The Impact of Patient-Centered Nursing Care on Treatment Adherence in Hypertensive Patients in Bayelsa State
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Background of the Study
Hypertension is a major public health concern globally, contributing significantly to cardiovascular morbidity and mortality. In Nigeria, the prevalence of hypertension continues to rise, with many patients struggling with treatment adherence. Poor adherence to antihypertensive treatment is a major barrier to effective blood pressure control, leading to complications such as stroke, heart failure, and kidney disease.
Patient-centered nursing care (PCNC) emphasizes individualized care that considers patients’ preferences, values, and needs. This approach fosters better patient engagement, improves communication, and enhances trust between nurses and patients. Studies have suggested that when hypertensive patients receive personalized nursing interventions, they are more likely to adhere to prescribed medications, lifestyle modifications, and follow-up appointments.
Despite the recognized benefits of PCNC, its implementation in Nigeria remains inconsistent due to factors such as high patient-to-nurse ratios, inadequate training, and limited resources. Understanding the impact of PCNC on treatment adherence among hypertensive patients in Bayelsa State is crucial for improving hypertension management and reducing complications associated with poor adherence.
Statement of the Problem
Hypertension is one of the leading causes of cardiovascular disease-related deaths in Nigeria, yet adherence to treatment remains a challenge. Many patients fail to follow prescribed medication regimens, lifestyle modifications, and routine check-ups, leading to poorly controlled blood pressure.
While patient-centered nursing care has been shown to improve treatment adherence in some healthcare settings, its effectiveness in Bayelsa State is yet to be adequately explored. Factors such as patient education, shared decision-making, and nurse-patient relationships could play significant roles in determining adherence levels. Investigating this issue will provide valuable insights for enhancing nursing care strategies to improve health outcomes in hypertensive patients.
Objectives of the Study
- To assess the level of treatment adherence among hypertensive patients receiving patient-centered nursing care in Bayelsa State.
- To evaluate the relationship between patient-centered nursing care and treatment adherence in hypertensive patients.
- To identify factors that influence the effectiveness of patient-centered nursing care in improving treatment adherence.
Research Questions
- What is the level of treatment adherence among hypertensive patients in Bayelsa State?
- How does patient-centered nursing care impact treatment adherence in hypertensive patients?
- What factors influence the effectiveness of patient-centered nursing care in improving treatment adherence?
Research Hypotheses
- Hypertensive patients receiving patient-centered nursing care have higher levels of treatment adherence.
- There is a positive relationship between patient-centered nursing care and adherence to hypertension treatment.
- Patient education and communication are key determinants of treatment adherence in hypertensive patients.
Scope and Limitations of the Study
This study will focus on hypertensive patients receiving care in healthcare facilities across Bayelsa State. It will evaluate the effectiveness of patient-centered nursing care in improving adherence to medication, lifestyle changes, and follow-up visits. Limitations may include variability in patient responses to nursing interventions and differences in healthcare facility resources.
Definitions of Terms
- Patient-Centered Nursing Care (PCNC): A healthcare approach that prioritizes the patient’s needs, preferences, and values in care delivery.
- Treatment Adherence: The extent to which patients follow prescribed medical treatments, including medication intake, dietary modifications, and follow-up visits.
- Hypertension: A chronic medical condition characterized by persistently elevated blood pressure levels.
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