Dissertation Title: Evaluating The Impact of Nurse-Led Health Education on Medication Adherence Among Hypertensive Patients in Outpatient Care
Research Methodology: Quantitative Research Methodology
Research Design: Quasi-Experimental Pre-Test/Post-Test Design
Abstract
Background: Hypertension remains a major global health challenge and contributes significantly to cardiovascular morbidity and mortality. Although effective antihypertensive medications are available, medication non-adherence continues to undermine blood pressure control, particularly in outpatient settings where patients manage their treatment independently. Nurses are central to chronic disease management through patient education, counselling, and ongoing support, making them key influencers in improving adherence.
Purpose: This minor research project aimed to evaluate the impact of nurse-led health education on medication adherence among hypertensive patients in outpatient care.
Methods: A quasi-experimental pre-test/post-test design was used to assess changes in medication adherence and hypertension-related knowledge. The study targeted adult hypertensive patients attending a selected outpatient clinic. Data were collected using a validated hypertension knowledge questionnaire and the Morisky Medication Adherence Scale (MMAS-8). The intervention consisted of a structured nurse-led educational session addressing hypertension, medication use, lifestyle modification, and strategies for overcoming common adherence barriers. Post-intervention assessments were conducted two to four weeks later.
Expected Results: It is anticipated that nurse-led health education will significantly improve medication adherence and patient knowledge. Participants are expected to demonstrate higher adherence scores and stronger understanding of hypertension management. The study also expects to identify key barriers to adherence, including forgetfulness, misconceptions, and limited knowledge. These projected findings are consistent with existing research demonstrating the effectiveness of nurse-led interventions in promoting behavioral change and improving chronic disease outcomes.
Conclusion: The anticipated results highlight the importance of integrating structured nurse-led education into routine outpatient hypertension care. This study underscores the essential role of nurses in strengthening adherence, improving health outcomes, and contributing to enhanced chronic disease management. The findings may also inform broader outpatient strategies and support future large-scale research initiatives.
Keywords: Hypertension; Medication adherence; Nurse-led education; Outpatient care; Chronic disease management; Health education intervention; Morisky Medication Adherence Scale (MMAS-8)
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