited: 13 Nov 2018 03:20
Last Modified: 12 Apr 2019 05:26

Actions (login required)

View Item View Item