Study to determine the factors that affect adherence to treatment in adults with hypertension in Kanye Sub – District Botswana

Udeh, Ejike Chukwudi J (2012-03)

Thesis (MMed)--Stellenbosch University, 2012

Thesis

ENGLISH ABSTRACT : BACKGROUND Adherence is the ability to take the prescribed treatment within the period of persistence with the treatment. In the context of medical treatment, one may not be able to predict treatment non adherence in chronic conditions like hypertension. The researcher realized that a vast number of hypertensive patient in Kanye, Botswana live with poorly controlled blood pressure; Adherence was identified as one of the factors that impact on treatment outcome. Aim of the study was to determine the factors that affect adherence to treatment in adults with hypertension. METHOD The study was a cross-sectional study; of 200 adult persons with hypertension who attended the clinics in Kanye. A structured questionnaire was used to collect data. RESULTS The result showed that there was a significant association between the outcome (adherence level) and the counseling on the risks of uncontrolled hypertension (P-value= <0.0001. Chi2=116.667), patients’ experience with pill burden (P-value= <0.0001, Chi2= 40.9091), patients understanding of treatment regimen (P-value=<0.0001, Chi2 = 150.0000), patients perception of treatment benefits (P-value = <0.0001, Chi2 = 150.0000), emotional wellbeing (P-value = <0.0001, Chi2 = 141.1765), patients’ perception of drug adverse effects (P-value = <0.0001, Chi2 = 108.1434) and cost of medication (P-value = 0.0108, Chi2 = 4.1455). CONCLUSION The study showed that patients who were counseled on the risk of hypertension and understood the treatment regimen adhered better to treatment. The perception of treatment benefits, reduced number of pills taken in a day, good family support and availability of medications are the other factors that affected adherence.

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