Factors Related to Adherence to Treatment in Essential Hypertensive Patients with Early Renal Insufficiency

Main Article Content

Kittima Taengsakha Wantana Maneesriwongul Panwadee Putawatana

Abstract

ABSTRACT: This descriptive study examine relationships between demographic factors, knowledge about hypertension, social support, disease characteristics, medication factors, and clinical setting with adherence to treatment among essential hypertensive patients with early renal insufficiency. A sample comprising of 376 essential hypertensive patients was purposively recruited at the hypertension clinic of Luang Phor Pern Hospital in Nakhon Pathom Province. Descriptive statistics, Pearson's Product Moment Correlation and Spearman's Correlation. The research tools included questionnaire on demographic characteristics treatment and clinic characteristics, the Adherence to hypertensive treatment questionnaire, the Hypertension knowledge questionnaire and the Social support questionnaire. These findings revealed that the patients knowledge about hypertension and social support had significantly positive relationships with adherence to treatment. Patients were significant less likely to adhere to treatment, if they had comorbidity or side effects of medications, such as frequent urination or dry coughing. In addition, convenient access and convenient hypertension clinic both had significant relationships with adherence to treatment. However, adherence to treatment did not show significant relationship with demographic factors examined. These findings emphasize the need for educating patients about medication and hypertension treatment, and for ensuring that they have social support from family, friends and health providers, in order to help patients adhere to treatment and thereby control blood pressure and preserve renal functions.

Article Details

How to Cite
1.
Taengsakha K, Maneesriwongul W, Putawatana P. Factors Related to Adherence to Treatment in Essential Hypertensive Patients with Early Renal Insufficiency. Ramathibodi Nursing Journal [Internet]. 22Apr.2019 [cited 18Oct.2019];25(1):87-01. Available from: https://www.tci-thaijo.org/index.php/RNJ/article/view/125605
Section
บทความวิจัย

References

1. World Health Organization. World Health Statistics; 2015 (cited 2016 October 31). Available from: https://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en/

2. Information and Communication Technology Center Ministry of public health. Annual report; 2015 (cited 2016 September 11). Available from: https://thaincd.com/document/file/download/paper-manaul/Annual-report-2015.pdf

3. Bureau of Non Communicable Disease Ministry of Public Health. Report; 2016 (cited 2018 March 1). Available from: https://thaincd.com/2016/media-detail.php?id=12986&gid=1-015-008

4. The Nephrology society of Thailand. Clinical practice recommendation for the evaluation and management of chronic kidney disease in adult; 2015 (cited 2016 May 14). Available from: https://www.nephrothai.org/images/10-11-2016/Final/CKD

5. Krittayaphong R, Rangsin R, Thinkamrop B, Hurst C, Rattanamongkolgul S, Sripaiboonkij N, et al. Prevalence of chronic kidney disease associated with cardiac and vascular complications in hypertensive patients: a multicenter, nation-wide study in Thailand. BMC Nephrol. 2017; 18(1):115. (cited 2017 July 18). Available from: https://www.ncbi.nih.gov/m.pubmed/28372538

6. Bureau of Non Communicable Disease Ministry of Public Health. Report; 2012 (cited 2018 May 25). Available from: https:// thaincd.com/2016/media-detail.php?id=12986&gid=1-015-008

7. Phothisat S, Phongsuthana S. Thailand medical services profile 2011-2014. 1st ed. (cited 2018 May 26). Available from: https://www.hiso.or.th.picture/reportHealth/report/report8.pdf (in Thai)

8. Joint National Committee. The eight report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC VIII); 2013 (cited 2014 October 31). Available from: https://nmhs.net/document/27JNC8HTNGuidelinesBookBooklet.pdf

9. Thai Hypertension Society. Thai guideline on the treatment of hypertension; 2015 (cited 2015 July 11). Available from: https://www.thaihypertension.org/guildeline.html

10 Han WP, Hong SA, Triphat S. Factors relate to medication adherence among essential hypertensive patients in tertiary hospitals in Yangon, Myanmar. Journal of Public Health and Development. 2015 (cited 2016 July 11);13(2):57-70. Available from: https://repossitory.li.mahidol.ac.th/dspace/bitstream/123456789/ 1569/2/ad-ar-sariyamo-2015.pdf

11. Ickovics JR, Meade CS. Adherence to antiretroviral therapy among patients with HIV: a critical link between behavioral and biomedical sciences. J Acquir Immune Defic Syndr. 2002;3(31),98-102.

