Keywords
School Health
Treatment regimen
School Nursing
How to Cite
Abstract
This study used the descriptive-correlational research method to determine the medication adherence of school personnel of select public schools in Tigaon, Camarines Sur. The respondents include 213 school personnel from public secondary schools of Tigaon, Camarines Sur. The data collected were classified and tabulated systematically and statistically treated using various statistical tools. The study concluded that most of the school personnel who participated in this study were 46 years old and above. The majority were female college graduates with a gross income of 22,000 to 44,000 pesos, assigned as classroom teachers, with no known illness or comorbidities, and had outpatient consultation more than 12 months ago; majority of the respondents were adherent to their medications; socio-economic factors, healthcare team and system-related factors, therapy-related factors, and patient-related factors are significant barriers to medication adherence; and there is significant relationship between medication adherence and sex, educational level, gross income per month, illness or comorbidities, and date of last outpatient consultation. Primary actions include strengthening health education that fosters a positive attitude towards medication adherence, additional resources for medicine supplies in schools and training for healthcare workers, improving the implementation of Gulayan sa Paaralan, and exploring options to simplify treatment regimens and affordable medications. With these, the researcher proposed measures and recommendations that school administrators and public school nurses can adopt to improve the health and safety of school personnel.
References
reasons patients don’t take their medications. (2023). In American Medical Association. https://www.ama-assn.org/delivering-care/patient-support-advocacy/8-reasons-patients-dont-take-their-medications
Causes of Deaths in the Philippines (Preliminary as of 31 October 2022. (2023). In Official Website of Culion Municipality, Province of Palawan. https://www.culionpalawan.gov.ph/2022-causes-of-deaths-in-the-philippines-preliminary-as-of-31-october-2022/
A:CARE - HCP Global. (n.d.). In Acare HCP Global. https://acarepro.abbott.com/
Allaham, K., Feyasa, M. B., Govender, R. D., Musa, A., AlKaabi, A. J., ElBarazi, I., AlSheryani, S. D., Al Falasi, R. J., & Khan, M. A. (2022). Medication Adherence Among Patients with Multimorbidity in the United Arab Emirates. Patient Preference and Adherence, Volume 16, 1187–1200. https://doi.org/10.2147/PPA.S355891
Cause of Deaths in Bicol Region, 2021 | Philippine Statistics Authority V - Bicol. (n.d.). In Philippine Statistics Authority Region V - Bicol Region. Retrieved March 21, 2024, from https://rsso05.psa.gov.ph/content/cause-deaths-bicol-region-2021#:~:text=A%20total%20of%206%2C951%20deaths,%25%20deaths%20in%202021%2C%20respectively.
Chang, T. E., Ritchey, M. D., Park, S., Chang, A., Odom, E. C., Durthaler, J., Jackson, S. L., & Loustalot, F. (2019). National Rates of Nonadherence to Antihypertensive Medications Among Insured Adults With Hypertension, 2015. Hypertension, 74(6), 1324–1332. https://doi.org/10.1161/HYPERTENSIONAHA.119.13616
Consolazio, D., Gattoni, M. E., & Russo, A. G. (2022). Exploring gender differences in medication consumption and mortality in a cohort of hypertensive patients in Northern Italy. BMC Public Health, 22(1), 768. https://doi.org/10.1186/s12889-022-13052-9
Cutler, R. L., Fernandez-Llimos, F., Frommer, M., Benrimoj, C., & Garcia-Cardenas, V. (2018). Economic impact of medication non-adherence by disease groups: a systematic review. BMJ Open, 8(1), e016982. https://doi.org/10.1136/bmjopen-2017-016982
Evans, A., & Mcilvena, L. (2022). How Affordability Impacts Medication Adherence. In GoodRx Health. https://www.goodrx.com/hcp/providers/how-affordability-impacts-adherence
