Hypertension is a chronic medical condition which remains inadequately managed everywhere. Medication adherence (MA) is a critical parameter for achieving strict blood pressure (BP) control in patients undergoing antihypertensive therapy (AHT). Good MA is also a key factor determining the success of preventive measures for cardiovascular (CV) risk reduction. So, the objective of this research was to study the medication adherence and blood pressure control among hypertensive patients of Pokhara Valley. A randomized community-based prospective study was conducted in different places of Pokhara. In the study, a structured questionnaire i.e. Brief medication questionnaire (BMQ) with a high sensitivity and specificity was used. Out of 79 respondents enrolled, most of the respondents (n=51, 64.6%) were shown to be non-adherent and only 28 (35.4%) were adherent to the prescribed AHT. The study showed that among adherers, 75% were undergoing monotherapy and 64.3% (n=18) had their BP under control. The comparison between BP control and the different occupation showed that the highest percentage of BP control was achieved in housewives. Most of the respondents were non-adherent to the prescribed AHT which requires special attention of the healthcare providers.
Hypertension is a common disease of the present world. Patient characteristics and use of anti-hypertensive agents directly affect the development and control of hypertension respectively. So, the objective of this study was to determine the patient demographics and drug prescription pattern among hypertensive patients of Pokhara valley. A community based descriptive cross-sectional study was conducted in different places of Pokhara valley. Performa was used for the collection of data and analysis was done using MS-excel and SPSS (version 17.0). The study showed that majority of the hypertensive patients were males of Brahmin and Newar community with susceptible age group of 60-69 years. Majority of the patients were non-vegeterian, non-alcoholic and non-smoker. The anti-hypertensive prescription pattern revealed that 80% of the patients were on monotherapy and calcium channel blockers were the mostly prescribed medication. Prescription of anti-hypertensive agents along with other medications for concomitant diseases was also observed. The prescription pattern was found to be rational and should be regularly monitored.
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