Title : Adherence to the self-management among hypertensive patients at Rwamagana provincial hospital
Introduction: Hypertension, a prevalent non-communicable disease, continues to pose a significant global health challenge, it is a leading cause of other non-communicable disease-related deaths worldwide. Factors such as suboptimal compliance with pharmacotherapy, persistence on long-term therapy and lifestyle behavioral changes have been identified as critical contributors to the poor control of blood pressure in hypertensive patients (Burnier and Egan, 2019b).
Background of the Study: The worldwide incidence and prevalence of hypertension are on the rise, affecting an estimated 1.5 billion people globally. In countries like the United States, Bangladesh, India, Kenya, Ethiopia, Uganda, Tanzania, and Rwanda, hypertension's prevalence has surged, leading to a substantial burden of disease and mortality.
Study have highlighted the impact of inadequate self-management practices, low medication adherence, and lifestyle non-compliance among hypertensive individuals, particularly with those who has financial issue
Methods: A cross-sectional study design with quantitative approach have been used.by questionnaire methods, data collected from 242 patients whom chosen randomly IBM SPSS version 20.0 used for statistical analysis, Chi-square and linear regression used to test relationship between social demographic characteristics and level of self-management compliance.
Results: 68% of hypertensive patients reported adherence to lifestyle modifications, 72% of hypertensive patients reported high medication adherence, Female patients demonstrated slightly higher adherence to lifestyle modifications compared to male patients, Employment status and income levels had a significant impact on adherence
Conclusion: Briefly with an average 70% of patients demonstrating adherence to either lifestyle modifications or medication management, Hospital has to improves quality of health services, policy makers need to finds different ways to motivate patient and make it easy for them to do physical exercises extra to monthly mass sport as it is not enough.