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Paper Details

Evaluation of Therapeutic Adherence among Moroccan Hypertensive Patients: About 1482 Cases

Evaluation of Therapeutic Adherence among Moroccan Hypertensive Patients: About 1482 Cases

Oumaima Naour1*, Rime Benmalek1, Imad Nouamou1, Hatim Zahidi1, El Ghali Benouna1, Rachida Habbal1

Journal Title: Journal of Clinical Medical Research
Abstract


Background and Aims: High Blood Pressure (HBP) is a common condition, however, its several complications especially cardiovascular can be associated with significant morbidity and mortality. Hence, the importance of improving its management through patients’ medication, which is a challenge for both the practitioner and the patient. The aim of our study was to evaluate predictive factors of therapeutic adherence in Moroccan hypertensive outpatients. Patients and Methods: We conducted a cross-sectional study from September 2015 to June 2019 including hypertensive patients treated in ambulatory cardiology check-ups. Data was collected from a valid questionnaire: Morisky Medication Adherence Scale (MMAS-8). Results: 1482 patients were included in this study. Good drug adherence was found in 73.6% according to MMAS-8. Poor compliance predictive factors were: lack of social support (p = 0.002), depression (p= 0.017), poor control of hypertension (p <0.0001), insufficient knowledge about the disease (p= 0,031) and some treatment characteristics: daily multiple administration (p = 0.005) and polytherapy (p= 0.005). Conclusion: Non-compliance to antihypertensive treatment remains a public health issue in Morocco responsible of additional cost for both the patient and society. Hence, the urgent need to put in place effective strategies to limit this phenomenon in our population.