The use of Complementary and Alternative Medicine (Cam) for the Management of Hypertension among patients seeking health care at the Ledzokuku Krowor Municipal Assembly (Lekma) Hospital

Abstract

BACKGROUND: Complementary alternative medicine (CAM) use appears to be on the increase globally and there is an increased rate of usage among hypertensive patients. The main objective of the study was to describe CAM use among hypertensive patients for the management of hypertension. METHOD: A descriptive cross-sectional survey involving 209 hypertensive patients seeking health care at Ledzokuku Krowor Municipal Assembly (LEKMA) hospital was conducted. Demographic data, pattern of CAM use, clinical profiles of respondents and patients attitude toward CAM were documented using validated questionnaire. RESULTS: Out of the 209 patients surveyed, 99 (47.4%) used at least one type of CAM with majority (72.7%) of them using herbs. Majority (72.7%) of the CAM users claimed to have obtained the expected effect. However, (89.9%) did not disclose their CAM use to their physician citing lack of inquiry by these physicians as the main reason for non-disclosure. There was no association between CAM use and sex as well as CAM use and age groups. Affordability of antihypertensive medication, medication adherence and side effects, family history of hypertension as well as duration of hypertension were significantly associated with CAM usage at p < 0.05. Complementary and alternative medicine users in general showed positive attitude towards CAM. CONCLUSION: A considerable proportion of hypertensive patients receiving conventional treatment at LEKMA hospital also use CAM therapies. Physicians should be encouraged to inquire about their patients’ history of CAM use, appreciate the basis for this health-seeking behaviour, and advice patients concerning the possible adverse reactions and drug interactions.