Patients Factors and Medication Use Practices affecting Blood Pressure Control among Hypertensive Patients attending Secondary Health Facilities in Ilorin, North Central Nigeria
No Thumbnail Available
Files
Date
2021-09
Journal Title
Journal ISSN
Volume Title
Publisher
Tehran University of Medical Sciences
Abstract
Background: The increase in the prevalence and economic burden of hypertension has been
attributable to the poor knowledge of disease management and practices. The proper practices
would enhance adequate control of blood pressure. This study aimed to determine patients’
characteristics and medication use practices that influence their blood pressure control.
Methods: The study was conducted on 202 hypertensive patients attending a Civil Service Hospital,
Ilorin, Nigeria. A validated interviewer-administered questionnaire was used for patients’ data
collection. The collected data were analyzed in SPSS v. 20. Descriptive statistics were used to
analyze numerical and categorical variables, and the results are presented in text, percentages, and
charts. The Chi-square and logistic regression tests were used as inferential analysis to determine
the relationship between categorical variables. P values less than 0.05 were considered significant.
Results: The Mean±SD age of the patients was 59.1±13 years, with the highest frequency of
hypertension occurring among patients aged 46-60 years (44.6%). Women were more affected (120;
69.4%) than men (82; 40.6%). The majority of the patients (132; 65.3%) were low- to moderateincome
earners. Educational status, frequency of missed doses, and presence of comorbidity
significantly influenced blood pressure control (P= 0.017, P= 0.039, and P= 0.019, respectively).
Knowledge of the timely use of drugs and regular clinic visits significantly affected blood pressure
control, too (P=0.014, and P=0.043, respectively). The blood pressure control among patients was
fair despite the poor level of medication use knowledge/practices.
Conclusion: Blood pressure control is influenced by educational status and the presence of comorbid
conditions. Timely medication use and regular clinic visits were strong predictors of blood pressure
control. Multiple drug use was the most common hindrance to the timely use of medication.
Description
Keywords
Determinants, Hypertension, Knowledge, Practice, Clinic visits
Citation
Giwa A, Jamiu M.O, Giwa H.B, AbdulAzeez I.F (2021). Patients Factors and Medication Use Practices affecting Blood Pressure Control among Hypertensive Patients attending Secondary Health Facilities in Ilorin, North Central Nigeria. Journal of Pharmacoeconomics and Pharmaceutical Management, 7 (4); 82-92