A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria

Sylvia Oluchi Nwaike; Ebenezer Obi Daniel; Sheriff Lamidi; Michael Olabode Tomori; Michael Avwerhota; Israel Olukayode Popoola; Adebanke Adetutu Ogun; Aisha Oluwakemi Salami; Olukayode Oladeji Alewi

doi:doi:10.11648/j.jfmhc.20241002.12

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A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria

Sylvia Oluchi Nwaike^*

, Ebenezer Obi Daniel

, Sheriff Lamidi, Michael Olabode Tomori, Michael Avwerhota, Israel Olukayode Popoola, Adebanke Adetutu Ogun, Aisha Oluwakemi Salami, Olukayode Oladeji Alewi

Published in Journal of Family Medicine and Health Care (Volume 10, Issue 2)

Received: 5 April 2024 Accepted: 19 April 2024 Published: 10 May 2024

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Abstract

Severe hypertension is associated with a two-fold increase in relative risk of death. Interventions to date fail to achieve sustained improvement in blood pressure, particularly in regional areas of high social disparity. Growing evidence points to multiple psychological, social and morbidity factors as contributors to the onset of and trajectory of hypertension. This study aims to examine the association of psychosocial factors and multimorbidity with response to treatment and treatment outcomes in the management of severe hypertensive patients providing updated knowledge and recommendations to improve their quality of care. We employed a hospital based comparative cross-sectional study using a quantitative and qualitative approach. Semi-structured questionnaires were used to collect information from 733 severe hypertensive patients attending cardiology clinics in two tertiary health institutions in southeastern Nigeria. Data collected was transcribed, coded, and analysed with IBM SPSS version 23 software with appropriate descriptive tools used in presenting findings. We observed a significant association between age of the respondents and their response to treatment. Overweight/obese respondents were 1.5times less likely to respond to treatment. These findings add to existing knowledge provoking thoughtful discussions among relevant public health actors and stakeholders to update management policies for severe hypertension.

Published in	Journal of Family Medicine and Health Care (Volume 10, Issue 2)
DOI	10.11648/j.jfmhc.20241002.12
Page(s)	23-30
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Psychosocial Factors, Multimorbidity Severe Hypertension, Treatment Outcome

References

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APA Style

Nwaike, S. O., Daniel, E. O., Lamidi, S., Tomori, M. O., Avwerhota, M., et al. (2024). A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria. Journal of Family Medicine and Health Care, 10(2), 23-30. https://doi.org/10.11648/j.jfmhc.20241002.12

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ACS Style

Nwaike, S. O.; Daniel, E. O.; Lamidi, S.; Tomori, M. O.; Avwerhota, M., et al. A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria. J. Fam. Med. Health Care 2024, 10(2), 23-30. doi: 10.11648/j.jfmhc.20241002.12

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AMA Style

Nwaike SO, Daniel EO, Lamidi S, Tomori MO, Avwerhota M, et al. A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria. J Fam Med Health Care. 2024;10(2):23-30. doi: 10.11648/j.jfmhc.20241002.12

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@article{10.11648/j.jfmhc.20241002.12,
  author = {Sylvia Oluchi Nwaike and Ebenezer Obi Daniel and Sheriff Lamidi and Michael Olabode Tomori and Michael Avwerhota and Israel Olukayode Popoola and Adebanke Adetutu Ogun and Aisha Oluwakemi Salami and Olukayode Oladeji Alewi},
  title = {A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria
},
  journal = {Journal of Family Medicine and Health Care},
  volume = {10},
  number = {2},
  pages = {23-30},
  doi = {10.11648/j.jfmhc.20241002.12},
  url = {https://doi.org/10.11648/j.jfmhc.20241002.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20241002.12},
  abstract = {Severe hypertension is associated with a two-fold increase in relative risk of death. Interventions to date fail to achieve sustained improvement in blood pressure, particularly in regional areas of high social disparity. Growing evidence points to multiple psychological, social and morbidity factors as contributors to the onset of and trajectory of hypertension. This study aims to examine the association of psychosocial factors and multimorbidity with response to treatment and treatment outcomes in the management of severe hypertensive patients providing updated knowledge and recommendations to improve their quality of care. We employed a hospital based comparative cross-sectional study using a quantitative and qualitative approach. Semi-structured questionnaires were used to collect information from 733 severe hypertensive patients attending cardiology clinics in two tertiary health institutions in southeastern Nigeria. Data collected was transcribed, coded, and analysed with IBM SPSS version 23 software with appropriate descriptive tools used in presenting findings. We observed a significant association between age of the respondents and their response to treatment. Overweight/obese respondents were 1.5times less likely to respond to treatment. These findings add to existing knowledge provoking thoughtful discussions among relevant public health actors and stakeholders to update management policies for severe hypertension.
},
 year = {2024}
}

