Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus

CHEN Weier; QIU Yan; PAN Xiaohua; YE Yun; REN Jingjing

doi:10.16766/j.cnki.issn.1674-4152.003460

Volume 22 Issue 4

Apr. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(4): 601-604

CHEN Weier, QIU Yan, PAN Xiaohua, YE Yun, REN Jingjing. Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(4): 601-604. doi: 10.16766/j.cnki.issn.1674-4152.003460

Citation:

CHEN Weier, QIU Yan, PAN Xiaohua, YE Yun, REN Jingjing. Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(4): 601-604. doi: 10.16766/j.cnki.issn.1674-4152.003460

Citation:

CHEN Weier, QIU Yan, PAN Xiaohua, YE Yun, REN Jingjing. Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(4): 601-604. doi: 10.16766/j.cnki.issn.1674-4152.003460

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Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus

doi: 10.16766/j.cnki.issn.1674-4152.003460

CHEN Weier^{1, 2}
, QIU Yan¹
, PAN Xiaohua²
, YE Yun³
, REN Jingjing^{1
,
,}

1.
Department of General Practice, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China

Funds:

2020ZYC-A119

2020ZHA-KEB323

Received Date: 2023-11-03
Available Online: 2024-05-29

Abstract

Abstract

Objective The study aimed to assess the medication compliance status in hypertensive patients combined with diabetes mellitus and to explore the influencing factors based on socio-demographic characteristics, lifestyle behaviors, and medical records. Methods Between November 2021 and March 2022, a total of 381 patients from four community hospitals in Ningbo were randomly selected as participants. They were surveyed using a questionnaire based on the Chinese version of the 8-item Morisky medication adherence scale (MMAS-8). Binary logistic analysis was used for data analysis. Results The average medication adherence score for 381 patients combined hypertension and diabetes mellitus was (5.67±1.05) points, with 163 patients (42.78%) demonstrating high adherence. Univariate analysis revealed that significant associations between medication adherence and various factors, including gender, medical payment methods, daily medication types, daily medication frequency, and alcohol consumption (P < 0.05). Multiple logistic regression revealed that patients with medical insurance for urban workers payment had higher medication compliance (OR=2.141, 95% CI: 1.346-3.405, P=0.001). Additionally, patients with a daily medication frequency of ≥3 (OR=0.438, 95% CI: 0.208-0.921, P=0.030) and those with daily medication types ≥3 (OR=0.342, 95% CI: 0.216-0.540, P < 0.001) exhibited lower medication compliance. Conclusion The medication compliance among patients with combined hypertension and diabetes mellitus is suboptimal, primarily influenced by factors such as daily medication frequency, daily medication types, and medical payment methods. Therefore, proactive interventions should be implemented based on these influencing factors.
- Hypertension,
- Diabetes mellitus,
- Multimorbidity,
- Medication adherence,
- Influencing factors

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References(22)

References

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