Key result
Self-monitoring of blood pressure shows no association with improved control in hypertensive patients.
Why the study?
Hypertension is a major challenge in low-resource settings like Northwestern Nigeria, and although self-monitoring of blood pressure improves control, its adoption remains suboptimal.
What is the awareness, practice, and factors influencing self-monitoring of blood pressure among hypertensive patients in Northwestern Nigeria?
Cross-Sectional (n=260)
No
What is the awareness, practice, and factors influencing self-monitoring of blood pressure among hypertensive patients in Northwestern Nigeria?
Despite high awareness (70.4%), self-monitoring of blood pressure practice remains suboptimal (45.4%) among hypertensive patients in Northwestern Nigeria, highlighting the need for targeted interventions.
Low SMBP uptake despite awareness signals implementation gaps; leaves open its effect on control in this population.
A BSTRACT Background: Hypertension remains a significant public health challenge in Nigeria, particularly in the low-resource settings such as Northwestern Nigeria with limited healthcare access. Self-monitoring of blood pressure (SMBP) is a proven strategy to improve hypertension control, yet its adoption remains suboptimal. Objectives: This study assessed the awareness, practice, and factors influencing SMBP among hypertensive patients attending follow-up clinic in Northwestern Nigeria. Materials and Methods: A descriptive and cross-sectional study was conducted among 260 hypertensive patients attending Federal Medical Center Gusau, a tertiary hospital in Northwestern Nigeria. Data were collected using structured questionnaires were analyzed using the SPSS software version 25. Associations between the categorical variables were analyzed with Chi-square, with a P < 0.05 was considered statistically significant. Results: Of the 260 participants, 183 (70.4%) were aware of SMBP, but only 118 (45.4%) practiced it. Healthcare professionals were the primary source of information (55.8%). Digital monitors were most commonly used (62.3%). Gender significantly influenced SMBP practice ( P = 0.036), with females practice SMBP than males. No significant association was found between SMBP and BP control ( P = 0.300). Conclusion: Despite high awareness, SMBP practice remains suboptimal among hypertensive patients in Northwestern Nigeria. Targeted health education, better access to affordable BP monitors, and increased provider engagement are needed to improve SMBP uptake and hypertension outcomes.
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Abdullahi et al. (2025) conducted a cross-sectional in Hypertension (n=260). Self-monitoring of blood pressure (SMBP) was evaluated on Awareness, practice, and factors influencing self-monitoring of blood pressure. Self-monitoring of blood pressure was practiced by only 45.4% of hypertensive patients despite 70.4% awareness, and showed no significant association with blood pressure control (P=0.300).
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