Hypertension Knowledge, Attitude, and Practice in Adult Hypertensive Patients at a Tertiary Care Hospital in Sri Lanka (original) (raw)
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Knowledge, Attitude and Practice on Hypertension among Antihypertensive Medication Users
+PVTQFWEVKQP Hypertension is growing among the population of Nepal. We aimed to determine the current knowledge, attitude and practice of hypertension among hypertensive patients taking antihypertensive medication in the community of Central Nepal. /GVJQFU A cross-sectional study was conducted among the hypertensive patients in Bharatpur, Chitwan, Nepal from July 2015 to September 2015 using clustered sampling technique. Suitably designed and validated questionnaire of knowledge, attitude and practice on hypertension consisting of 27 questions were used to determine the KAP scores. The difference in the median KAP scores between sex, level of education and duration of hypertension were assessed using Mann-Whitney U test. 4GUWNVU A total of 200 patients met the inclusion criteria and majority of them were male (60%), had UHFHLYHG SULPDU\ HGXFDWLRQ DQG KDG K\SHUWHQVLRQ IRU \HDUV 7KH EORRG SUHVVXUH ranged from 100-180/60-110 mmHg. The median K, A and P scores were 8 (6), 5 (1) and 6 (3) UHVSHFWLYHO\ .
International Journal of Hypertension, 2017
Objective. To assess the patient’s knowledge and awareness about hypertension and adherence to antihypertensive medication among hypertensive patients with validated Morisky questionnaires in a tertiary care centre of northern Sri Lanka. Methods. A cross-sectional descriptive comparative study was carried out at Teaching Hospital Jaffna, from January 2017 to April 2017. Hypertensive patients were recruited by systematic randomized controlled sampling and interviewed with validated Morisky questionnaires to assess their knowledge about hypertension. Data were analyzed using SPSS (version 21) analytical package. Results. 73 of 303 patients were males. 69.9% of patients had adequate knowledge about hypertension. 40.5% of patients were unaware of their disease status. 75.8% of patients could not recall their blood pressure values at the time of diagnosis. 72.3% of patients were unaware of their values of blood pressure during their last outpatient clinic visit. 48.2% of patients had awa...
International journal of basic and clinical pharmacology, 2019
Background: Hypertension is a chronic disease and an important risk factor for cardiovascular complications. The increase in prevalence of hypertension is attributed to age of population, urbanization, sedentary habits, lack of physical activity, obesity, alcohol consumption and exposure to continuous stress. Regular anti-hypertensive medications can reduce the long-term risk of cardiovascular morbidity and mortality. This study was done to assess the knowledge, attitude and practice regarding hypertension and to assess the drug compliance in hypertensive patients. Methods: This study was a cross sectional questionnaire based, conducted among 200 hypertensive patients attending hypertension clinic (
Context: Hypertension can be controlled through both non pharmacological and pharmacological treatment. Prevention plays significant role in controlling this disease which is achieved by increasing the knowledge and awareness of the public and changing their attitude and practice. Studies have shown that patients do not have appropriate knowledge about hypertension. Aim: To assess the knowledge, attitude, and practice of hypertensive patients and its relation to demographic data. Setting and Design: A cross sectional, questionnaire based survey Material and Methods: Study was conducted in hypertensive patients at tertiary care teaching hospital. The study instrument was a self-developed, pre-validated semi-structured questionnaire consisting of both open and close-ended items. Results: Out of 150 respondents, 92% of the respondents were aware of hypertension. Most of the patients (68.66%) were aware about symptoms of raised BP. Eighty nine percent took anti-hypertensive medications regularly. Almost 65% mentioned that taking antihypertensive drugs is a lifelong necessity and regular follow up is necessary. Out of 138 patients who were taking antihypertensive medication regularly, percentage was significantly higher in those who were educated more than 10 th standard. Similarly the practice of reduced salt intake in diet was significantly higher in the same group. Conclusion: Most of the patients were aware of the risk factors associated with hypertension but had a negative attitude towards modifying those risk factors. However education had a positive impact on some of the practices like medication adherence, salt restriction and physical exercise.
