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Volume 19, Issue 12


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From the Editor

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Knowledge around back pain and spinal disorders among Aseer patients: A cross sectional study
[Abstract]
[pdf]
Ibrahim Alburaidi, Saleh Saeed AlQahtani, Fahad mohammed saran, Zuhair Abshan Alshehri,
Rayan Dulaym Dashnan, Sultan Abdullah Al Mansour, Faisal al-Jahami, Shaker Alshehri,
Hani Fayez Ahmed Alasmari, Jamal Saad Saeed Alqahtani, Meshari Shar Alshehri
DOI: 10.5742/MEWFM.2021.94171

Environmental Triggers in Migraine patients in Riyadh: A Cross-Sectional Study
[Abstract]

[pdf]
Awad Al Harbi, Nada Hussain Alzahrani, Hanan Abdulkarim Alsuhibany, Manal Abdullah Al-Dosari, Reeman Salman Alsalman, Alanoud Abdulaziz Alkhalifah (2)
DOI: 10.5742/MEWFM.2021.94172

Job Satisfaction among Primary Health Care Workers in Buraidah, Qassim, Saudi Arabia
[Abstract]
[pdf]
Entisar AlJumail, Unaib Rabbani
DOI: 10.5742/MEWFM.2021.94173

Barriers to Compliance of Hypertensive Patients in Abha City, Saudi Arabia
[Abstract]
[pdf]
Alhussein Ali Almonawar, Ali Saeed Alasmary, Mohammed Mabkhoot Mogbel,
Hassan Mussa Almojamad
DOI: 10.5742/MEWFM.2021.94177

Disappearance of hepatitis C virus antibodies with hydroxyurea therapy in sickle cell diseases
[Abstract]
[pdf]
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2021.94177

School Teachers' Knowledge and Attitude toward School Students with Epilepsy
[Abstract]
[pdf]
Rawan S. AlSuqair,Mohrah A. Alyabis,Marwa A. Algadi, Asmaa Attieh, Labani A. Juha,
Rama G. Alawa, Sarah G. Alghannam, Noora Z. Alsaadoon, Nervana A. Elsayed, Mona A. Alfadeel
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Regional Covid

Increased Psychological Disorders among Pediatric Population during Covid
[Abstract]
[pdf]
Hamda Ahmed J H AlQaatri
DOI: 10.5742/MEWFM.2021.94174

Letter to the Editor
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Mark Spigelman
DOI: 10.5742/MEWFM.2021.94192

Population and Community Studies

Patterns and determinants of Z score of Height for Age, Weight for Age and Weight for Height among Preschool children in Jeddah city, Saudi Arabia
[Abstract]
[pdf]
Fathi M. El-Gamal, Nuha Alsubhi, Shahd Badr, Nada Althaqafi, Fatima Al-Qadasi, Mariyam Hammed DOI: 10.5742/MEWFM.2021.94179

Effectiveness of Community Mental Health Service in Oman: A Pilot Study
[Abstract]
[pdf]
Saleha Al-Jadidi, Ahmed. S. Aboalatta, Iman Al-Rahbi, Maryiam Al-Harrasi,
Hamood AlRauzaiqi, Musa Abu Sabeih, Thuraiya AlGammari, Ahmed Al-Shammakhi
DOI: 10.5742/MEWFM.2021.94180

Proton Pump Inhibitors Awareness among Physicians and Pharmacists in Primary Healthcare Centres in Abha, Saudi Arabia
[Abstract]
[pdf]
Ibrahim Hasan Alasmari, Majed Mohammed AL Saleh, Majed Ali Alahmari, Sawsan Mohammad Asiri, Aljawhara Yahya Asiri
DOI: 10.5742/MEWFM.2021.94184

Knowledge, Attitude and Practice of Non-Psychiatric Physicians about Addiction
[Abstract]
[pdf]
Saeed M. Al-Ahmari, Ali A. Almusa, Ali A. Alshomrani, Waleed S.H. Al Ahmary,
Zahra S.A. Assiry, Suad M.S. Alqahtany, Ahmed Yahya Asiri, Turki Hassan Alqahtani,
Nasser Saeed Alassiri, Ossama A. Mostafa
DOI: 10.5742/MEWFM.2021.94185

Risk Factors for Diabetic Ketoacidosis among Type 1 Diabetic Children Registered at "Heraa Diabetes Center" in Makkah Al-Mokarramah City, Saudi Arabia
[Abstract]
[pdf]
Waleed K. Ballaji, Hassan M. Hadadi
DOI: 10.5742/MEWFM.2021.94186

