IMPACTS OF COUNSELING ON ADHERENCE TO PRESCRIBED MEDICATIONS AND BLOOD PRESSURE OF HYPERTENSIVE PATIENTS IN FOUR INDONESIAN PRIMARY HEALTH CENTERS

Authors

  • Nasution A Fakultas Farmasi, Universitas Sumatera Utara
  • Khairunnisa . Universitas Sumatera Utara
  • Tanjung H R Universitas Sumatera Utara

Keywords:

Hypertension, Medication adherence, Morisky scale

Abstract

Objective: To analyze the impacts of pharmacist counseling on adherence to medications and reduction in systolic and diastolic blood pressures (SBP/DBP) of hypertensive outpatients.

Methods: A retro-prospective cohort study was undertaken to evaluate the impacts of two-month period counseling on medication adherence and SBP/DBP of hypertensive patients (n=47) insured by Social Security Organizing Body in primary health centers (Medan Deli, Helvetia, Darussalam, and Teladan) in Medan. Inclusion criteria were patients diagnosed with hypertension, age ≥ 18 years, and under treatment of antihypertensive drugs. A questionnaire was used to assess characteristics of the patients, antihypertensive drugs provided, and BP. The eight-item Morisky Medication Adherence Scale (MMAS-8) of each patient was assessed. Characteristics of the patients and antihypertensive drugs provided were descriptively analyzed. Impacts of counseling on medication adherence and SBP/DBP of the patients were analyzed using Wilcoxon test. All analyses were performed using Statistical Package for the Social Sciences (SPSS, version 19, Chicago, IL, USA) (p value <0.05 was considered significant).

Results: Characteristics of the patients: male, 23.4%, female, 76.6%, mean age, 61.22 ± 9.90 (years). MMAS-8 score improved significantly from 4.58 before counseling to 6.28 after counseling, p = 0.000. There was a reduction in SBP from 160.49±23.15 mmHg before counseling to 149.04 ± 21.02 mmHg after counseling, p = 0.001. DBP also reduced from 91.23 ± 12.82 mmHg before counseling to 87.14 ± 9.94 mmHg after counseling, p = 0.014.

Conclusion: Counseling improves adherence to prescribed medications and BP in hypertensive patients.

 

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Author Biography

Nasution A, Fakultas Farmasi, Universitas Sumatera Utara

Department of Pharmacology and Clinical Pharmacy

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Published

01-03-2015

How to Cite

A, N., K. ., and T. H. R. “IMPACTS OF COUNSELING ON ADHERENCE TO PRESCRIBED MEDICATIONS AND BLOOD PRESSURE OF HYPERTENSIVE PATIENTS IN FOUR INDONESIAN PRIMARY HEALTH CENTERS”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 7, no. 3, Mar. 2015, pp. 114-7, https://mail.innovareacademics.in/journals/index.php/ijpps/article/view/4285.

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Original Article(s)