Adherence to Treatment and Level of Satisfaction Among Saudi Hypertensive Patients: A Multi-City Study

Alshahrani, Eid H; Aljohani, Reham S; Sahli, Angham A; Alruwaili, Wejdan S; Almohini, Ibrahim A.; Almodaimegh, Hind

doi:10.7759/cureus.20189

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Approximately three quarters of the caregivers are satisfied with the treatment received by the patients and 95% of them consider it easy or very easy to follow the prescribed treatment regimen. This factor seems to be intrinsic to the caregiver as it is consistent with another study focused on adherence and satisfaction in patients with hypertension ( 51 ). Furthermore, dementia is a disease that affects the well-being of caregivers ( 52 ), and the inclusion of the caregivers' perspective is necessary to gain a better understanding of the experience of those living with dementia as included in the study.…”

Section: Discussionsupporting

confidence: 87%

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Muñoz-Contreras

Segarra

López-Román

et al. 2022

Front. Public Health

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BackgroundAlzheimer's disease (AD) and other dementia patients may have severe difficulties to ensure medication adherence due to their generally advanced age, polymedicated and multi-pathological situations as well as certain degree of cognitive impairment. Thus, the role of patient caregivers becomes crucial to warrantee treatment compliance.PurposeTo assess the factors associated to patients and caregivers on medication adherence of patients with AD and other types of dementia as well as the degree of caregiver satisfaction with respect to treatment.MethodsAn observational, descriptive, cross-sectional study among the caregivers of 100 patients with AD and other types of dementia of the “Cartagena and Region Association of Relatives of Patients with Alzheimer's Disease and other Neurodegenerative Diseases” was conducted to assess patient and caregiver factors that influence medication adherence evaluated with the Morisky-Green-Levine test.ResultsOverall, adherence to treatment was 71%, with similar proportions between male and female patients. Greater adherence was found in married or widowed patients (49.3%), first degree (85.9%) or female (81.7%) caregivers but lower in AD patients (75.9%). Multivariate analysis showed a statistically significant positive association between non-adherence and male sex of the caregiver (OR 3.512 [95%IC 1.124–10.973]), dementia (OR 3.065 [95%IC 1.019–9.219]), type of caregiver (non-first-degree relative) (OR 0.325 [95%IC 0.054–0.672]) and civil status of the patient (OR 2.011 [95%IC 1.155–3.501]) favorable for married or widowed patients. No or week association was found with gender, age, education level, number of drugs used or polymedicated status of the patient. Caregivers considered the use (90%) and administration (91%) of the treatment easy or very easy and rarely interfered with their daily life, especially for female caregivers (p = 0.016). Finally, 71% indicated that they were satisfied or very satisfied with the treatment received by the patient.ConclusionsCaregivers influence therapeutic management with predictors for improved adherence including female gender and first-degree kinship, together with patient's marital status. Thus, training caregivers about the disease and the importance of medication adherence in AD patients may ensure optimal treatment.

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Section: Discussionsupporting

confidence: 87%

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Muñoz-Contreras

Segarra

López-Román

et al. 2022

Front. Public Health

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“…This result may be because women are more sensitive to disease perception ( 42 ) and adopt more health-seeking behaviors ( 54 , 55 ). Therefore, women have more opportunities to communicate with doctors and receive more medical information about their diseases, which helps build a trusted doctor-patient relationship ( 26 , 56 ).…”

