Treatment Adherence and Quality of Life of Adults Living With Hypertension in Rural Ghana.
Ayisha Blessing Amadu, Kennedy Dodam Konlan, Jamilatu Barbara Amadu and 1 others
PMID 40123125WHAT IT FOUND
In rural Ghana, 226 of 351 adults with hypertension reported high medication adherence, but quality of life was poor, especially socially.
Adherence was linked to male sex, distance to health facility, income, education, employment, age, parity and social health, not overall quality of life.
Key findings
01226 (64.4%) of 351 participants had high medication adherence and 125 (35.6%) had low medication adherence.
02Overall quality of life mean was 91.46 ± 8.54, but domain means were low, with social health lowest at 10.69 ± 2.07.
03Adherence was associated with sex, distance to health facility, income, education, employment, age and parity, and only social health among quality of life domains.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Adherence and quality of life were self-reported by questionnaire, and the authors note possible recall bias. The cross-sectional design cannot show causation between adherence, social factors and quality of life. Blood pressure was not measured, so there was no objective check of whether reported adherence matched control. Only adults diagnosed for over 6 months, living in rural areas, without other disease conditions and able to consent were included.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that mobile reminders or social support caused better adherence. This was a cross-sectional survey with self-reported adherence and no blood pressure measurements, so it shows associations only and cannot prove what makes adherence improve.