Drug compliance among hypertensive patients in Port Harcourt, Nigeria

Akpa, Maclean; Agomuoh, D I; Odia, O J

doi:10.4314/njm.v14i1.37136

Cited by 24 publications

(32 citation statements)

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“…Up to 17.3% of our participants who were not adherent to drugs attributed this to the side effects of medications. Premature discontinuation of treatment due to drug side effects and lack of money to buy drugs interrupt consistent use of antihypertensive medication 40,75…”

Section: Resultsmentioning

confidence: 99%

Patient-related barriers to hypertension control in a Nigerian population

Okwuonu¹,

Ojimadu²,

Okaka³

et al. 2014

IJGM

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BackgroundHypertension control is a challenge globally. Barriers to optimal control exist at the patient, physician, and health system levels. Patient-related barriers in our environment are not clear. The aim of this study was to identify patient-related barriers to control of hypertension among adults with hypertension in a semiurban community in South-East Nigeria.MethodsThis was a cross-sectional descriptive study of patients with a diagnosis of hypertension and on antihypertensive medication.ResultsA total of 252 participants were included in the survey, and comprised 143 males (56.7%) and 109 females (43.3%). The mean age of the participants was 56.6±12.7 years, with a diagnosis of hypertension for a mean duration of 6.1±3.3 years. Among these patients, 32.9% had controlled blood pressure, while 39.3% and 27.8%, respectively, had stage 1 and stage 2 hypertension according to the Seventh Report of the Joint National Committee on Prevention, Detection and Evaluation of High Blood Pressure. Only 23.4% knew the consequences of poor blood pressure control and 64% were expecting a cure from treatment even when the cause of hypertension was not known. Furthermore, 68.7% showed low adherence to medication, the reported reasons for which included forgetfulness (61.2%), financial constraints (56.6%), high pill burden (22.5%), side effects of medication (17.3%), and low measured blood pressure (12.1%). Finally, knowledge and practice of the lifestyle modifications necessary for blood pressure control was inadequate among the participants.ConclusionPoor knowledge regarding hypertension, unrealistic expectations of treatment, poor adherence with medication, unawareness of lifestyle modification, and failure to apply these were identified as patient-related barriers to blood pressure control in this study.

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Section: Resultsmentioning

confidence: 99%

Patient-related barriers to hypertension control in a Nigerian population

Okwuonu¹,

Ojimadu²,

Okaka³

et al. 2014

IJGM

View full text Add to dashboard Cite

show abstract

“…Such priorities include demands to direct the limited resource available to meet the needs of other family members, such as children or parents, for whom they care. Some factors reported to have a significant effect on compliance are: poor socioeconomic status (poverty), low level of education, unemployment, lack of effective social support networks, unstable living conditions, long distance from treatment centre, high cost of transport, cultural and lay beliefs about illness and treatment, and forgetfulness (16). …”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Treatment Compliance in Hypertension in Southwest Nigeria

Osamor

Owumi

2012

J Health Popul Nutr

101

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Hypertension is an important condition among adults, affecting nearly one billion people worldwide. Treatment with appropriate medication is a key factor in the control of hypertension and reduction in associated risk of complications. However, compliance with treatment is often sub-optimal, especially in developing countries. The present study investigated the factors associated with self-reported compliance among hypertensive subjects in a poor urban community in southwest Nigeria. This community-based crosssectional study employed a survey of a convenience sample of 440 community residents with hypertension and eight focus-group discussions (FGDs) with a subset of the participants. Of the 440 hypertensive respondents, 65.2% were women, about half had no formal education, and half were traders. Over 60% of the respondents sought care for their condition from the hospital while only 5% visited a chemist or a patent medicine vendor (PMV). Only 51% of the subjects reported high compliance. Factors associated with high self-reported compliance included: regular clinic attendance, not using non-Western prescription medication, and having social support from family members or friends who were concerned about the respondent's hypertension or who were helpful in reminding the respondent about taking medication. Beliefs about cause of hypertension were not associated with compliance. The findings of the FGDs showed that the respondents believed hypertension is curable with the use of both orthodox and traditional medicines and that a patient who 'feels well' could stop using antihypertensive medication. It is concluded that treatment compliance with antihypertensive medication remains sub-optimal in this Nigerian community. The factors associated with high self-reported compliance were identified. More research is needed to evaluate how such findings can be used for the control of hypertension at the community level.

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“…Many patients have negative attitudes towards taking medication, especially if they 'feel well' [8]. Some factors reported to have a significant effect on compliance are: poor socioeconomic status (poverty), low level of education, unemployment, lack of effective social support networks, unsTable living conditions, long distance from treatment centers, high cost of transport, cultural and lay beliefs about illness and treatment, and forgetfulness [9]. A lack of knowledge about the severity of the disease and the importance of adhering to the prescribed treatment, and a lack of motivation to make some lifestyle changes in terms of diet and physical exercise may constitute barriers to compliance behavior [10].…”

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confidence: 99%

Compliance with Anti-Hypertensive Treatment and Associated Factors among Hypertensive Patients on Follow-Up in Jimma University Specialized Hospital, Jimma, South West Ethiopia: A Quantitative Cross- Sectional Study

Emishaw¹

2014

J Hypertens

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BackgroundHypertension is defined as systolic blood pressure greater than 140 mm Hg and a diastolic blood pressure greater than 90 mm Hg over a sustained period, based on the average of two or more blood pressure measurements taken in two or more contacts with the health care provider after an initial screening [1].About 1 in 8 deaths worldwide are due to hypertension and 4 million people die annually, thus making it the third largest killer in the world. The seriousness of hypertension as a global public health AbstractObjectives: Various explanations have been proffered to explain why a large percentage of patients have resistant hypertension, including secondary hypertension and endogenous resistance to treatment. However, the main reason for inadequate control of BP is poor compliance with the treatment regimen; both pharmacological and behavioral (e.g. weight reduction, sodium intake restriction, and exercise). Understanding the reasons for patient noncompliance with antihypertensive treatment is essential if BP is to be more effectively managed. The finding of this study will assist health care professionals to understand factors related to treatment compliance this enables them to manage hypertension appropriately both with medication and advising lifestyle interventions, also this study will be helpful to implement effective strategies that would lead to improved compliance, increased levels of controlled blood pressure and reduced occurrences of complications. Background:Hypertension is defined as a systolic blood pressure greater than 140 mmHg and a diastolic blood pressure greater than 90 mmHg over a sustained period, based on the average of two or more blood pressure measurements taken in two or more contacts with the health care provider after an initial screening. Uncontrolled high blood pressure increases the risk of ischemic heart disease 3-to 4-fold, and the overall risk of cardiovascular disease 2-to 3-fold. Treatment of hypertension is multifaceted, requiring long-term compliance with both medication regimens and behavior modifications. Multiple factors contribute to the poor level of compliance with long-term antihypertensive therapy.The aim of this study is to assess the factors affecting compliance with antihypertensive treatment among hypertension patients on follow-up in Jimma University Specialized Hospital, South West Ethiopia.

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Drug compliance among hypertensive patients in Port Harcourt, Nigeria

Cited by 24 publications

References 0 publications

Patient-related barriers to hypertension control in a Nigerian population

Patient-related barriers to hypertension control in a Nigerian population

Factors Associated with Treatment Compliance in Hypertension in Southwest Nigeria

Compliance with Anti-Hypertensive Treatment and Associated Factors among Hypertensive Patients on Follow-Up in Jimma University Specialized Hospital, Jimma, South West Ethiopia: A Quantitative Cross- Sectional Study

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