Qualitative enquiry on irregular intake of antihypertensive medications to inform a model of care to improve blood pressure control. Issue 5 (1st November 2020)
- Record Type:
- Journal Article
- Title:
- Qualitative enquiry on irregular intake of antihypertensive medications to inform a model of care to improve blood pressure control. Issue 5 (1st November 2020)
- Main Title:
- Qualitative enquiry on irregular intake of antihypertensive medications to inform a model of care to improve blood pressure control
- Authors:
- Gummidi, Balaji
John, Renu
Burugina Nagaraja, Sharath
Tripathy, Jaya Prasad - Abstract:
- Abstract : Background : A large proportion of people with hypertension do not take medications regularly. There is little understanding of this complex behaviour in India. Methods : A descriptive qualitative study was conducted in two districts of Andhra Pradesh, India, to explore the reasons for irregular intake of anti-hypertensive drugs from patient's and health care provider's (HCP) perspectives. In-depth interviews and focus group discussions were carried out among HCPs and patients with irregular drug intake. Results : The major themes that emerged were: (i) patient's perception of immediate relief and poor awareness about the disease, (ii) patient's misconceptions about the drug and fear of life long medications, (iii) busy schedule and forgetfulness, (iv) health system factors such as lack of patient counselling, high cost of care and non-availability of medicines, and (v) lack of peer/family/social support and social stigma. Conclusion : Better patient education and counselling services and active engagement of family members and peers are needed to improve medication adherence. The NPCDCS program should implement mechanisms to assess and monitor adherence to medications in chronic diseases particularly for hypertension. Impact : Currently there is no strategy to ensure medication adherence in India. The results of the study will be utilized in developing a community model of care to improve the level of adherence and better control of blood pressure. KEYWORDS:Abstract : Background : A large proportion of people with hypertension do not take medications regularly. There is little understanding of this complex behaviour in India. Methods : A descriptive qualitative study was conducted in two districts of Andhra Pradesh, India, to explore the reasons for irregular intake of anti-hypertensive drugs from patient's and health care provider's (HCP) perspectives. In-depth interviews and focus group discussions were carried out among HCPs and patients with irregular drug intake. Results : The major themes that emerged were: (i) patient's perception of immediate relief and poor awareness about the disease, (ii) patient's misconceptions about the drug and fear of life long medications, (iii) busy schedule and forgetfulness, (iv) health system factors such as lack of patient counselling, high cost of care and non-availability of medicines, and (v) lack of peer/family/social support and social stigma. Conclusion : Better patient education and counselling services and active engagement of family members and peers are needed to improve medication adherence. The NPCDCS program should implement mechanisms to assess and monitor adherence to medications in chronic diseases particularly for hypertension. Impact : Currently there is no strategy to ensure medication adherence in India. The results of the study will be utilized in developing a community model of care to improve the level of adherence and better control of blood pressure. KEYWORDS: hypertension; medication adherence; compliance; qualitative study … (more)
- Is Part Of:
- Contemporary nurse. Volume 56:Issue 5/6(2020)
- Journal:
- Contemporary nurse
- Issue:
- Volume 56:Issue 5/6(2020)
- Issue Display:
- Volume 56, Issue 5/6 (2020)
- Year:
- 2020
- Volume:
- 56
- Issue:
- 5/6
- Issue Sort Value:
- 2020-0056-NaN-0000
- Page Start:
- 455
- Page End:
- 465
- Publication Date:
- 2020-11-01
- Subjects:
- Nursing -- Periodicals -- Australia -- Nursing -- Periodicals
Nurses -- Australia -- Periodicals
610.730994 - Journal URLs:
- http://www.tandfonline.com/ ↗
http://www.tandfonline.com/toc/rcnj20/current ↗ - DOI:
- 10.1080/10376178.2020.1844577 ↗
- Languages:
- English
- ISSNs:
- 1037-6178
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 3425.195500
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 17685.xml