Treatment Adherence and Quality of Life of Adults Living With Hypertension in Rural Ghana.

IF 2.3 4区 医学 Q2 NURSING Nursing Open Pub Date : 2025-03-01 DOI:10.1002/nop2.70198
Ayisha Blessing Amadu, Kennedy Dodam Konlan, Jamilatu Barbara Amadu, Gladys Dzansi
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Abstract

Aim: We determined treatment adherence and quality of life of adults living with hypertension in rural Ghana.

Design: A quantitative cross-sectional survey was conducted.

Method: We randomly sampled 351 persons diagnosed with hypertension at the Baptist Medical Centre in Nalerigu, Ghana. A shortened version of the World Health Organization's Quality of Life (WHOQOL-BREF) questionnaire was used, and information on treatment adherence was collected using a modified Morisky Medication Adherence Scale. Data analyses were conducted with the aid of SPSS 23.0 at a 95% confidence level.

Results: The study revealed a high rate of treatment adherence, 226 (64%) with low quality of life among the participants. Adherence to treatment was more associated with the males compared to females. The social health dimension of the quality of life was significantly associated with treatment adherence. The role of social networks in enhancing adherence was a major finding in this study and could be harnessed by nurses and midwives to improve the lives of persons diagnosed with hypertension. It is recommended that measures that promote remembrance and reduce forgetfulness regarding hypertension medications, such as mobile health and digital technologies, be implemented by health workers to enhance treatment adherence. Further, measures aimed at improving resource allocation for women in rural communities, such as women-economic empowerment programmes, are encouraged to enhance health-seeking and treatment adherence.

Patient or public contribution: None.

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加纳农村地区成人高血压患者的治疗依从性和生活质量。
目的:我们确定加纳农村成年高血压患者的治疗依从性和生活质量。设计:进行定量横断面调查。方法:我们在加纳纳勒里古浸信会医疗中心随机抽取351名被诊断为高血压的人。使用世界卫生组织生活质量(WHOQOL-BREF)问卷的简化版本,并使用改进的Morisky药物依从性量表收集治疗依从性信息。数据分析采用SPSS 23.0软件,置信水平为95%。结果:研究显示治疗依从性高,226例(64%)患者生活质量较低。与女性相比,男性对治疗的依从性更高。生活质量的社会健康维度与治疗依从性显著相关。社交网络在增强依从性方面的作用是本研究的一个主要发现,护士和助产士可以利用它来改善高血压患者的生活。建议卫生工作者采取措施,促进对高血压药物的记忆和减少遗忘,如移动保健和数字技术,以加强治疗依从性。此外,鼓励采取旨在改善农村社区妇女资源分配的措施,如妇女经济赋权方案,以促进求医和坚持治疗。患者或公众贡献:无。
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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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