Physicians’ Perspectives of Barriers to Insulin Initiation for Adults with Type 2 Diabetes Mellitus in Primary Health Care Centers (PHCCs), Tabouk Province - Kingdom of Saudi Arabia (KSA)
[Abstract]
[pdf]
Sameh F. Ahmed, Ghurmallah A. Alghamdi, Amerah A. Albalawi, Majed S. Alqahtani, Ibrahim M. Ghonim, Hoda M. Elhady, Shimaa A. Abdelhamid, Abderahman A. Eldesouky
DOI: 10.5742/MEWFM.2021.94189

Review

Role of SGLT2 Inhibitors and GLP-1 Analogs in Cardiovascular Risk Reduction in Type 2 Diabetes
[Abstract]
[pdf]
Mostafa Hamdy Rashed, Tonbra Deborah Dauyoumor, Sarah Corney,
Kimberly Konono, Nadia Joubert, Marwa Mohamed, Michon Sukhoo-Pertab,
Mobowa Makhomisane, Irene Njeri, Julius Mwita, Mariam Sefen,
Khadija Mohamed, Nicolette Whiley
DOI: 10.5742/MEWFM.2021.94188

Diagnostic approach to eosinophilia in children
[Abstract]
[pdf]
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DOI: 10.5742/MEWFM.2021.94190

Original Clinical Research

Machine Learning in Otorhinolaryngology, Head and Neck Surgery and its applications in diagnosis and management: Undergraduates Perception toward New Era
[Abstract]
[pdf]
Saleh Abdulmoneim Alomary, Belal Abdullah Alorainy , Naif Saleh Albargan, Fahad Z. Alotaibi
Feras Alkholaiwi
DOI: 10.5742/MEWFM.2021.94191

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Chief Editor -
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December 2021 - Volume 11, Issue 12

Barriers to Compliance of Hypertensive Patients in Abha City, Saudi Arabia

Family Medicine Consultants, Ministry of Health, Saudi Arabia

Corresponding author:
Dr. Alhussein Ali Almonawar,
Family Medicine Consultant, Ministry of Health, Saudi Arabia
Email: monawar7@gmail.com

Received: October 2021; Accepted: November 2021; Published: December 1, 2021.
Citation: Alhussein Ali Almonawar et al. Barriers to Compliance of Hypertensive Patients in Abha City, Saudi Arabia. World Family Medicine. 2021; 19(12): 34-42. DOI: 10.5742/MEWFM.2021.94177

Abstract


Aim of Study: To measure non-compliance and to identify barriers to compliance among hypertensive patients.

Patients and Methods: A total of 200 hypertensive patients attending Al-Qabel Primary Health Care (PHC) Center since at least one year were included in this study. A structured data collection interview questionnaire was used. To assess non-compliance of hypertensive patients, the Hill-Bone Non-Compliance to High Blood Pressure Therapy Scale was used.

Results: Only 11% of hypertensive patients were highly compliant. The main barriers for full compliance were forgetfulness (39%) and being asymptomatic (30%). Some patients were non-compliant as a result of disliking the manner of medical service provided by the primary health care (PHC) team (16%), or they felt the need to take some rest from the daily antihypertensive medication (15.5%). Controlled blood pressure was achieved among 58% of patients. Saudis were significantly more non-compliant than non-Saudis (p<0.001). Married patients expressed significantly higher non-compliance than single patients (p=0.015). Non-compliance scores were significantly higher among smokers than non-smokers (p<0.001); and significantly higher among patients who were treated with multiple antihypertensive drugs (p=0.019). Patients with uncontrolled systolic or diastolic blood pressure had significantly higher non-compliance mean scores (p<0.001 for both).

Conclusions: Non-compliance of hypertensive patients attending PHC settings in Abha is high. Main barriers against full compliance of hypertensive patients are forgetfulness, absence of symptoms, dissatisfaction with provided health care and being tired of treatment side effects. Non-compliance is significantly higher among younger, newly diagnosed, Saudi, married and smoker patients. Non-compliance is also significantly higher among hypertensive patients on multiple antihypertensive medications.

Recommendations: Health education of hypertensive patients should cover information on the disease, medication, exercise, diet and follow up visits. Patients should be advised to include self-reminders to avoid missing intake of medication and follow up visits. Hypertensive patients should be advised to avoid smoking. PHC physicians should spend enough time with their hypertensive patients listening to their complaints and to meet patients’ expectations of a consultation and to avoid any unnecessary over-prescription of multiple anti-hypertensive medications.

Key words: Hypertension, Barriers to compliance, Primary care, Saudi Arabia.







 


 

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