Reported Self-management of Hypertension Among Adult Hypertensive Patients in a Developing Country: a Cross-sectional Study in a Nigerian Tertiary Hospital

Overview

Journal Afr Health Sci

Date 2022 Feb 28

PMID 35222582

Authors

Ogban E Omoronyia

Idowu Okesiji

Chiamaka H Uwalaka

Enagu A Mpama

Affiliations

Soon will be listed here.

Abstract

Background: Sustained control of blood pressure, is dependent on degree of self-management, which includes self-integration, self-regulation, self-monitoring and adherence to regimen. We assessed the pattern of self-management of hypertension among adult hypertensive patients in a developing country.

Methods: Cross-sectional study design and convenience sampling, was used to recruit adult hypertensive patients, attending Lagos State University Teaching Hospital, Lagos, Nigeria. Interviewer-administered questionnaire was used to obtain data on self-management components. SPSS version 21.0 was used to analyze data, with p-value set at 0.05.

Result: One hundred and seven (107) respondents, had mean age of 49.0 ± 12.0 years. Mean value for self-management was 3.15 ± 0.55, comprising self-integration (3.06 ± 0.36), self-regulation (3.32 ± 0.63), self-monitoring (3.29 ± 0.84) and adherence to regimen (3.15 ± 0.55). Most components of self-management, had high levels of mean score. Respondents that were less than 40 years, compared with those that were more than 40 years, had greater mean values for self-integration (3.37 vs 3.05), but significantly lesser values for all other components (p < 0.05).

Conclusion: Young hypertensives had poor levels of most components of self-management. There is urgent need for health educational programs on self-management of hypertension among young people in sub-Saharan Africa.

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References

Nwosu A, Ossai E, Mba U, Anikwe I, Ewah R, Obande B . Physician burnout in Nigeria: a multicentre, cross-sectional study. BMC Health Serv Res. 2020; 20(1):863. PMC: 7489005. DOI: 10.1186/s12913-020-05710-8. View

Middeke M, Lemmer B, Schaaf B, Eckes L . Prevalence of hypertension-attributed symptoms in routine clinical practice: a general practitioners-based study. J Hum Hypertens. 2007; 22(4):252-8. DOI: 10.1038/sj.jhh.1002305. View

Leung A, Daskalopoulou S, Dasgupta K, McBrien K, Butalia S, Zarnke K . Hypertension Canada's 2017 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults. Can J Cardiol. 2017; 33(5):557-576. DOI: 10.1016/j.cjca.2017.03.005. View

Kourouniotis S, Keast R, Riddell L, Lacy K, Thorpe M, Cicerale S . The importance of taste on dietary choice, behaviour and intake in a group of young adults. Appetite. 2016; 103:1-7. DOI: 10.1016/j.appet.2016.03.015. View

Adisa R, Ilesanmi O, Fakeye T . Treatment adherence and blood pressure outcome among hypertensive out-patients in two tertiary hospitals in Sokoto, Northwestern Nigeria. BMC Cardiovasc Disord. 2018; 18(1):194. PMC: 6194717. DOI: 10.1186/s12872-018-0934-x. View

Lin C, Anderson R, Chang C, Hagerty B, Loveland-Cherry C . Development and testing of the Diabetes Self-management Instrument: a confirmatory analysis. Res Nurs Health. 2008; 31(4):370-80. DOI: 10.1002/nur.20258. View

Goncalves S, Gomes A . Exercising for weight and shape reasons vs. health control reasons: the impact on eating disturbance and psychological functioning. Eat Behav. 2012; 13(2):127-30. DOI: 10.1016/j.eatbeh.2011.11.011. View

Gheorghe A, Griffiths U, Murphy A, Legido-Quigley H, Lamptey P, Perel P . The economic burden of cardiovascular disease and hypertension in low- and middle-income countries: a systematic review. BMC Public Health. 2018; 18(1):975. PMC: 6090747. DOI: 10.1186/s12889-018-5806-x. View

Beck R, Daughtridge R, Sloane P . Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract. 2002; 15(1):25-38. View

10.

Osamor P, Owumi B . Complementary and alternative medicine in the management of hypertension in an urban Nigerian community. BMC Complement Altern Med. 2010; 10:36. PMC: 2912779. DOI: 10.1186/1472-6882-10-36. View

11.

Mah H, Muthupalaniappen L, Chong W . Perceived involvement and preferences in shared decision-making among patients with hypertension. Fam Pract. 2016; 33(3):296-301. DOI: 10.1093/fampra/cmw012. View

12.

Allen L, Williams J, Townsend N, Mikkelsen B, Roberts N, Foster C . Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: a systematic review. Lancet Glob Health. 2017; 5(3):e277-e289. PMC: 5673683. DOI: 10.1016/S2214-109X(17)30058-X. View

13.

Muthuri S, Oti S, Lilford R, Oyebode O . Salt Reduction Interventions in Sub-Saharan Africa: A Systematic Review. PLoS One. 2016; 11(3):e0149680. PMC: 4786148. DOI: 10.1371/journal.pone.0149680. View

14.

Seedat Y . Why is control of hypertension in sub-Saharan Africa poor?. Cardiovasc J Afr. 2015; 26(4):193-5. PMC: 4683286. DOI: 10.5830/CVJA-2015-065. View

15.

Campbell N, Lemogoum D . Hypertension in sub-Saharan Africa: a massive and increasing health disaster awaiting solution. Cardiovasc J Afr. 2015; 26(4):152-4. PMC: 4683293. View

16.

Adisa R, Olajide O, Fakeye T . Social Support, Treatment Adherence and Outcome among Hypertensive and Type 2 Diabetes Patients in Ambulatory Care Settings in southwestern Nigeria. Ghana Med J. 2017; 51(2):64-77. PMC: 5611909. View

17.

Oluwole E, Osibogun O, Adegoke O, Adejimi A, Adewole A, Osibogun A . Medication adherence and patient satisfaction among hypertensive patients attending outpatient clinic in Lagos University Teaching Hospital, Nigeria. Niger Postgrad Med J. 2019; 26(2):129-137. DOI: 10.4103/npmj.npmj_48_19. View

18.

Crowley M, Grubber J, Olsen M, Bosworth H . Factors associated with non-adherence to three hypertension self-management behaviors: preliminary data for a new instrument. J Gen Intern Med. 2012; 28(1):99-106. PMC: 3539028. DOI: 10.1007/s11606-012-2195-1. View

19.

Kassahun C, Asasahegn A, Hagos D, Ashenafi E, Tamene F, Addis G . Knowledge on Hypertension and Self-Care Practice among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019. Int J Hypertens. 2020; 2020:5649165. PMC: 7191404. DOI: 10.1155/2020/5649165. View

20.

Cappelletti E, Greco A, Maloberti A, Giannattasio C, Steca P, DAddario M . What hypertensive patients want to know [and from whom] about their disease: a two-year longitudinal study. BMC Public Health. 2020; 20(1):308. PMC: 7068893. DOI: 10.1186/s12889-020-8421-6. View