Coping strategies and resilience among patients with hypertension in Ghana
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Frontiers in Psychology
Abstract
Background: Hypertension is associated with high morbidity and mortality
and this has been linked to poor treatment and control rates. To optimize
drug treatment, patient-centered strategies such as coping, resilience, and
adherence to medication may improve control rates and decrease the
morbidity and mortality associated with hypertension. This study, therefore,
assessed coping skills and resilience among patients with hypertension in
Ghana.
Methods: A cross-sectional study was conducted at Korle Bu Teaching
Hospital. 224 consented patients with a diagnosis of hypertension were
consecutively selected from the outpatient clinic. Questionnaires comprising
socio-demographic characteristics, clinical parameters, Adult Resilience
Measure, and the Africultural Coping Systems Inventory were administered.
Data were analyzed using Stata version 16.1 and significance level was set at
p-value of ≤ 0.05.
Results: The mean age of participants was 62.03 ± 11.40 years and the
majority were female (63%). The overall coping strategy mean score was
43.13 ± 13.57. For resilience, median relational and personal resilience (PR)
scores were 32 (IQR-7) and 39 (IQR-9), respectively. Increased systolic
BP significantly increases the overall coping strategy score. Collective
coping strategy and systolic BP significantly increased coping scores
(95%CI = 0.05–3.69 vs. 95%CI = 0.58–5.31). Overall coping strategy
significantly increased personal and relational resilience (RR) domain scores
by 0.004 (95%CI = 0.002–0.01) and 0.005 (95%CI = 0.003–0.006) units,
respectively. This study demonstrated that Cognitive and emotional debriefing
coping strategy was mostly used by patients with hypertension.
Conclusion: Coping strategies had a positive and significant correlation
with personal and RR, specifically collective and cognitive debriefing had
a significant positive association with resilience among study participants.
There is a need to actively put in measures that can improve the coping strategies and resilience among patients with hypertension to adjust to the
long-term nature of the illness and treatment as this will promote better
treatment outcomes.
Description
Research Article
Keywords
coping strategies,, resilience, hypertension,, cognitive debriefing
Citation
Boima V, Yorke E, Ganu V, Gyaban-Mensah A, Ekem-Ferguson G, Kretchy IA and Mate-Kole CC (2023) Coping strategies and resilience among patients with hypertension in Ghana. Front. Psychol. 13:1038346. doi: 10.3389/fpsyg.2022.1038346