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ORIGINAL ARTICLE
Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 75-81

Treatment satisfaction, medication adherence, and blood pressure control among adult Nigerians with essential hypertension


1 Department of Family Medicine, Federal Medical Centre, Umuahia, Abia State; Department of Public Health, Federal University of Technology, Owerri, Imo State, Nigeria
2 Department of Public Health, Federal University of Technology, Owerri, Imo State, Nigeria

Correspondence Address:
Gabriel Uche Pascal Iloh
Department of Family Medicine, Federal Medical Centre, Umuahia, Abia State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_5_17

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BACKGROUND: Hypertension treatment satisfaction has been the subject of recent research particularly in developing countries and is widely recognized as patient-oriented outcome of quality of care. However, in Nigeria, little is known on the role of hypertensive treatment satisfaction on medication adherence and blood pressure (BP) control. AIM: The study was aimed at determining the role of treatment satisfaction in medication adherence, and BP control among adult Nigerians with essential hypertension. MATERIALS AND METHODS: A descriptive study was carried out on 140 adult hypertensive patients who have been on treatment for at least 6 months at a primary care clinic in Nigeria. Hypertension treatment satisfaction and medication adherence were assessed in the previous 30 days using pretested, interviewer-administered questionnaire on self-reported satisfaction and adherence to therapy, respectively. A goal BP control referred to BP of < 140/90 mmHg at the end of study visit. RESULTS: The age of the study participants ranged from 32 to 83 years with mean age of 52 ± 7.4 years. There were 56 (40.0%) male and 84 (60.0%) female. Hypertension treatment satisfaction, medication adherence, and BP control rates were 78.6%, 42.9%, and 35.0%, respectively. Hypertension treatment satisfaction was significantly associated with medication adherence (P = 0.01) and BP control (P = 0.031). CONCLUSION: This study has demonstrated variabilities in treatment satisfaction, medication adherence, and BP control among the study population. Medication adherence and BP control were significantly associated with treatment satisfaction. This study urges consideration of treatment satisfaction alongside with medication adherence and BP control.


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