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TY  - JOUR
T1  - A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria

AU  - Sylvia Oluchi Nwaike
AU  - Ebenezer Obi Daniel
AU  - Sheriff Lamidi
AU  - Michael Olabode Tomori
AU  - Michael Avwerhota
AU  - Israel Olukayode Popoola
AU  - Adebanke Adetutu Ogun
AU  - Aisha Oluwakemi Salami
AU  - Olukayode Oladeji Alewi
Y1  - 2024/05/10
PY  - 2024
N1  - https://doi.org/10.11648/j.jfmhc.20241002.12
DO  - 10.11648/j.jfmhc.20241002.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 23
EP  - 30
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20241002.12
AB  - Severe hypertension is associated with a two-fold increase in relative risk of death. Interventions to date fail to achieve sustained improvement in blood pressure, particularly in regional areas of high social disparity. Growing evidence points to multiple psychological, social and morbidity factors as contributors to the onset of and trajectory of hypertension. This study aims to examine the association of psychosocial factors and multimorbidity with response to treatment and treatment outcomes in the management of severe hypertensive patients providing updated knowledge and recommendations to improve their quality of care. We employed a hospital based comparative cross-sectional study using a quantitative and qualitative approach. Semi-structured questionnaires were used to collect information from 733 severe hypertensive patients attending cardiology clinics in two tertiary health institutions in southeastern Nigeria. Data collected was transcribed, coded, and analysed with IBM SPSS version 23 software with appropriate descriptive tools used in presenting findings. We observed a significant association between age of the respondents and their response to treatment. Overweight/obese respondents were 1.5times less likely to respond to treatment. These findings add to existing knowledge provoking thoughtful discussions among relevant public health actors and stakeholders to update management policies for severe hypertension.

VL  - 10
IS  - 2
ER  -

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Author Information

Sylvia Oluchi Nwaike

Department of Public Health, Texila American University, Georgetown, Guyana

Contact Email

http://orcid.org/0009-0006-6547-1120
Ebenezer Obi Daniel

Department of Public Health, Swansea University, Swansea, United Kingdom

http://orcid.org/0000-0001-7286-7904
Sheriff Lamidi

Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria
Michael Olabode Tomori

Department of Public Health, Texila American University, Georgetown, Guyana
Michael Avwerhota

Department of Public Health, Atlantic International University, Hawaii, United States of America
Israel Olukayode Popoola

Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria
Adebanke Adetutu Ogun

Department of Policy, Governance, Liaison, and Support, International Organization for Migration, Abuja, Nigeria
Aisha Oluwakemi Salami

Department of Public Health, Texila American University, Georgetown, Guyana
Olukayode Oladeji Alewi

Department of Public Health, Texila American University, Georgetown, Guyana

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APA Style

Nwaike, S. O., Daniel, E. O., Lamidi, S., Tomori, M. O., Avwerhota, M., et al. (2024). A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria. Journal of Family Medicine and Health Care, 10(2), 23-30. https://doi.org/10.11648/j.jfmhc.20241002.12

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ACS Style

Nwaike, S. O.; Daniel, E. O.; Lamidi, S.; Tomori, M. O.; Avwerhota, M., et al. A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria. J. Fam. Med. Health Care 2024, 10(2), 23-30. doi: 10.11648/j.jfmhc.20241002.12

