Sree Balaji, A R (2023) A Study on Prevalence of Metabolic Syndrome among Hypertensive Adults (20-45 Years) and their Compliance to Treatment in a Tertiary Care Hospital, Chennai: A Hospital Based Mixed Method study. Masters thesis, Stanley Medical College, Chennai.
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Abstract
BACKGROUND: Metabolic syndrome is the term given to address a collection of risk factors. These risk factors are considered to increase risk for diabetes mellitus, coronary artery disease and cerebrovascular accident. Low patient compliance has been one of the greatest challenges for success in the treatment as isolate entieties. In practice, the treatment of metabolic syndrome implies the sum of difficulties usually found in monitoring each one of its components. This study was conducted to find the prevalence of metabolic syndrome in young hypertensive individuals, their compliance to treatment and reasons for poor compliance. AIM OF THE STUDY: Aim of the study is to assess the prevalence of metabolic syndrome among hypertensive adults (20-45 years) and their compliance to treatment in a tertiary care hospital, Chennai. OBJECTIVES: 1. To study the prevalence of metabolic syndrome in hypertensive adults of age between 20 and 45 years. 2. To study the compliance to drugs and lifestyle modifications in hypertensive patients with and without metabolic syndrome. 3. To explore the reasons for poor compliance to treatment (drugs and lifestyle modifications) among patients with metabolic syndrome. METHODS: The study is a sequential explanatory type of mixed methods study. Quantitative component will be followed by the qualitative research method. This particular type was chosen as the study findings of the quantitative method will be explained by the in-depth interviews administered to the part of purposively selected study participants. i) Quantitative component of it will be a cross sectional study that addresses the first and second objectives of the study. ii) Descriptive qualitative study using in-depth interview will be done to study the third objective. RESULTS: 62.8% of the study participants are found to have metabolic syndrome with more female preponderance. 33% of the study participants were newly diagnosed with impaired glucose tolerance or diabetes mellitus. Patient related factors were predominant reasons for non compliance. Involving a family member in treatment plan along with combination pill therapy greatly improves the compliance. CONCLUSION: Contrary to our belief, prevalence of metabolic syndrome in hypertensive adult population is very high. This condition go highly unnoticed until a major thrombotic event occurs. A multimodal approach involving the planning at government level, healthcare provider level along with patient education and involvement of the family in treating these chronic illness proves to be a great success in greatly improving the health and financial aspects of the client’s life.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.200120101029 |
| Uncontrolled Keywords: | Metabolic Syndrome, Hypertension, Hypertensive Adults (20-45 Years). |
| Subjects: | MEDICAL > General Medicine > MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 02 May 2021 14:11 |
| Last Modified: | 20 Mar 2024 06:48 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/15581 |
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