Gast, A., & Mathes, T. (2019). Medication adherence influencing factors—an (updated) overview of systematic reviews. Systematic Reviews, 8(1), 112. https://doi.org/10.1186/s13643-019-1014-8
Guidelines on Ensuring the Affordability of Essential Medicines in DOH Facilities Through the Regulation of Price Mark-ups. (2020). https://law.upd.edu.ph/wp-content/uploads/2020/10/DOH-Administrative-Order-No-2020-0043.pdf
Gutierrez, M. M., & Sakulbumrungsil, R. (2021). Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review. Clinical Hypertension, 27(1), 19. https://doi.org/10.1186/s40885-021-00176-0
Hansen, M., & Quintero, D. (2018). How gender diversity among the teacher workforce affects student learning. In Brookings. https://www.brookings.edu/articles/how-gender-diversity-among-the-teacher-workforce-affects-student-learning/
Heath, S. (2021). Cost, Poor Communication Key Barriers to Medication Adherence. https://patientengagementhit.com/news/cost-poor-communication-key-barriers-to-medication-adherence
Hichborn, J., Kaganoff, S., Subramanian, N., & Yaar, Z. (2018). Using data to improve patient adherence | McKinsey. In McKinsey & Company. https://www.mckinsey.com/industries/life-sciences/our-insights/improving-patient-adherence-through-data-driven-insights
Jazul, J., Dela Pedra, J. I., Caseda, K., Rio, L., Maningding, J., Quezada, E., Rapinan, E. F., & Sta. Ana, K. P. (2018). Medication Adherence to Anti-diabetic Agents in Selected Rural and Urban Communities. https://socialhealthjournal.ust.edu.ph/wp-content/uploads/2018/09/56-88-Jazul-et-al.pdf
Killeen, O. J., Pillai, M. R., Udayakumar, B., Shroff, S., Vimalanathan, M., Cho, J., & Newman-Casey, P. A. (2020). Understanding Barriers to Glaucoma Treatment Adherence among Participants in South India. Ophthalmic Epidemiology, 27(3), 200–208. https://doi.org/10.1080/09286586.2019.1708121
Kim, J., Bushnell, C. D., Lee, H. S., & Han, S. W. (2018). Effect of Adherence to Antihypertensive Medication on the Long-Term Outcome After Hemorrhagic Stroke in Korea. Hypertension, 72(2), 391–398. https://doi.org/10.1161/HYPERTENSIONAHA.118.11139
Kim, S. J., Kwon, O. D., Han, E. B., Lee, C. M., Oh, S.-W., Joh, H.-K., Oh, B., Kwon, H., Cho, B., & Choi, H. C. (2019). Impact of number of medications and age on adherence to antihypertensive medications: A nationwide population-based study. Medicine, 98(49), e17825. https://doi.org/10.1097/MD.0000000000017825
Kleinsinger, F. (2018). The Unmet Challenge of Medication Nonadherence. The Permanente Journal, 22(3), 18–033. https://doi.org/10.7812/TPP/18-033
Kretchy, I. A., Koduah, A., Ohene-Agyei, T., Boima, V., & Appiah, B. (2020). The Association between Diabetes-Related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study. Journal of Diabetes Research, 2020, 1–10. https://doi.org/10.1155/2020/4760624
Lee, E. K. P., Poon, P., Yip, B. H. K., Bo, Y., Zhu, M., Yu, C., Ngai, A. C. H., Wong, M. C. S., & Wong, S. Y. S. (2022). Global Burden, Regional Differences, Trends, and Health Consequences of Medication Nonadherence for Hypertension During 2010 to 2020: A Meta‐Analysis Involving 27 Million Patients. Journal of the American Heart Association, 11(17), e026582. https://doi.org/10.1161/JAHA.122.026582
Lee, H., Park, J. H., Floyd, J. S., Park, S., & Kim, H. C. (2019). Combined Effect of Income and Medication Adherence on Mortality in Newly Treated Hypertension: Nationwide Study of 16 Million Person‐Years. Journal of the American Heart Association, 8(16), e013148. https://doi.org/10.1161/JAHA.119.013148
Liu, J., Yu, Y., Yan, S., Zeng, Y., Su, S., He, T., Wang, Z., Ding, Q., Zhang, R., Li, W., Wang, X., Zhang, L., & Yue, X. (2023). Risk factors for self-reported medication adherence in community-dwelling older patients with multimorbidity and polypharmacy: a multicenter cross-sectional study. BMC Geriatrics, 23(1), 75. https://doi.org/10.1186/s12877-023-03768-7
