Review Article
Year: 2021 | Month: February | Volume: 8 | Issue: 2 | Pages: 454-463
DOI: https://doi.org/10.52403/ijrr.20210259
Interventions to Enhance Medication Adherence in Hypertensive Patients: A Systematic Review
Satish S1, Harshitha J2, A R Shabaraya3
1Asscociate Professor, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka - 574 143,
2Student, PharmD, Srinivas College of Pharmacy, Mangalore, Karnataka - 574 143
3Professor & Head, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka - 574 143
Corresponding Author: Harshitha J
ABSTRACT
Hypertension being a major risk factor for Cardio- and Cerebro- Vascular diseases could be termed as silent killer that has affected over 1.56 billion patients per annum. It is a silent killer in both the developed as well as developing nations of the world. Currently about half of people with hypertension (HTN) have uncontrolled blood pressure due to Lack of medication adherence. This paper elaborates the different interventions intended to enhance medication adherence in Hypertensive patients by means of systematic review, thereby broadening the scope of knowledge associated with Medication adherence interventions. In this systematic review authors have tried to collect research evidences of various popular approaches which are being used in the current practices namely, Self- monitoring, Patient counselling/ Patient education (Personalized telephone counselling sessions with health educators), Medication regimen management (Using combination pills to reduce number of pills patients taken daily), Medication taking reminders such as refill reminder calls or use of electronic drug monitors for monitoring and reminding, Pill count, Pill box, Smart app, Audio and Video tape. Traditional self-monitoring patients showed lower medication adherence, tele-nursing was originating to be further effective compared to self-monitoring method. Triple combination pill and fixed dose achieved a target BP. Cost of the monitors and the challenges of integrating their adherence data into clinical care are the barriers to their routine use outside of the research setting in electronically monitored adherence. The use of pill boxes resulted in clinically considerable reductions in systolic BP as well as an increased number of patients meeting prescribed BP goals.
Keywords: Hypertension, Enhancement of Medication adherence, Interventions, Clinical outcomes.
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