12. Naewbood S. Factors related to medication adherence among persons with hypertension [thesis]. Nakhon Pathom: Mahidol University; 2007.

13. Komkhuntod C. Factors related to medication adherence among persons with diabetes mellitus type 2 [thesis]. Nakhon Pathom: Mahidol University; 2011. (in Thai)

14. Wongyai S, Maneesriwongul W, Putawatana P. Factors related to medication adherence among patients with diabetes type 2 at diabetics clinic. Journal of Boromarajonani College of Nursing, Bangkok. 2014;30(2):80-9. (in Thai)

15 Maneesriwongul W, Tulathong S, Fennie KP, Williams AB. Adherence to antiretroviral medication among HIV-positive patient in Thailand. J Acquir Immune Defic Syndr. 2006 (cited 2014 October 31); 43(Suppl1): S119-22. Available from: https://mobile.journals.iww.com/jaids/_layouts/oaks.journals.mobile/articleviewer.aspx?

16. Limchareon S, Masingboon K, Kunsonkeit W. Factors related to adherence to treatment among essential hypertensive patients. The Journal of Faculty of Nursing Burapha University. 2007 (cited 2015 November 14); 15(1):63-79. Available from: https://digitalcollect.lib.buu.ac.th/journal/Nursing/15_1/p63-79.pdf (in Thai)

17. Faul F, Erdfelder E, Lang AG, Buchner A.G* Power 30.10 [Internet].2008 (cited 2015 July 15)Available from: https://www.brothersoft.com/gpower-405573.html

18. Meekusol S. A casual model of adherence to hypertensive treatment among women with hypertension in Bangkok. [dissertation]. Nakhon Pathom: Mahidol University; 2018.

19. Pinprapapan A. A casual model of adherence to therapeutic regimens among Thais with hypertension. [dissertation]. Changmai: Changmai University; 2013.

20. Alsolami F, Correa-Velez I, Hou X-Y. Factors affecting antihypertensive medications adherence among hypertensive patients in Saudi Arabia. AJMMS. 2015 (cited 2017 May 25); 5(4):181-9. Available from https://www.sapub.0rg/grobal/showpaperpdf.aspx? doi+10.5923/jcmd.20120204.02

21. Ambaw AD, Alemie GA, WYohannes SM, Mengesha ZB. Adherence to antihypertensive treatment and associated factors among patients on follow up at University of Gondar Hospital, Northwest Ethiopia. BMC Public Health. 2012 (cited 2017 May 25);12:3-6. Available from: https://www.ncbi.nih.gov/pmc/articales/PMC3395566/

22. Teshome DF, Bekele KB, Habitu YA, Gelagay AA. Medication adherence and its associated factors among hypertensive patients attending the Debre Tabor General Hospital, North Ethiopia. Integrated Blood Pressure Control 2017 (cited 2018 September 20);10:1-7. Available from: https://www.dovepress.com/getfile.php? fileID=33992

23. Tepsuriyanont S. Medication adherence behavior among hypertensive adult patients. Journal of The Royal Thai Army Nurses 2017 (cited 2017 December 18); 18(3):115-22. Available from: https://www.tci-thaijo.org/infex.php/JNAE/article/view/92455

24. Maneesriwongul W. The knowledge synthesis of medication adherence for people receiving antiretroviral therapy. In Ningsanon P, Chasombat S, Jirawataphaisan T, Maisuwan S. Lessons learned for enhancing medication adherence for people with HIV/AIDS receiving antiretroviral therapy. Bangkok: The Agricultural Cooperative Federation of Thailand; 2004: 9-20. (in Thai)

25. Chaipermsak P. The role of family support in the control of hypertension [thesis]. Nakhon Pathom: Mahidol University; 2002. (in Thai)

26. Anusakul S. Factors affecting health status perception among hypertensive patients Mae Wang Hospital. [thesis]. Changmai: Changmai University; 2001. (in Thai)

27. Sowapak P. Factors related to drug adherence among elders with hypertension. [thesis]. Songkla: Prince of Songkla University; 2006. (in Thai)

28. Wiwatkunoopakarn S. Drug compliance among essential hypertension patients at Nan Hospital. [thesis]. Nakhon Pathom: Mahidol University; 2001.

29. Wangthanakorn S, Phatidumrongkul C, Khomchan P. Factors affecting medication taking behaviors in hypertensive patients. Songkha Med J. 2008 (cited 2017 December 18);26(6):539-47. Available from: https://medinfo.psu.ac.th/smj2/26_6/pdf-26-6/03-sumalee.pdf (in Thai)