Vol. 2, Issue 2, Part A (2025)

Hypertension is one of the leading global public health challenges, affecting over a billion adults worldwide and contributing significantly to cardiovascular morbidity and mortality. Although effective antihypertensive medications exist, suboptimal adherence remains one of the most persistent barriers to blood pressure control, with nearly half of patients failing to comply with prescribed regimens. Poor adherence is associated with preventable complications such as stroke, myocardial infarction, renal dysfunction, and premature death, emphasizing the need for targeted, sustainable strategies to improve long-term treatment compliance. Nurse-led health education has emerged as a promising approach due to nurses’ close interaction with patients, their ability to provide continuous support, and their role in addressing both behavioural and informational barriers to adherence. Evidence suggests that structured educational interventions delivered by nurses can effectively enhance disease understanding, encourage self-care, and promote medication-taking behaviour among hypertensive individuals. However, the consistency, depth, and implementation of nurse-led educational programmes vary across healthcare settings, leaving gaps in adherence outcomes and disease control.
This research examines the impact of a structured nurse-led health education programme on medication adherence among hypertensive patients attending outpatient services. The intervention included disease-specific information, lifestyle modification counselling, clarification of medication misconceptions, and motivational support delivered in multiple sessions. A quasi-experimental pre-test-post-test design was used to evaluate changes in adherence levels using a validated adherence measurement scale. It was hypothesized that patients receiving nurse-led health education would demonstrate significantly greater improvement in adherence compared to those receiving routine care. The findings of this research highlight the potential of empowering nurses to take a proactive role in patient education, thereby improving therapeutic compliance and supporting long-term hypertension management. Integrating nurse-led educational interventions into routine care pathways may serve as a sustainable strategy for strengthening medication adherence and reducing the burden of uncontrolled hypertension in clinical and community settings.