Mahmoodi, H., Nahand, F. J., Shaghaghi, A., Shooshtari, S., Jafarabadi, M. A., & Allahverdipour, H. (2019). Gender Based Cognitive Determinants Of Medication Adherence In Older Adults With Chronic Conditions. Patient Preference and Adherence, 13, 1733–1744. https://doi.org/10.2147/PPA.S219193
Martin-Ruiz, E., Olry-de Labry-Lima, A., Ocaña-Riola, R., & Epstein, D. (2018). Systematic Review of the Effect of Adherence to Statin Treatment on Critical Cardiovascular Events and Mortality in Primary Prevention. Journal of Cardiovascular Pharmacology and Therapeutics, 23(3), 200–215. https://doi.org/10.1177/1074248417745357
McCombes, S. (2019a). Correlational Research | When & How to Use. In Scribbr. https://web.archive.org/web/20191218141402/https://www.scribbr.com/methodology/correlational-research/
McCombes, S. (2019b). Descriptive Research | Definition, Types, Methods & Examples. In Scribbr. https://www.scribbr.com/methodology/descriptive-research/
McLeod, S. (2018). Questionnaire: Definition, Examples, Design and Types. https://web.archive.org/web/20200709085957/https://www.simplypsychology.org/questionnaires.html
Medication Adherence: Landscape, Strategies, and Evaluation Methods. (2019). https://healthpolicy.duke.edu/events/medication-adherence-landscape-strategies-and-evaluation-methods
Mendoza, J. (2020). ‘Hypertension multiple’: Patients’ experiential knowledge concept of symptoms and care required, and its implications for public health. European Journal of Public Health, 30(Supplement_5), ckaa165.018. https://doi.org/10.1093/eurpub/ckaa165.018
Murwanashyaka, J. D. D., Ndagijimana, A., Biracyaza, E., Sunday, F. X., & Umugwaneza, M. (2022). Non-adherence to medication and associated factors among type 2 diabetes patients at Clinique Medicale Fraternite, Rwanda: a cross-sectional study. BMC Endocrine Disorders, 22(1), 219. https://doi.org/10.1186/s12902-022-01133-0
Najimi, A., Mostafavi, F., Sharifirad, G., & Golshiri, P. (2018). Barriers to medication adherence in patients with hypertension: A qualitative study. Journal of Education and Health Promotion, 7(1), 24. https://doi.org/10.4103/jehp.jehp_65_16
Pablo, C. G., Austria, K. A. I., Cortez, H. N. M., Garcia, C. B., Julao, K. G. P., Pulido, N. A. V., Rosales, J. K. K., & Samson, J. P. F. (2021). Medication Adherence of Hypertensive and Diabetic Patients taking Complementary and Alternative Medicine: An Intervention Study. Social Health Journal, 1(1). https://socialhealthjournal.ust.edu.ph/wp-content/uploads/2018/09/20-30-Pablo-et-al.pdf
Security of Tenure. (2022). In Labor Law PH - Philippine Labor Law Resource. https://laborlaw.ph/security-of-tenure/
Seguin, M., Mendoza, J., Lasco, G., Palileo-Villanueva, L. M., Palafox, B., Renedo, A., McKee, M., & Balabanova, D. (2022). Strong structuration analysis of patterns of adherence to hypertension medication. SSM - Qualitative Research in Health, 2, 100104. https://doi.org/10.1016/j.ssmqr.2022.100104
Setiadi, A. P., Widiyastuti, S., Mariati, I. D., Sunderland, B., & Wibowo, Y. I. (2022). Socioeconomic impacts on medication adherence among patients with hypertension: A multicentre cross-sectional study in Lombok, Indonesia. Pharmacia, 69(1), 143–149. https://doi.org/10.3897/pharmacia.69.e78441
Teppo, K., Jaakkola, J., Biancari, F., Halminen, O., Linna, M., Haukka, J., Putaala, J., Tiili, P., Lehtonen, O., Niemi, M., Mustonen, P., Kinnunen, J., Hartikainen, J., Airaksinen, K. E. J., & Lehto, M. (2022). Association of income and educational levels with adherence to direct oral anticoagulant therapy in patients with incident atrial fibrillation: A Finnish nationwide cohort study. Pharmacology Research & Perspectives, 10(3), e00961. https://doi.org/10.1002/prp2.961
Valencia , C. (2019). Pinoy middle class still vulnerable to poverty. In Philippine Institute for Development Studies. http://www.pids.gov.ph/details/pinoy-middle-class-still-vulnerable-to-poverty-2
Zialcita , S. (2020). EXPLAINER: Who are the Filipino middle class? http://www.pids.gov.ph/details/explainer-who-are-the-filipino-middle-class
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