Nurse-Patient Communication and Its Effect on Treatment Adherence Among Hypertensive Patients at Murtala Mohammed Specialist Hospital, Kano

📖 ABSTRACT/OVERVIEW

Background: Hypertension is one of Nigeria's most prevalent non-communicable diseases, and medication non-adherence is a major contributor to uncontrolled blood pressure. Effective nurse-patient communication can substantially improve adherence. Aim: This study examined the relationship between nurse-patient communication and treatment adherence among hypertensive patients at Murtala Mohammed Specialist Hospital, Kano, North West Nigeria. Methods: A descriptive correlational design recruited 115 hypertensive outpatients through purposive sampling. The Morisky Medication Adherence Scale and a nurse communication quality tool were administered. Data were analysed using Spearman's correlation and SPSS version 26. Results: Fifty-eight percent of patients reported low medication adherence. Higher perceived nurse communication quality was significantly associated with improved adherence scores (r = 0.61, p < 0.001). Patients who received individualised health education reported the highest adherence. Conclusion: Nurse communication quality is a powerful determinant of hypertension treatment adherence. Nurses should receive training in therapeutic communication and motivational interviewing, and structured hypertension education sessions should be incorporated into outpatient nursing care. Keywords: hypertension, treatment adherence, nurse-patient communication, Kano, non-communicable disease.

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Departments# Nursing Science