Talha Shamshad, Saira Asghar, Sohaib Shamshad.
Comparison of treatment compliance in hypertensive patients with and without previous history of myocardial infarction.
Isra Med J Jan ;12(3):145-8.

Objective: To assess the correlation of treatment adherence in patients having hypertension with myocardial infarction and without a history of myocardial infarction. Study Design: Descriptive Observational Cross-sectional study Place and Duration: Outpatient Department, Nishtar Hospital, Multan from 1st September, 2017 to 28th February, 2019. Methodology: Hypertensive patients who have been using anti-hypertensive drugs for a year or more were assessed along with their demographic details and type of treatment. Drug adherence was determined using Morisky scale (MMAS-8). A questionnaire for treatment satisfaction from medication was used for determining satisfaction from treatment. Results: The mean age of all 834 participants was 56.36 +- 8.87 and 44.96% patients were on multiple drug therapy, 32.02% were on polytherapy and 23.02% were on monotherapy. The treatment adherence was 12.71% and was found higher in patients with previous history of Myocardial infarction. Four parameters of Treatment Satisfaction Questionnaire for Medication were evaluated in terms of their mean as: convenience =54.84 +- 13.88, effectiveness=65.81+-15.02, satisfaction= 67.29+-13.84, side effects= 37.29+-22.35. Conclusion: Previous history of Myocardial infarction had a positive correlation with adherence. Other factors including Age, education, single drug combination therapy, convenience and satisfaction had a positive, while side effects had a negative correlation with adherence.

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