Knowledge, Attitudes and Medication Compliance in Outpatients Diagnosed with Hypertension

2.50
Hdl Handle:
http://hdl.handle.net/10755/307965
Category:
Abstract
Type:
Presentation
Title:
Knowledge, Attitudes and Medication Compliance in Outpatients Diagnosed with Hypertension
Author(s):
Messmer, Patricia R.; Hanh, Nguyen Thi My
Lead Author STTI Affiliation:
Non-member
Author Details:
Patricia R. Messmer, PhD, RN-BC, FAAN, messmerpatricia@yahoo.com; Nguyen Thi Ngoc Hue, MSc
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Background: Hypertension affects 1.5 billion persons worldwide and estimated to cause 7.1 million premature deaths and 4.5% of the disease burden (64 million disability-adjusted life years). Compliance to appropriate medical therapy for hypertension results in controlled blood pressure and reduction in adverse outcomes.  Vietnamese research studies indicated 56% rate of compliance for hypertensive patients.

Problem:One third of global deaths are attributed to cardiovascular disease (CVD).  Hypertension in Vietnam  steadily increased from 1.9% (1982) to 27.2% (2008). Hospital (2009) data showed that deaths from CVD (intra-cerebral hemorrhage, acute myocardial infarction, stroke and heart failure) were responsible for #4, 5, 7 and 8 among top ten leading causes of death (PT Son, 2012). Vietnam has a relatively weak health information system; consequently, there is little information on hypertension.

Research question: What is the relationship between knowledge, attitudes and medication compliance in patients diagnosed with hypertension?

Theoretical Framework Rosenstock (1988) Social Learning & Health Belief Model

Methods: A cross-sectional, descriptive study was conducted with 386 hypertensive patients (60% female), mean age: 61). The researcher used Morisky's (2008) Medication Adherence survey (38 questions) and determined the relationship between these variables by Chi squared test, Fisher's test.

Results: The level of knowledge of medication usage in outpatients diagnosed with hypertension was 55.7%;  rate of positive attitudes- 35.8% and 49.5% of patients with medication compliance. There was a correlation between attitudes toward medication use and medication compliance (OR=1.78, 95% CL: 1:17-2.71, p=0.007). There was no signficant relationship between knowledge of medication usage and medication compliance (p>0.05). There was significantly association between knowledge and attitudes toward medication use in those compliant patients versus those non-compliant with medication (OR=3.07, 95% Cl:1.65-5.72, p<0.0001).

Conclusions: Patients who had positive attitudes toward medication use and who were  > 50 years of age reported higher medication compliance.

Keywords:
hypertension in Vietnam; outpatients and clinics; risk factors for CVD
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleKnowledge, Attitudes and Medication Compliance in Outpatients Diagnosed with Hypertensionen_GB
dc.contributor.authorMessmer, Patricia R.en_GB
dc.contributor.authorHanh, Nguyen Thi Myen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsPatricia R. Messmer, PhD, RN-BC, FAAN, messmerpatricia@yahoo.com; Nguyen Thi Ngoc Hue, MScen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307965-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p><b>Background</b>: Hypertension affects 1.5 billion persons worldwide and estimated to cause 7.1 million premature deaths and 4.5% of the disease burden (64 million disability-adjusted life years). Compliance to appropriate medical therapy for hypertension results in controlled blood pressure and reduction in adverse outcomes.  Vietnamese research studies indicated 56% rate of compliance for hypertensive patients. <p><b>Problem:</b>One third of global deaths are attributed to cardiovascular disease (CVD).  Hypertension in Vietnam  steadily increased from 1.9% (1982) to 27.2% (2008). Hospital (2009) data showed that deaths from CVD (intra-cerebral hemorrhage, acute myocardial infarction, stroke and heart failure) were responsible for #4, 5, 7 and 8 among top ten leading causes of death (PT Son, 2012). Vietnam has a relatively weak health information system; consequently, there is little information on hypertension. <p><b>Research question</b>: What is the relationship between knowledge, attitudes and medication compliance in patients diagnosed with hypertension? <p><b>Theoretical Framework </b>Rosenstock (1988) Social Learning & Health Belief Model <p><b>Methods</b>: A cross-sectional, descriptive study was conducted with 386 hypertensive patients (60% female), mean age: 61). The researcher used Morisky's (2008) Medication Adherence survey (38 questions) and determined the relationship between these variables by Chi squared test, Fisher's test. <p><b>Results</b>: The level of knowledge of medication usage in outpatients diagnosed with hypertension was 55.7%;  rate of positive attitudes- 35.8% and 49.5% of patients with medication compliance. There was a correlation between attitudes toward medication use and medication compliance (OR=1.78, 95% CL: 1:17-2.71, p=0.007). There was no signficant relationship between knowledge of medication usage and medication compliance (p>0.05). There was significantly association between knowledge and attitudes toward medication use in those compliant patients versus those non-compliant with medication (OR=3.07, 95% Cl:1.65-5.72, p<0.0001). <p><b>Conclusions</b>: Patients who had positive attitudes toward medication use and who were  > 50 years of age reported higher medication compliance.en_GB
dc.subjecthypertension in Vietnamen_GB
dc.subjectoutpatients and clinicsen_GB
dc.subjectrisk factors for CVDen_GB
dc.date.available2013-12-19T17:24:46Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:46Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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