FACTORS INFLUENCING BLOOD PRESSURE CONTROL AND MEDICATION ADHERENCE AMONG HYPERTENSION PATIENTS ATTENDING KORLE-BU TEACHING HOSPITAL

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ABSTRACT

Background

Hypertension, a notable risk factor for renal disease and stroke remains a significant public health problem. It is associated with fatality, morbidity and a huge financial burden. There is insufficient control of blood pressure despite advancements in hypertension management. Several factors influence blood pressure control. Prescribing trends among doctors and adherence to medication by the patient influence control of blood pressure. This study sought to assess the control of blood pressure and medication adherence among patients with hypertension attending Korle Bu Teaching Hospital and some contributing factors.

Methods

A cross-sectional study was conducted at Korle-Bu Teaching Hospital at the out-patient clinics of the Department of Medicine, the Cardiothoracic Unit and the Korle Bu polyclinic targeting patients with hypertension. A consecutive sampling approach was used to recruit patients. Structured questionnaire was administered to obtain information on demographics, socioeconomic status, medication and disease data. Adherence to medication was also measured using the Morinsky 8-item adherence scale. Statistical analysis was done using STATA version 15 and a level of significance set at 5%.

Results

Results showed that the level of blood pressure control was 56.1% and the level of medication adherence was 49.5%. Medication adherence (AOR 1.66 p=0.03), review visits every 3 months (AOR 2.34 p

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