THE EFFECTIVENESS OF INFORMATIVE PAMPHLET ON MEDICATION ADHERENCE AMONG CARDIAC PATIENTS IN TERTIARY CARE HOSPITALS PESHAWAR, PAKISTAN

Abstract

Background: Medication adherence taking the right dose of medication on right time according to physician order. The Medication adherence is very necessary for the management of cardiac disease. Different studies say that educating patient (health literacy) increase the medication adherence and the telephonic follow-up act as a reminder for them to be adherent. This evaluate the effectiveness of structure informative pamphlet on medication adherence of cardiac patients.Method:  A Quassi experimental study was undertaken with 72 participants who visited to outpatient department of two private tertiary care hospital in Peshawar Pakistan. The equal distribution of participant was done; 36 patients were in experimental group while 36 patients were in control group. Medication adherence scale (Morisky medication adherence) tool was used for data collection. Result:  The finding of this study revealed that before educating the patients there were no medication adherence at higher level in experimental group; moreover, after 1 week of educating patients it increases to 36 % and further increase to 47% after 2^nd week. In control group at time of 1^st interaction only 8% participants having medication adherence, moreover after 1^st week of visit the patient’s adherence become 10%, furthermore, after 2^nd week of visit the adherence decline to 3%. These finding clearly show that medication adherence in experimental group increase by educating the patients with structure teaching. Conclusion: Educating patient is an effective intervention in cardiac disease management contributing to healthy life. This study proves that educating patient has very significant association with medication adherence so the healthcare workers like Nurses and Doctors can use educational intervention with clinical work to increase the medication adherence which ultimately will increase their wellbeing.