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23-11-2018

Association between medication adherence and quality of life of patients with diabetes and hypertension attending primary care clinics: a cross-sectional survey

Auteurs: Sarah M. Khayyat, Mahmoud M. A. Mohamed, Salwa M. Saeed Khayyat, Raghda S. Hyat Alhazmi, Mulham Fouad Korani, Ebtesam Bakheet Allugmani, Sarah Fathallah Saleh, Deyaa Abdulla Mansouri, Qasim A. Lamfon, Osama Mohammed Beshiri, Muhammad Abdul Hadi

Gepubliceerd in: Quality of Life Research | Uitgave 4/2019

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Abstract

Purpose

To evaluate the association between medication adherence and quality of life (QoL) of patients with diabetes and/or hypertension attending primary care clinics.

Methods

In this cross-sectional study, patients with at least one long-term condition (hypertension or diabetes mellitus) meeting the eligibility criteria were recruited from five primary care clinics in Saudi Arabia. Arabic version of Morisky Medication Adherence Scale (MMAS-8) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) tool were used to assess medication adherence and QoL, respectively. Patients’ sociodemographic, medical and medication data were collected using a structured, pilot-tested data collection form.

Results

Three hundred patients with a mean (± SD) age of 56.79 (12.8) years participated in the study. Fifty-eight had hypertension only, 96 had diabetes (Type 1 or 2), and 146 had both hypertension and diabetes. After adjusting for socioeconomic characteristics, multiple linear regression analysis found that adherent patients had significantly higher mean overall perception of QoL and health scores by 14.6 (P = 0.001) and 17.2 (P = 0.001) points, respectively, compared to non-adherent patients. In addition, irrespective of the type of long-term condition, adherence status was found to be an independent predictor of all QoL domains.

Conclusion

There is an association between medication adherence and QoL among patients with diabetes and/or hypertension attending primary care clinics. Medication adherence should be assessed and emphasised during routine clinical consultations in primary care in order to achieve the desired clinical outcomes and overall well-being of patients.
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Metagegevens
Titel
Association between medication adherence and quality of life of patients with diabetes and hypertension attending primary care clinics: a cross-sectional survey
Auteurs
Sarah M. Khayyat
Mahmoud M. A. Mohamed
Salwa M. Saeed Khayyat
Raghda S. Hyat Alhazmi
Mulham Fouad Korani
Ebtesam Bakheet Allugmani
Sarah Fathallah Saleh
Deyaa Abdulla Mansouri
Qasim A. Lamfon
Osama Mohammed Beshiri
Muhammad Abdul Hadi
Publicatiedatum
23-11-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-2060-8