Management Practice, and Adherence and Its Contributing Factors among Patients with Chronic Kidney Disease at Tikur Anbessa Specialized Hospital: A Hospital Based Cross-Sectional Study

International Journal of Nephrology
Belayneh KefaleEphrem Engidawork

Abstract

The objective of this study was to assess the management practice, medication adherence, and factors affecting medication adherence in CKD patients at Tikur Anbessa Specialized Hospital (TASH). Methods. A cross-sectional study was conducted at the nephrology clinic of TASH. A total of 256 CKD (stages 1 and 2=50, stage 3=88, stage 4=55, and stage 5=63) patients were recruited through systematic random sampling. Data were collected from medical records and interviewing patients. The rate of adherence was determined using 8-item Morisky medication adherence scale. The data were analyzed using SPSS version 20.0 statistical software. Univariate and multivariate binary logistic regression were used to investigate the potential predictors of medication nonadherence. Results. About 57.3% of diabetes mellitus with hypertension were treated with combination of insulin and ACEI based regimens. Other cardiovascular comorbidities were predominantly treated with Acetyl Salicylic Acid in combination with β-blocker. Only 61.3% (stages 1 and 2=70%, stage 3=73.9%, stage 4=54.5%, and stage 5=43%) of the study population were adherent to their treatment regimens. Forgetfulness (79.8%) was the major reason for medication nonadherence. Patients who ...Continue Reading

References

Dec 11, 2002·JAMA : the Journal of the American Medical Association·Heather P McDonaldR Brian Haynes
Oct 29, 2003·Circulation·Mark J SarnakUNKNOWN American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology,
May 7, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Harold J ManleyRichard S Muther
Aug 5, 2005·The New England Journal of Medicine·Lars Osterberg, Terrence Blaschke
Nov 22, 2005·Seminars in Nephrology·Robert D Toto
Jan 13, 2006·The New England Journal of Medicine·Fan Fan HouRen Wen Geng
Dec 22, 2006·Journal of the American Society of Nephrology : JASN·Suresh MathewKeith A Hruska
Nov 22, 2007·Clinica Chimica Acta; International Journal of Clinical Chemistry·Bi-Cheng LiuLian-Fang Yin
Mar 28, 2008·Pharmacy World & Science : PWS·Magnus Lindberg, Per Lindberg
Nov 15, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Hartmut H MallucheMarie-Claude Monier-Faugere
Nov 19, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Adeera LevinUNKNOWN Canadian Society of Nephrology
May 6, 2009·Annals of Internal Medicine·Andrew S LeveyUNKNOWN CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration)
May 9, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Yi-Wen ChiuRajnish Mehrotra
Oct 13, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Aimun K AhmedA Meguid El Nahas
Feb 13, 2010·Diabetes Care·James W AlbersUNKNOWN Diabetes Control and Complications Trial /Epidemiology of Diabetes Interventions and Complications Research Group
May 18, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Paul MuntnerMonika M Safford
Jul 6, 2010·Pharmacology & Therapeutics·José M López-NovoaFrancisco J López-Hernández
Aug 3, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Dena E RifkinIra B Wilson
Aug 27, 2010·The Permanente Journal·Philip J Tuso
Oct 19, 2010·Journal of Nephrology·Christiane KuglerCynthia L Russell
Feb 24, 2011·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·E J C MagachoM G Bastos
Jun 17, 2011·American Journal of Nephrology·Luca NeriUNKNOWN MigliorDialisi Study Group
Jul 27, 2011·Current Opinion in Nephrology and Hypertension·Nancy A Mason
Aug 3, 2011·Clinics·Maria Carolina CruzRicardo de Castro Cintra Sesso
Nov 2, 2011·Oman Medical Journal·Beena Jimmy, Jimmy Jose
Feb 16, 2012·Kidney International·Guillermo Garcia GarciaJeremy R Chapman
Sep 7, 2012·Journal of the American Society of Hypertension : JASH·Rajiv Agarwal, Arjun D Sinha
Nov 9, 2012·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Vivekanand JhaHaiYan Wang
May 24, 2013·Kidney International·Louise RoySylvie Perreault
Nov 26, 2013·Journal of the American College of Cardiology·Miklos Z MolnarCsaba P Kovesdy
Feb 12, 2014·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Michel BurnierValerie Santschi
Mar 22, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Lesley A InkerHarold I Feldman
May 1, 2013·Kidney International Supplements·Kwabena T AwuahFredric O Finkelstein
Jan 1, 2013·Kidney International Supplements
May 6, 2015·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·UNKNOWN Guideline development group
May 17, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kailin L HsuClarissa J Diamantidis
Jun 9, 2015·PloS One·A Clara Drenth-van MaanenToine C G Egberts
Sep 24, 2015·The American Journal of Medicine·Joseph A VassalottiUNKNOWN National Kidney Foundation Kidney Disease Outcomes Quality Initiative

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.