Rasaq Adisa|Olumide Ayodeji Ilesanmi|Titilayo O. Fakeye
Treatment adherence and blood pressure outcome among hypertensive out-patients in two tertiary hospitals in Sokoto, Northwestern Nigeria
University of Ibadan|Usmanu Danfodiyo University Teaching Hospital, Sokoto|University of Ibadan
treatment adherence play important roles blood pressure control leading reduction morbidity mortality study therefore assessed adherence pharmacological nonpharmacological therapies among ambulatory hypertensive patients reasons treatment nonadherence association adherence blood pressure also investigatedcrosssectional questionnaireguided interview retrospective review medical records 605patients twotertiary healthcare institutions sokoto northwestern nigeria nineitem modified morisky adherence scale used assess medication adherence overall adherence score lifestyle modifications obtained total scores 4domains nonpharmacological measures including cigarette smoking alcohol cessation saltrestriction exercise patientspecific adherence education provided contact resolve knowledge gaps clinicalparameters retrieved contact subsequent 2months appointment descriptive statistics chisquare students ttest used analysis p 005fiftyfour 89 patients adherent medications forgetfulness 404 352 common reason medication nonadherence use buddycompanion reminder 605 302 top list adherence education overall adherence lifestyle modifications 3660 mean systolic blood pressure sbp contact 1496 225 versus 1342 158 mmhg 2months 10 reduction significant associations baseline sbp patients without adherence medication cigarette smoking cessation exercise p 005overall adherence antihypertensive medications lifestyle modifications suboptimal underscoring need continuous patientspecific adherence education ensure better therapeutic outcomes