Correlation Between Educational Level and Medication Adherence Using Morisky Medication Self Adherence Scale (MMAS) in Hypertensive Patients: An Analytical Study

Author : A. F. Khalid, D. Ilmasari, M. G. Suwandi
Upload Date : 19-04-2018

Background: Medication Adherence is defined as the extent to which patients accept and follow the instructions they are given for prescribed treatments. Many factors contribute to medication adherence, including educational level. In hypertension, poor adherence has been identified as the main cause of failure to control hypertension. Studies have shown that in many countries, less than 25% of hypertensive patients treated to achieve maximum blood pressure. If this condition left unfixed, it will not only affects patient’s safety, but also increase country’s economic burden by its complication.

Method: Data was taken from patients at Cililin Primary Health Center. Patient’s blood pressure was measured by standard sphygmomanometer following AHA recommendation. Morisky Medication Self Adherence Scale was used to determine adherence of each patient (Figure 1). Educational level was divided into elementary school (SD), Junior High School (SMP), Senior High School (SMA), and College (Diploma/Sarjana). The association between both variable will be determined using spearman correlation test.

Result: Fifty one patient were found in this study, which 36 (70.6%) of them were female. There was no significant difference between elderly (n= 30) and adult in this study. The average age of those patients were 58 ± 10.25 years old. Most of patient’s last formal education was elementary school (n=16), followed by Senior High School (n=14), Junior High School (n=13), and College (n=8) (Figure 2). Data showed that 30 patients (58.8%) already had hypertension more than 5 years. Data also showed that only 6 patients (11.8 %) had high adherence to their medication, while 22 patients (43.1 %) had low adherence and 23 patients (45.1 %) had medium adherence (Figure 1). The average score of MMSA were 2.37 ± 1.66. Moderate negative correlation (r= 0.424) had been found between educational level and patient’s compliance.

Conclusion: Educating patients about the importance of hypertensive medication is one of the most challenging thing to do. Moderate association between educational level and drug compliance have been found in this study. It is important to know patient’s last formal education to give a better education about how to take their medication.

KEYWORDS : Educational Level, Hypertension, MMAS, Medication Adherence

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