Section: Discussionmentioning

confidence: 99%

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

Zhou

Chen

Tan

et al. 2023

Front. Public Health

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IntroductionHypertension is a growing public health concern worldwide. It is a leading risk factor for all-cause mortality and may lead to complications such as cardiovascular disease, stroke, and kidney failure. Poor compliance of hypertensive patients is one of the major barriers to controlling high blood pressure. Compliance is not ideal among Chinese patients, and increasing patient self-care compliance with hypertension is necessary.MethodsThis article analyzes the status of self-care compliance, trust, and satisfaction among Chinese hypertensive patients using cross-sectional data from Zhejiang Province. We use a multi-group structural equation model (MGSEM) to compare the interrelationships across genders.ResultsThe study's findings show that the average trust, satisfaction, and compliance scores are 3.92 ± 0.55, 3.98 ± 0.61, and 3.33 ± 0.41, respectively. Female patients exhibit higher average total scores for trust and compliance than male patients. The SEM results indicate that trust has a direct positive association with compliance [β = 0.242, 95% CI: (0.068, 0.402)] and satisfaction [β = 0.260, 95% CI: (0.145, 0.367)], while their satisfaction is not directly associated with compliance. The results of MGSEM show that trust has an indirect effect on compliance in the male group through satisfaction [β = 0.051, P < 0.05, 95% CI: (0.012, 0.116)]. In the female group, trust has a direct effect on satisfaction [β = 0.235, P < 0.05, 95% CI: (0.041, 0.406)] and compliance [β = 0.319, P < 0.01, 95% CI: (0.086, 0.574)].DiscussionThis study reveals the mechanisms of self-care compliance, trust, and satisfaction among Chinese hypertensive patients. Its findings may serve as a reference for guiding primary healthcare providers to improve hypertension patients' compliance and implement gender-targeted health interventions.

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“…As a result, when their expectations were not met, they were unsatisfied. A recent study aimed at evaluating medication adherence and satisfaction among hypertensive patients demonstrated that the greater the education, the lower the satisfaction with healthcare services [ 17 ]. Several studies have also found a link between satisfaction and education levels [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many patients who present with chronic diseases and comorbidities to primary health care are elderly and usually managed by family medicine specialists. Prescription of complex medication regimens is widespread in healthcare centers [16][17][18]. Thus, simplifying medication regimens and educating them in sufficient time and efficient communication help in increasing the satisfaction, perception, and continuity of medication and adherence [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Patient Satisfaction and Comprehension of Physician and Pharmacist Prescription in Saudi Arabia: A Cross-Sectional Study

Alharbi¹,

Alhutayrashi²,

Alosaimi³

et al. 2022

Cureus

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Background and objectivesPatient satisfaction is a measure of patient quality of life, and the perspective and experience of patients would further improve different aspects of healthcare services of both the health plan and health care. This study aims to assess patient satisfaction with both physicians and pharmacists, as well as how well patients comprehended their prescriptions. MethodsThis was a cross-sectional, survey-based study conducted from January to April 2022 in Saudi Arabia. An online survey was spread through social media and was filled out over two months. The survey received 575 responses and it included participants' demographics and general satisfaction toward both physicians and pharmacists and healthcare services. Two modified tools, i.e., the Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ 2.0) and the Patient Satisfaction Questionnaire (PSQ-18), were used for this study. ResultsThe participants were very satisfied (overall satisfaction: 82.5%) with their education on how to take medicine (87.1%), and the information was easy to understand (89.9%), they were able to ask for more information (67.7%), and the explanations were very clear (84.0%). The level of satisfaction toward healthcare services with both the physician and pharmacist was high (78% with a mean score of 50.7 ± 9.8). The self-perceived general satisfaction toward participant capacity and comprehension by bio-demographic data was higher in females than in males (3.34 ± 1.0 vs. 3.13 ± 1.14, respectively), with a statistically significant difference (p = 0.032). The satisfaction toward healthcare services with both physicians and pharmacists was higher in participants with low education levels compared with those with higher education levels (54.7 ± 8.3 vs. 50.3 ± 10.0; p = 0.049), respectively. ConclusionsThe current study demonstrated a high level of satisfaction among participants with healthcare services and both physicians and pharmacists in general. The majority of the participants were satisfied with the education they received, and they considered the information on how to take the drug to be simple to comprehend.

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Adherence to Treatment and Level of Satisfaction Among Saudi Hypertensive Patients: A Multi-City Study

Cited by 5 publications

References 22 publications

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

Patient Satisfaction and Comprehension of Physician and Pharmacist Prescription in Saudi Arabia: A Cross-Sectional Study

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