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AMA Style

Nwaike SO, Daniel EO, Lamidi S, Tomori MO, Avwerhota M, et al. A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria. J Fam Med Health Care. 2024;10(2):23-30. doi: 10.11648/j.jfmhc.20241002.12

Copy | Download

@article{10.11648/j.jfmhc.20241002.12,
  author = {Sylvia Oluchi Nwaike and Ebenezer Obi Daniel and Sheriff Lamidi and Michael Olabode Tomori and Michael Avwerhota and Israel Olukayode Popoola and Adebanke Adetutu Ogun and Aisha Oluwakemi Salami and Olukayode Oladeji Alewi},
  title = {A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria
},
  journal = {Journal of Family Medicine and Health Care},
  volume = {10},
  number = {2},
  pages = {23-30},
  doi = {10.11648/j.jfmhc.20241002.12},
  url = {https://doi.org/10.11648/j.jfmhc.20241002.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20241002.12},
  abstract = {Severe hypertension is associated with a two-fold increase in relative risk of death. Interventions to date fail to achieve sustained improvement in blood pressure, particularly in regional areas of high social disparity. Growing evidence points to multiple psychological, social and morbidity factors as contributors to the onset of and trajectory of hypertension. This study aims to examine the association of psychosocial factors and multimorbidity with response to treatment and treatment outcomes in the management of severe hypertensive patients providing updated knowledge and recommendations to improve their quality of care. We employed a hospital based comparative cross-sectional study using a quantitative and qualitative approach. Semi-structured questionnaires were used to collect information from 733 severe hypertensive patients attending cardiology clinics in two tertiary health institutions in southeastern Nigeria. Data collected was transcribed, coded, and analysed with IBM SPSS version 23 software with appropriate descriptive tools used in presenting findings. We observed a significant association between age of the respondents and their response to treatment. Overweight/obese respondents were 1.5times less likely to respond to treatment. These findings add to existing knowledge provoking thoughtful discussions among relevant public health actors and stakeholders to update management policies for severe hypertension.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - A Qualitative Analysis of the Association of Treatment Outcomes, Psychosocial Factors, and Multimorbidity in Severe Hypertensive Patients Attending Health Institutions in Southeast Nigeria

AU  - Sylvia Oluchi Nwaike
AU  - Ebenezer Obi Daniel
AU  - Sheriff Lamidi
AU  - Michael Olabode Tomori
AU  - Michael Avwerhota
AU  - Israel Olukayode Popoola
AU  - Adebanke Adetutu Ogun
AU  - Aisha Oluwakemi Salami
AU  - Olukayode Oladeji Alewi
Y1  - 2024/05/10
PY  - 2024
N1  - https://doi.org/10.11648/j.jfmhc.20241002.12
DO  - 10.11648/j.jfmhc.20241002.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 23
EP  - 30
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20241002.12
AB  - Severe hypertension is associated with a two-fold increase in relative risk of death. Interventions to date fail to achieve sustained improvement in blood pressure, particularly in regional areas of high social disparity. Growing evidence points to multiple psychological, social and morbidity factors as contributors to the onset of and trajectory of hypertension. This study aims to examine the association of psychosocial factors and multimorbidity with response to treatment and treatment outcomes in the management of severe hypertensive patients providing updated knowledge and recommendations to improve their quality of care. We employed a hospital based comparative cross-sectional study using a quantitative and qualitative approach. Semi-structured questionnaires were used to collect information from 733 severe hypertensive patients attending cardiology clinics in two tertiary health institutions in southeastern Nigeria. Data collected was transcribed, coded, and analysed with IBM SPSS version 23 software with appropriate descriptive tools used in presenting findings. We observed a significant association between age of the respondents and their response to treatment. Overweight/obese respondents were 1.5times less likely to respond to treatment. These findings add to existing knowledge provoking thoughtful discussions among relevant public health actors and stakeholders to update management policies for severe hypertension.

VL  - 10
IS  - 2
ER  -

Copy | Download