Abstract: Quality of life (QOL) is a reflection of a person's mental and physical well-being in their everyday life. The objective of the present study is: to know the impact of patient counselling on medication adherence and quality of life and to study the level of medication adherence in hypertension with co-morbidity condition patients. This study was conducted for a period of 6 months (November 2014 to April 2015) in RMMCH, Annamalai University, a 1260 bedded tertiary care teaching hospital in Tamil Nadu. Interventional group patients received patient counselling, patient information leaflets and pictorial patient information leaflets. WHO QOL-BREF questionnaires and Morisky 8- item medication adherence questionnaire scale were the tools used to assess medication adherence and quality of life (QOL). At pre counselling (baseline), 77 (66.6%) had low (>2), 41(32.2%) had medium (1or2) and 9 (7.2%) had high adherences respectively. Level of adherence after post counselling (second follow up) is an evident for progress in patient medication adherence as shown low 48 (37.7%), medium 57 (45.0%) and high 22 (17.3%) adherences. The average quality of life of patient at pre counselling (time of baseline) was 29.715 and at the post counselling (second follow up) increased to 59.28. A statistically significant difference was observed in all the four domains from pre- counselling to post-counselling at p=<0.001 (by using Mann-Whitney rank sum test).The intervention resulted to a positive impact on medication adherence and QOL.
Keywords: Patient counselling, medication adherence, quality of life and hypertension.
Title: To Study The Impact Of Patient Counselling On Medication Adherence And Quality Of Life In Hypertension With Co-Morbidity In A Tertiary Care Teaching Hospital In A Rural Area
Author: VUPPALA VENKATESH, JULIYA JOHNSON, BENCY BENNY, P.K. MANNA, N.CHIDAMABARAM
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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