20Jul 2017

DETERMINANTS OF ADHERENCE TO TREATMENT AND NUTRITIONAL COUNSELLING AMONG HYPERTENSIVE PATIENTS IN A SECONDARY HEALTH FACILITY IN SOUTH-WESTERN NIGERIA.

  • Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso.
  • State Specialist Hospital, Asubiaro, Osogbo, Osun state.
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Introduction: It is estimated that almost one half of hypertensive patients drop out entirely from treatment within one year for various reasons. A major factor accounting for inadequate treatment of hypertension is poor adherence to both drugs treatment and nutritional diet as instructed by the physicians. Methodology: This descriptive cross sectional study was carried out in Osogbo Local Government Area. A systematic random sampling procedure was used to select the 375 respondents who were interviewed using a semi-structured self developed questionnaire. Statistical Package for Social Sciences 22 was used for analysis Result: Mean age of respondents was 56.34?14.34years. More than 80% reported good adherence to various dietary counselling such as reduction in salty, starchy and fatty food as well as alcohol. Others found it difficult to change their habits. Good adherence to medication and clinic appointments were found among 207 (55.9%) though 291(78.0%) claimed they were aware of the complications. Reasons for non-adherence were forgetfulness 101(93.5%) and financial constraints 97(89.8%). Age, sex, marital status, occupation, place of living, monthly income and religion were found to be significantly associated with adherence to nutritional counselling. The study also reveals that only the use of herbal medicine was significantly associated with adherence to medication. Conclusion: Studies that may show importance of support group to improve adherence is necessary as in other chronic illnesses such as HIV and Tuberculosis. Health personnel should adhere to standards of providing adequate information through counselling as need be. Patients should take responsibility of their health and adhere to health instructions.

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[Abodunrin Olugbemiga L, Ojo Olufemi R, Onifade Bolatito T and Ojofeitimi Ebenezer O. (2017); DETERMINANTS OF ADHERENCE TO TREATMENT AND NUTRITIONAL COUNSELLING AMONG HYPERTENSIVE PATIENTS IN A SECONDARY HEALTH FACILITY IN SOUTH-WESTERN NIGERIA. Int. J. of Adv. Res. 5 (Jul). 895-905] (ISSN 2320-5407). www.journalijar.com

Abodunrin Olugbemiga L
1. Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso

DOI:

Article DOI: 10.21474/IJAR01/4795      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4795

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