Medicine Compliance Among Hypertensive Patients with Known Diabetes Mellitus in Sindh, Pakistan

Compliance Among Hypertensive and Diabetic Patients in Sindh

Authors

  • Parus Saleem Assistant Professor, Department of Community Medicine, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Muhammad Sikandar Arain Statistician, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Sidra-tul-Muntaha Assistant Professor of Pediatric Surgery, University of Child Health Sciences and The Children’s Hospital, Lahore, Pakistan
  • Aqsa Kalhoro Lecturer, Institute of Public Health, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Hira Lecturer, Institute of Public Health, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Zoha Sattar Khuharo Final Year MBBS Student, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Faryal Burfat Final Year MBBS Student, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Harima Shahnawaz Final Year MBBS Student, People's University of Medical and Health Science for Women, Nawabshah, Pakistan
  • Abdul Razzaque Nohri Senior Pharmacist, Health Department, Government of Sindh, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i3.1528

Keywords:

Hypertension, diabetes mellitus, medication compliance, non-compliance, chronic disease management, healthcare barriers, Sindh.

Abstract

Background: Hypertension and diabetes mellitus are prevalent chronic conditions, requiring long-term medication adherence for effective management. Non-compliance can lead to severe health complications and increased healthcare costs.
Objective: To evaluate medication compliance among hypertensive patients with known diabetes mellitus in Sindh, Pakistan, and identify key factors contributing to non-compliance.
Methods: This cross-sectional study included 381 participants from various cities in Sindh, selected through convenience sampling. Data were collected using a structured questionnaire covering demographic characteristics, socioeconomic status, and factors influencing medication compliance. Blood pressure was recorded using a sphygmomanometer. Ethical approval was obtained, and data were analyzed using SPSS version 25, with a p-value < 0.05 considered statistically significant.
Results: Of the 381 participants, 67.98% were fully compliant with their medication regimen, while 32.02% were non-compliant. The most common reasons for non-compliance were complex medication regimens (17.21%), side effects (16.39%), and financial constraints (13.93%). Socioeconomic status significantly influenced compliance, with lower compliance observed in the lower socioeconomic group (p < 0.05).
Conclusion: Despite a high compliance rate, a substantial portion of patients remain non-compliant due to regimen complexity and financial barriers. Targeted interventions, including simplified treatment plans and improved patient education, are necessary.

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Published

2024-09-29

How to Cite

Parus Saleem, Muhammad Sikandar Arain, Sidra-tul-Muntaha, Aqsa Kalhoro, Hira, Zoha Sattar Khuharo, Faryal Burfat, Harima Shahnawaz, & Abdul Razzaque Nohri. (2024). Medicine Compliance Among Hypertensive Patients with Known Diabetes Mellitus in Sindh, Pakistan: Compliance Among Hypertensive and Diabetic Patients in Sindh. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1528