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Research Article Open Access
The positive interactions between clinician and patient and demonstration of empathy for the patient will promote trust and respect and enhance motivation of patients to take medications. Patients need to be educated about hypertension and the goals of treatment and be brought into the decision-making process.The objectives of the study were to assess the medication adherence and medication knowledge of hypertensive patients before and after Clinical Pharmacist education. It was a hospital prospective based study conducted for a period of 3 months in a prince sultan military hospital Riyadh, hypertensive patients were enrolled by considering inclusion and exclusion criteria. Medication adherence and medication knowledge questionnaires were asked before Clinical Pharmacist intervention. Eighty six patients completed the three month follow up study out of 90 enrolled patients. There was statistically significant improvement (P<0.0001) in medication adherence score and medication knowledge level from baseline to final follow up. Comparison of demographic factors like gender, diagnosis, duration of disease, education status showed equal impact of pharmacist counseling on improvement of overall medication adherence and medication knowledge score. The non-compliance reasons to stop/miss medication as told by patients were 54(62.79) patients forgetfulness, 16(18.60%) high cost of medications, 2(2.32%) patients lack of access to hospital/drug store, 5(5.8%) fear of side effects, 8(9.30%) lack of information, 1(1.16%) engaged in the daily work, 1(1.16) fear of dependent on the medicine. The finding of this study showed that a well-structured hypertensive patient counseling by Clinical Pharmacist intervention will result in better medication adherence and improves medication knowledge.
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Author(s): Mohammed Jameel Patel, Lokesh Shetty, Ahmed Rasras