The Effect of Nurse-Led Mobile Health Interventions on the Control of Hypertension in Ekiti State
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Background of the Study
Hypertension remains a major public health concern in Nigeria, contributing to increased morbidity and mortality from cardiovascular diseases (WHO, 2024). Poor healthcare access, low awareness, and inadequate follow-up care are major barriers to effective blood pressure control in many regions, including Ekiti State. Mobile health (mHealth) interventions have emerged as innovative solutions for improving hypertension management, particularly in resource-limited settings (Johnson et al., 2024).
Nurse-led mobile health interventions utilize mobile technology, such as text messaging, teleconsultations, and digital health applications, to enhance patient adherence to treatment regimens, provide health education, and facilitate remote monitoring (Adepoju & Ogunleye, 2023). Studies have demonstrated that mHealth interventions can significantly improve medication adherence, lifestyle modifications, and blood pressure control (Chukwuma et al., 2024). However, there is a lack of empirical data on the effectiveness of nurse-led mHealth interventions in Nigeria, particularly in Ekiti State.
Given the high burden of uncontrolled hypertension in Nigeria, this study seeks to evaluate the impact of nurse-led mobile health interventions on blood pressure control among hypertensive patients in Ekiti State.
Statement of the Problem
Despite the availability of antihypertensive medications and lifestyle modification recommendations, hypertension control remains suboptimal in Nigeria (Obinna & Hassan, 2023). Limited access to healthcare facilities, irregular follow-ups, and low patient adherence to prescribed treatments contribute to high rates of uncontrolled hypertension.
In Ekiti State, many patients face challenges in attending regular clinic visits, leading to poor hypertension management. The integration of nurse-led mobile health interventions has the potential to bridge these gaps by improving patient engagement and adherence. However, there is limited research assessing the effectiveness of such interventions in rural and urban Nigerian populations. This study, therefore, aims to investigate the impact of nurse-led mobile health interventions on hypertension control in Ekiti State.
Objectives of the Study
- To assess the impact of nurse-led mobile health interventions on blood pressure control among hypertensive patients in Ekiti State.
- To determine the effectiveness of mHealth interventions in improving medication adherence and lifestyle modifications among hypertensive patients.
- To identify challenges associated with the implementation of nurse-led mobile health interventions for hypertension management.
Research Questions
- How do nurse-led mobile health interventions influence blood pressure control among hypertensive patients in Ekiti State?
- To what extent do mHealth interventions improve medication adherence and lifestyle modifications?
- What challenges affect the successful implementation of nurse-led mobile health interventions for hypertension management?
Research Hypotheses
- Nurse-led mobile health interventions significantly improve blood pressure control among hypertensive patients.
- mHealth interventions enhance medication adherence and lifestyle modifications among hypertensive patients.
- Implementation challenges negatively impact the effectiveness of nurse-led mobile health interventions for hypertension management.
Scope and Limitations of the Study
This study will focus on hypertensive patients in Ekiti State who participate in nurse-led mobile health interventions. It will assess the effectiveness of digital health tools, such as SMS reminders, teleconsultations, and digital tracking of blood pressure readings. Limitations may include variability in patient access to mobile devices, internet connectivity issues, and participant compliance with the intervention.
Definitions of Terms
- Nurse-Led Mobile Health Interventions: Health initiatives led by nurses that use mobile technology to support patient care and disease management.
- Hypertension Control: The ability to maintain blood pressure within a recommended range through medication, lifestyle changes, and regular monitoring.
- Medication Adherence: The extent to which patients follow prescribed medication regimens as directed by healthcare providers.
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