EFFECT OF A PHARMACIST INTERVENTION ON SELF MANAGEMENT PRACTICES AMONG HYPERTENSIVE/DIABETIC PATIENTS RECEIVING CARE IN A NIGERIAN TERTIARY HOSPITAL
Background: self management in terms of adherence to medications, and modification of lifestyle behaviours as major factors that contribute to the poor control of blood pressure.
Objective: The objective of this study was to evaluate the effect of a pharmacist-led intervention on self management practices among hypertensive/diabetic patients receiving care in a Nigeria tertiary hospital.
Methods: The study adopted a prospective, longitudinal, single blind randomised controlled trial to implement a pharmacist-led Educational intervention on Hypertension management among patients in Federal medical centre Lokoja, Kogi State. All the patients who met the eligibility criteria and gave their written consent to participate in the study were recruited into the study randomised in the intervention group (IG) and Control (CG). Data was collected using H-SCALE questionnaire. The retrieved questionnaires were first coded into Microsoft Excel (2014) for cleaning of errors, after which the data was exported into the Statistical Product and Services Solutions (SPSS for windows, Version 16.0. SPSS Inc. 2007.Chicago, USA) software. Descriptive statistics such as frequencies, percentages and mean scores were used to summarise the data. All responses were first presented as frequencies and percentages. Chi-square was used to determine the correlation between socio-demographics and patients’ clinical characteristics. Independent sample t-test and paired sample t-test were used to compare differences between and within groups.
Results: At baseline, more patients in the control group were adherent to their medications 16 (11.5) and had low salt diets 47 (33.8) than patients in the intervention group. However, more patients in the intervention group were non-smokers 127 (88.8) and engaged more in physical activity 38 (26.6) than patients in the control group. More of the patients in the control group were adherent to weight management practices 38 (27.3) than patients in the intervention group 36 (25.2). All the patients in both study group reported to have taken alcohol in the past seven days. it can be seen that the intervention group at endpoint differed from the control group at baseline in adherence to medication, physical activity, reducing alcohol consumption and smoking cessation. it can be observed that the baseline intervention group differed from the endpoint in medication adherence t= - 26.045, p < 0.001; physical activity t= -15.081, p< 0.001; weight management practices t= -5.479, p< 0.001 and alcohol consumption t= -11.550, p< 0.001
Conclusion: A pharmacist led educational intervention improved patients adherence to their medications, physical activity and weight management practices.
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