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March 2022 -
Volume 20, Issue 3


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From the Editor

Editorial
A. Abyad (Chief Editor)
Mobile: 961-3-201901
Email: amcmeli@gmail.com, aabyad@cyberia.net.lb
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Original Contribution

Prevalence of depression and anxiety among patients with breast cancer: a cross-sectional study
[Abstract]
[pdf]
Abbas Bukhari, Ali Farsi, Fawaz Albaqami, Abdulaziz Jowharji, Mansoor Radwi, Abdalmohsen Albaqami, Mohammed Fallatah, Abdullah Alammari, Waleed Alghamdi
DOI: 10.5742/MEWFM.2022.952506

Women's Expectations and Satisfaction with the Quality of Antenatal Care at the Primary Health Care Centers in Unaizah City
[Abstract]
[pdf]
Sadeem Alrobiaee, Saulat Jahan
DOI: 10.5742/MEWFM.2022.952507

Pulmonary hypertension and chronic obstructive pulmonary disease in sickle cell diseases
[Abstract]
[pdf]
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu,
Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2022.952508

Positive and negative acute phase reactants in sickle cell diseases
[Abstract]
[pdf]
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2022.952509

Population and Community Studies

An Overview of Biological Warfare and SARS-CoV-2 as a Potential Biological Agent
[Abstract]
[pdf]
Basem Mohammad Mansour, Deaa Mohammad Alsoleman, Suhail Haydar Alghanem
DOI: 10.5742/MEWFM.2022.9525010

Clinical Audit on Well Baby Services at Primary Health Care Corporation, Qatar
[Abstract]
[pdf]
Noora Alkubaisi, Ansif Pallath Majeed, Hanan Al Mujalli, Abdul Ali Shah,
Sharifullah Khan, Manickavalli M S Anand, Mohammed Asif AbdulGafoor
DOI: 10.5742/MEWFM.2022.9525012

Letter to the Editor

MENA Stem Cells Forum

News Alert

Fake Covid vaccine found in Iran - and beyond?
[Abstract]
[pdf]
Lesley Pocock
DOI: 10.5742/MEWFM.2022.9525016

Review

Cystic Fibrosis: A Review Article
[Abstract]
[pdf]
Hani Raka Karrar, Mahmoud Ismail Nouh, Abdulmohsen Aqeel G. Alanazi,
Sultan Essa Alharbi, Fahad Nuwayfi Almutairi, Hussain Ali Abdullah Alhammad,
Abdullah Ali Hassan Sadeeg, Mohammed Aljunaid Alamin Alsheikh,
Wafa mohammed alshaikh, Mohammed yousef Alyahya, Wejdan Ali Sulieman makki, Hashima Mohammed Alhazmi,
Amal saleem Almutairi, Rehab Salah Aldin Alhendi
DOI: 10.5742/MEWFM.2022.9525014

Case Report

Early-onset CTCL, localized and unilateral - case review
[Abstract]
[pdf]
Ebtisam Elghblawi
DOI: 10.5742/MEWFM.2022.9525015

Original Clinical Research

Study the clinical futures of vitiligo among Yemeni patients in Aden
[Abstract]
[pdf]
Asia Hassan Abdulla Saleh, Amer Bin Al-Zou
DOI: 10.5742/MEWFM.2022.9525017

Surgical treatment and Survival of Gallbladder Cancer Patients: A Systematic Review
[Abstract]
[pdf]
Ali Ibrahim A. Alshehri
DOI: 10.5742/MEWFM.2022.9525019

Shared Decision-Making and its Impact on Medication Adherence among Hypertensive Patients in Northern Saudi Arabia
[Abstract]
[pdf]
Mutasim Almuayqil, Abdusalam Alghamdi, Fahad Alruwaili, Nashmi Al-Etesh
DOI: 10.5742/MEWFM.2022.9525020

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Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
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Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
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Advertising Enquiries -
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

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March 2022 - Volume 20, Issue 3

Shared Decision-Making and its Impact on Medication Adherence among Hypertensive Patients in Northern Saudi Arabia


Abdusalam Alghamdi (1)
Mutasim Almuayqil (1)
Fahad Alruwaili (1)
Nashmi Al-Etesh (2)

(1) Family Medicine Resident, Joint Program of Family Medicine, Aljouf, Northern Province, Saudi Arabia.
(2) Family Medicine specialist, Joint Program of Family Medicine, Aljouf, Northern Province, Saudi Arabia.

Corresponding Author:
Abdusalam Alghamdi
Family Medicine Resident, Joint Program of Family Medicine,
Aljouf, Northern Province, Saudi Arabia.
Email: Abdusalam.alghamdi@gmail.com

Received: January 2022; Accepted: February 2022; Published: March 1, 2022. Citation: Abdusalam Alghamdi et al. Shared Decision-Making and its Impact on Medication Adherence among Hypertensive Patients in Northern Saudi Arabia. World Family Medicine. 2022; 20(3): 84-91. DOI: 10.5742/MEWFM.2022.9525020

Abstract

Aim: To determine hypertensive patients’ and primary healthcare physicians’ attitudes toward shared decision-making, and to assess medication adherence among hypertensive patients.

Methods: Following an analytical cross-sectional design, the study included 66 primary healthcare physicians and 209 hypertensive patients attending chronic disease clinics in primary healthcare centers and hospitals in Al-Jouf Region, Saudi Arabia during the period from October 2020 to April 2021.

Results: Out of 209 patients, 145 (69.4%) were males, with mean age 58.0±12.1 years. Out of 66 physicians, 48 (72.7%) were residents or general practitioners and 18 (27.3%) were specialists or consultants. The mean score of medication adherence was 28.8±5.0, indicating good adherence. The mean shared decision-making (SDM) score was 25.3±8.8 for patients indicating medium level of perceived SDM, and for physicians 34.7±7.5, indicating good level of perceived SDM among physicians and a significantly less SDM among hypertensive patients. There was no significant correlation between SDM and adherence scores of sampled patients. SDM was significantly affected by age and educational level of patients (p=0.037 and p=0.012, respectively), and correlated significantly with patients’ frequency of daily medication intake (p=0.009). Physicians’ SDM is significantly lower among specialists and consultants (P=0.036).

Conclusions: Grade of medication adherence among hypertensive patients in Al-Jouf is good. However, the extent of their SDM is significantly less than that of physicians. Physicians’ SDM is significantly lower among specialists and consultants, while SDM is significantly affected by age and educational level of hypertensive patients, in addition to the frequency of daily medication intake. Therefore, SDM should be increasingly encouraged among patients for all their healthcare choices.

Key words: Shared decision-making (SDM), Medication adherence, Hypertension, Saudi Arabia.

 







 


 
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