ASSESSMENT OF MEDICATION ADHERENCE AMONG HYPERTENSIVE PATIENTS BY USING HILL-BONE COMPLIANCE SCALE IN TERTIARY CARE HOSPITALS QUETTA

Adherence to a drug regimen is usually defined as the extent to which patients take medication as directed by a physician. Adherence to prescription drug regimens is difficult for all patients and is especially challenging for the elderly. Adherence to medication requires a working relationship between a patient or caregiver and a physician who prescribes should be open and honest with regard to medications., i.e. the administration schedule, intended benefits, adverse effects, and costs. Therefore, this study aimed to assess the level of adherence of hypertensive patients in Quetta, by using MMAS-8 and Hill-Bone Compliance ScaleA Cross-sectional descriptive study was conducted in Sandeman Provincial Hospital and Bolan Medical Complex to assess the adherence among hypertensive patients of Quetta, Pakistan. The study has been conducted from start to end was from March 2016 to October 2016. convenience sampling technique was used to collect data. Those patients who were willing to participate and were suffering from hypertension and receiving medical treatment were included in the study. Hill bone compliance scale was used to assess the level of medication adherence. SPSS V 20 used for descriptive and inferential statistics.Respondents mean age was 45.1 years while the minimum age was 21 and maximum were 95. The MMAS-8 mean score of adherence in hypertensive patients was 3.55. and the median score was 3.0. Among 401 majorities of patients, 306 (76.6%) poorly adhered. Ninety-four (23.4%) were had moderate adherence. While only one (0.2%) were having good adherence. The mean score of hill bone compliance Scale in hypertensive patients was 24.16. and the median score was 25.0. 336 (83.4%) had imperfect adherence and 65 (16.2%) have perfect adherence.It is concluded that chronic conditions, particularly hypertension the non-adherence to treatment are one of the major contributing factors to poor management and control of hypertension. So, for better management of Hypertension patients need to be advised or consultation should be given with a special focus on medication adherence so better therapeutic outcomes will be obtained. Keywords: Medication adherence, Hypertensive patients, Hill- bone compliance scale