Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study

<i>Background and Objectives:</i> Hypertensive patients’ knowledge and adherence to prescribed medicines are critical in managing their condition, as poor adherence may lead to adverse cardiac and cerebrovascular events. The present study assessed hypertension-related knowledge and medic...

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Main Author: Bashayer Farhan ALruwaili
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/11/1822
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author Bashayer Farhan ALruwaili
author_facet Bashayer Farhan ALruwaili
author_sort Bashayer Farhan ALruwaili
collection DOAJ
description <i>Background and Objectives:</i> Hypertensive patients’ knowledge and adherence to prescribed medicines are critical in managing their condition, as poor adherence may lead to adverse cardiac and cerebrovascular events. The present study assessed hypertension-related knowledge and medication adherence among hypertensive patients attending primary health centers (PHCs) in the Aljouf Province, Saudi Arabia. <i>Materials and Methods:</i> Using a cross-sectional design, we conducted this survey on 390 patients. Self-reported hypertension knowledge was assessed using the Hypertension Knowledge Level Scale (HK-LS), and medication adherence was determined using the Hill–Bone Medication Adherence Scale. We used binomial regression analysis (adjusted with other variables) to find the associated factors of medication adherence. <i>Results:</i> This study found that nearly half (49.2%) of the participants had inadequate knowledge, and poor medication adherence was noted in 40.8% of the participants. We found a positive correlation between HK-LS and the Hill–Bone Medication Adherence Scale scores (Spearman’s rho = 0.312, <i>p</i> = 0.002). Medication adherence was significantly associated with job status (private sector (ref: public sector, adjusted odds ratio [AOR] = 2.02, 95% CI = 1.18–3.62, <i>p</i> = 0.005)), living in an urban region (ref: rural, AOR = 3.61, 95% CI = 1.85–5.72, <i>p</i> = 0.002), and duration since diagnosis of more than 5 years (ref: ≤1 year, AOR = 3.53, 95% CI = 2.36–4.95, <i>p</i> = 0.001). <i>Conclusions:</i> The present study findings indicate that there is still a critical gap in managing hypertension at the PHCs in this region, and this may lead to poor health outcomes among the patients and burden the healthcare system. Hence, continuous patient education and targeted counseling are recommended for those with poor medication adherence.
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spelling doaj-art-8b5a7117ced5488bb07948cb92edcad82025-08-20T01:53:54ZengMDPI AGMedicina1010-660X1648-91442024-11-016011182210.3390/medicina60111822Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional StudyBashayer Farhan ALruwaili0Department of Family and Community Medicine, College of Medicine, Jouf University, Sakaka 72388, Saudi Arabia<i>Background and Objectives:</i> Hypertensive patients’ knowledge and adherence to prescribed medicines are critical in managing their condition, as poor adherence may lead to adverse cardiac and cerebrovascular events. The present study assessed hypertension-related knowledge and medication adherence among hypertensive patients attending primary health centers (PHCs) in the Aljouf Province, Saudi Arabia. <i>Materials and Methods:</i> Using a cross-sectional design, we conducted this survey on 390 patients. Self-reported hypertension knowledge was assessed using the Hypertension Knowledge Level Scale (HK-LS), and medication adherence was determined using the Hill–Bone Medication Adherence Scale. We used binomial regression analysis (adjusted with other variables) to find the associated factors of medication adherence. <i>Results:</i> This study found that nearly half (49.2%) of the participants had inadequate knowledge, and poor medication adherence was noted in 40.8% of the participants. We found a positive correlation between HK-LS and the Hill–Bone Medication Adherence Scale scores (Spearman’s rho = 0.312, <i>p</i> = 0.002). Medication adherence was significantly associated with job status (private sector (ref: public sector, adjusted odds ratio [AOR] = 2.02, 95% CI = 1.18–3.62, <i>p</i> = 0.005)), living in an urban region (ref: rural, AOR = 3.61, 95% CI = 1.85–5.72, <i>p</i> = 0.002), and duration since diagnosis of more than 5 years (ref: ≤1 year, AOR = 3.53, 95% CI = 2.36–4.95, <i>p</i> = 0.001). <i>Conclusions:</i> The present study findings indicate that there is still a critical gap in managing hypertension at the PHCs in this region, and this may lead to poor health outcomes among the patients and burden the healthcare system. Hence, continuous patient education and targeted counseling are recommended for those with poor medication adherence.https://www.mdpi.com/1648-9144/60/11/1822adherencedietknowledgehypertensionpatient education
spellingShingle Bashayer Farhan ALruwaili
Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study
Medicina
adherence
diet
knowledge
hypertension
patient education
title Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study
title_full Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study
title_fullStr Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study
title_full_unstemmed Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study
title_short Evaluation of Hypertension-Related Knowledge, Medication Adherence, and Associated Factors Among Hypertensive Patients in the Aljouf Region, Saudi Arabia: A Cross-Sectional Study
title_sort evaluation of hypertension related knowledge medication adherence and associated factors among hypertensive patients in the aljouf region saudi arabia a cross sectional study
topic adherence
diet
knowledge
hypertension
patient education
url https://www.mdpi.com/1648-9144/60/11/1822
work_keys_str_mv AT bashayerfarhanalruwaili evaluationofhypertensionrelatedknowledgemedicationadherenceandassociatedfactorsamonghypertensivepatientsinthealjoufregionsaudiarabiaacrosssectionalstudy