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Vol. 9, Issue 6 (2020)

A study on assessment of medication adherence in Hemodialysis patients

Author(s):
Harshitha JR Gowda, Ashwini Shastry K, Roshini Narula and R Srinivasan
Abstract:
Background: Medication incompliance is one of the major problems with increase in Medications and Disease complications. The study aims in assessing Medication Adherence in Indian Population undergoing haemodialysis.
Objectives: To investigate and assess medication adherence in haemodialysis patients, deduce the commonly occurring comorbid condition in haemodialysis patients, access knowledge about medication adherence, find the prevalence of Hypertension, Diabetes Mellitus, and Anaemia in haemodialysis patients.
Methodology: A prospective observational study was conducted in the department of nephrology in BGS Gleneagles Hospital, Bengaluru for a period of 6 months.
Results: Out of 89 patients 61 (68.53%) were male and 28 (31.46%) were female. Morisky Green Levine scale was used to deduce the medication adherence, Pre-counselling data revealed that out of 89 patients 3 (3.37%) were highly adherent, 72 (80.89%) showed medium level of adherence and 14 (15.73%) showed low level of adherence. The post counselling data revealed improvement in adherence level. 39.3% high adherence was found in males and 39.2% was observed in females. Medium level of adherence was seen in 59.01% males and 60.71% females. Low level of adherence was observed in 0.016% males and 0% in females was observed. Fluid overload status 16 (13%), hypotension 5 (4.06%), hypertension 04 (3.25%), breathlessness 3 (2.43%), pain at fistula site 02 (1.62%), hypoglycaemia 02 (1.62%), abdominal pain 02 (1.62%), weakness, itching and cramps 3 (2.43%), and chills, fever and body pains 02 (1.62%) were the Intradialytic complications observed.
Conclusion: From the present study it can be concluded that many forget to take medication as prescribed. Some have shown non-adherence because of the fear of early death or forget to carry their medications with them, some stopped taking the medicine when they feel better. Very few claimed that they complete the course of the prescribed medication. The study also revealed that patients in 35-60 age groups have higher level of adherence both before and after counselling, the prevalence of hypertension diabetes mellitus and other comorbid conditions in CKD seems to follow an increasing trend with increasing age. Special consideration is required for the diagnosis and management of Intradialytic complications because such complications could be managed successfully without the need for termination of the dialysis procedure.
Pages: 253-258  |  673 Views  205 Downloads


The Pharma Innovation Journal
How to cite this article:
Harshitha JR Gowda, Ashwini Shastry K, Roshini Narula, R Srinivasan. A study on assessment of medication adherence in Hemodialysis patients. Pharma Innovation 2020;9(6):253-258.

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