Knowledge of and Compliance with Therapeutic Regimens among Hypertensive Patients in Nigeria

Abstract

Hypertension is a global public health issue as it is the most common cardiovascular disease worldwide. Being one the few diseases that come with complications, this study investigated the level of compliance of hypertensive patients with treatment regimens among such patients attending outpatient departments of selected tertiary hospitals in Benin City, Edo State, Nigeria. A cross-sectional descriptive research design was used. A sample size of 309 was selected from a total population of 946. A convenient sampling technique and self-structured questionnaire were used as an instrument for data collection. Results showed that only 40.7 per cent of the respondents had a good knowledge of hypertension. The majority (90 %) (N = 270) of the respondents were not compliant with treatment regimens. There was a significant relationship between knowledge of hypertension and lifestyle modification among the respondents at (χ2 = 0.022; < p = 0.05). There was no significant difference in the level of compliance with antihypertensive treatment between respondents in the selected hospitals (p = 0.791). The monthly income was found to have a significant relationship with compliance with treatment regimens at (χ2 = 0.000, 0.037, 0.001, 0.008, 0.010, 0.000 and 0.000; < p = 0.05). The study also shows that there was no significant difference in knowledge and the rate of compliance among the selected hospitals (0.883 and 0.798 respectively). Therefore it is recommended that nurses engage in health education and awareness programmes to meet the needs for increased awareness and further education of the people on the advantages of adherence to their medication and treatment regimens.

Adesão À Terapêutica Na Pessoa Com Hipertensão Arterial: Revisão Integrativa Da Literatura

“…Na recolha de dados foram utilizados questionários validados (Boratas e Kilic, 2018;Ehwarieme et al, 2018;Obirikorang et al, 2018;Yousefabadi et al, 2018;Albuquerque et al, 2018;Moretti et al, 2018;Falcão et al, 2018; Sinan e Akyuz, 2019; Uchmanowicz, Chudiak, Uchmanowicz e Mazur, 2019), questionários semiestruturados (Kimani et al, 2018;Blanski e Lenardt, 2018;Solbiati et al, 2018), entrevistas com guião (Sousa et al, 2018;Atingia, 2018;Resende et al, 2018) e discussões em grupos focais (Ashoorkhani et al, 2018).…”

“…A nível económico, salienta-se o rendimento mensal (Ehwarieme et al, 2018;Obirikorang et al, 2018;Solbiati et al, 2018), o emprego, o custo dos transportes (WHO, 2003) e da terapêutica (El-Saifi et al, 2019) e a acessibilidade às instituições de saúde (WHO, 2003), como aspetos que condicionam a adesão.…”

“…As estratégias no controlo e tratamento da HTA têm por base a adesão da pessoa à terapêutica, tendo esta temática sido alvo de inúmeros estudos a nível internacional (Boratas e Kilic, 2018;Ehwarieme et al, 2018).…”

Antihypertensive use insights and experiences among hypertensive patients at Korle-Bu teaching hospital

“…Furthermore, there has been a notable shift in the prevalence of hypertension in traditional African societies. Once rare, it has now become a significant public health issue due to the increase in its risk factors [ 10 ]. Sub-Saharan Africa bears a considerable burden, with an estimated 74.7 million individuals living with hypertension in the region [ 8 ].…”

Estilo de vida e adesão à terapêutica num grupo de pessoas portadoras de hipertensão arterial

“…A adesão à terapêutica pode ser definida como a correta execução da prescrição farmacológica já que existem diversos fatores que influenciam a adesão da mesma. Os principais fatores podem ser agrupados em: i) fatores sociais, económicos e culturais; ii) fatores relacionados com os profissionais e os serviços de saúde; iii) fatores relacionados com a doença de base e as comorbilidades; iv) fatores com a terapêutica prescrita e v) fatores individuais relativos ao cliente [7][8][9][10][11][12] .…”