Impact of Non Pharmacological Intervention on Blood Pressure in Patients Attending a Tertiary Health Facility in North Eastern Nigeria
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Date
2017
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Published by Faculty Of Pharmacy, University Of Maiduguri
Abstract
Prevalence of hypertension is high in Nigeria and there is generally low level of awareness. The mainstay of management is
pharmacotherapy, interventions such as lifestyle and diet are often overlooked. The study is aimed at establishing die
effectiveness of lifestyle and diet intervention on blood pressure control in patients. A multiphasic interventional study was
adopted, which is a questionnaire based study with sections on knowledge, attitude and practices of lifestyle and diet. A
pretested interviewer’s questionnaire was administered before and after the intervention. The intervention included counseling
on the benefits of lifestyle and dietary modifications. Chi-square test revealed that there were associations between the blood
pressure categories and time of intervention. There was statistically significant difference in blood pressure in stage 2 category.
(p<O.OJJ. Scores of knowledge attitude and practice were compared on the basis ofWilcoxon signed rank test before and after
die intervention. Also, the overall scores for the knowledge, attitude and practice were also compared for the participants
before and after the intervention. The median knowledge score of the patients changed fi-om 3 before the intervention to 7 after
the intervention (p<0.01). Similarly, there was a change in the median attitude score after the intervention (p<0.01). While, the
median practice score changed fi-om 1 before the intervention to 7.Thus, the total median of the Knowledge, attitude and
Practice (KAP) score had changed from 5 before the intervention, to 15 after the intervention (p<0.01 ).The systolic/diastolic
blood pressure were also compared pre and post intervention. The mean (SD) systolic BP changed from 144.2 (20.4)to 137.7
(13.0)post intervention (p<0.01). A similar change was noted on mean (SD) diastolic BP as well, which changed from 91.6
(12.2)before the intervention to 89.4 (6.2) after the intervention (^0.01).
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Keywords
Hypertension,, Blood pressure., Knowledge,, Practices
Citation
A Giwa , Fatima M. Dungus, Mustapha G. Magaji, Fatima H. Ashemi, Abdulqadir B. Bababe, M Kachallah (2017): Impact of Non Pharmacological Intervention on Blood Pressure in Patients Attending a Tertiary Health Facility in North Eastern Nigeria. Nigerian Journal Of Pharmaceutical And Biomedical Research. 2(1): 62-64. Published by Faculty Of Pharmacy, University Of Maiduguri