MEDICATION ADHERENCE IN PATIENTS OF ISCHEMIC HEART DISEASE DURING FOLLOW-UP: A PROSPECTIVE STUDY AT TERTIARY CARE HOSPITAL

Non-adherence to treatment can negatively affect the result for the patient and the prescriber. On the other hand, high adherence reduces health care cost and improves the quality of life in patients suffering from chronic diseases. This prospective study was carried out on outdoor patients of ischemic heart disease after discharge from the indoor patient department. The modified Morisky Scale is used to assess the patient’s medication adherence. The Chi-square Test assessed the significance of the difference in data. After enrollment, 370 out of 400 patients came to the hospital for follow-up (non-interventional group=295 patients and interventional group=75 patients). 89.83% of patients in the non-interventional group while 94.67%patientsin the interventional group had high adherence in the motivation scale. This difference was found statistically significant (p<0.05). Similar data were found in the knowledge scale. But overall, 90.81% of patients in motivation and knowledge scales had high adherence. In conclusion, approximately 90% of patients found high adherent. We found high adherence in most patients, possibly due to Mukhyamantri Nishulk Dawa Yojana (MNDY). However, only 35.40% of patients in the motivation scale and 33.24% on the knowledge scale had the highest score (score=3, highly adherent patients). So, this score needs to be increased by removing the other medication barriers to adherence.