Medication Adherence Among Hypertensive Patients at Khartoum State – Sudan (2021-2024)
Keywords:
hypertension, diet, physical activity, adherence, blood pressure, knowledge, anti-hypertension medicationsAbstract
Introduction: Hypertension nowadays is a major community health problem. It is high prevalence, which becomes an important area of research, which is also a major possibility for circulatory diseases and other complications. The study aims to Adherence Medication among Hypertensive patients at Khartoum State – Sudan (2021-2024). Methodology: hospital-based longitudinal surveillance study carried out among 203 patients with hypertension, who admitted/attended to Khartoum Governmental hospitals during the period from 2022 year. Data collected through direct interviewed questionnaire, Analysis was done by using SPSS 26.0 version software, descriptive statistics with the use of frequency and %, inferential statistics with Chi-square test, and P value ≤ 0.05 considered as significant. Results: Majority of them 79(38.9%) within age group >50 years, 131(64.5%) were male, 141(69.5%) were married. The duration of hypertension was 1 – 5 years in majority. Controlled blood pressure was reported in 59(29.1%). The overall patients knowledge regarding hypertension disease in majority 81(39.9%) was poor, followed by 63(31%) was fair, and 59(29%) was good. Patients adherent to medication was 92(45.3%), non-adherence was commonly due to forgot to take medication 33(29.7%). Regarding follow up, 89(43.8%) had regular follow up. Even though patients categorized as second and third stage of hypertension have high frequency of medication non-adherence but not attain the significant level (P value=0.059). Most of patients with good diet were had normal blood pressure or first stage hypertension. (p value=0.021). Conclusion: Patients with good dietary adherence is significantly associated with better blood pressure control, and good knowledge about hypertension, this emphasizing the importance of educational interventions and indicating that dietary management is crucial for hypertension control
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