Knowledge regarding management of hypertension among hypertensive patients: A descriptive study
IP innovative publication pvt. ltd, 2019
Hypertension is an important medical and public health issue. The risk of myocardial infarction, stroke, heart failure and renal disease associated with blood pressure has shown a proportional increase and with age the prevalence of hypertension increases. As a part of aim, we tried to analyse importance of primary health care (PHC) for the management of cardiovascular and renal diseases. About 100 hypertensive patients were selected with the knowledge of non-experimental descriptive design at selected hospitals of Mangaluru, Karnataka, India. Data were collected having the information of demography and related questionnaire. Feasibility was accessed based on initial pilot study by using SPSS version 23 software and percentage of knowledge score was 37.03. The results showed significant association between knowledge with the selected demographic variables such as age (χ2= 15.040), gender (χ2= 5.760), religion (χ2= 16.580), educational status (χ2= 55.280), occupation (χ2=16.240), monthly income (χ2=47.600), type of family (χ2=47.060), area of residence (χ2=21.160), dietary pattern (χ2=14.780), habits (χ2=11.040) and frequency of eating unhealthy junk food or having outside food (χ2=40.160). The findings of the study revealed that the hypertensive patients had an average level of knowledge regarding control of hypertension through proper diet and there is a need to educate them to prevent life-threatening complications.
2021
Background:Hypertension a “silent killer” is a serious global health problem, whose prevalence is increasing in Nepal. This study aimed to determine the attitude and practice of hypertension among antihypertensive medication users in a tertiary care teaching hospital in western Nepal.Methodology: A hospital-based cross-sectional study was conducted among 136 hypertensive patients under medication, aged ≥30 years, and visiting medical outpatient department, medical ward, and geriatric ward, using a non-probability convenience sampling technique. Semistructured questionnaires were used for data collection through interviews. Descriptive and inferential statistics were used, and a p-value < 0.05 was considered statistically significant.Results: The maximum number of patients (36; 26.5%) was in the age range of 50-60 years with a mean (SD) of 56.74 (12.58). Most of 77(56.6%) were male, Hindu, 95(69.9%), upper caste people (40; 29.4%), illiterate (30; 22.1%), house maker (37; 27.2), a...
2020
Background: Hypertension has a great impact on cardiovascular disease and death all over the world. Low and middle-income countries including Nepal are facing higher disease burden because of complications arise from uncontrolled hypertension. Patient’s knowledge and perception play an important role for the proper management of hypertension. There are limited studies related to knowledge and perception of hypertension, therefore, this study aimed to assess the knowledge and perception of hypertension among hypertensive patients at a tertiary hospital in Nepal. Methods: This is a hospital based, mixed-method, cross-sectional study which was conducted among 400 hypertensive patients in the outpatient department of Sahid Gangalal National Heart Center, Kathmandu, Nepal. Patients who were diagnosed as hypertensive at least 6 months before were selected by simple random sampling technique and were interviewed using semistructured questionnaire, and interview schedule from March to May 2...
2019
Background Hypertension is a silent killer. Differences between men and women in the pathophysiology, risks, and treatment of essential hypertension have been noted for many years. The aim of this study was to describe the socio-demography and knowledge, attitude and practice with regards to hypertension among female hypertensives. Methodology This was a cross sectional descriptive study conducted at Teaching Hospital Peradeniya. Data was collected by an interviewer administered structured questionnaire, and epidemiological patterns, risk factors and outcome were analyzed. Results 113(43.4%) had at least one sibling while 102(39.1%) had at least one parent with hypertension. Mean BMI was 25.10 kg/m2 and mean waist circumference was 90.92cm. 60.3% were either overweight or obese. 67.6% had adequate amount of physical activity. History of PIH is reported in 17.69% of patients. Conclusion Majority of patients were currently on either ACEI or ARBs followed by diuretics. There is a delay...
Journal of the Postgraduate Institute of Medicine, 2016
Background Hypertension is an important public health challenge and is a major risk factor for many other diseases. Lack of knowledge on the dangers of untreated hypertension, the benefits of better control and poor management practices are barriers for effective hypertensive care. Objective The aim of the study was to describe the level of knowledge on the disease, its complications and management strategies among hypertensive patients attending Medical Clinics at Teaching Hospital, Batticaloa, Sri Lanka. Methods A cross-sectional descriptive study was conducted mong 424 patients diagnosed with 'essential hypertension' attending medical clinics. A pre-tested interviewer administered questionnaire was used for data collection. Data was analyzed using SPSS version 15. A scoring system was used to assess the overall knowledge of the participants. Results The study population consisted of 174(41%) males and 250(59%) females. Nearly 43% stated that blood pressure of 120/80mmHg was normal. Only 3.3% were aware that hypertension may be asymptomatic. The main aggravating factors for hypertension identified by participants were stress (59.2%) and high salt intake (50.9%). Organs damaged by poorly controlled hypertension were identified as the heart (50%) and kidneys (26%). Sixty four percent said that both medication and lifestyle modifications are useful to control hypertension. Blood pressure lowering strategies identified were reducing body weight (76.0%) and salt reduction (81.1%). Only 45.0% agreed that increased consumption of fruits and vegetables improves control of hypertension. A minority (2.4%) were unsure of non-pharmacological management strategies. Overall knowledge score was inadequate (<50%) among 391(92%), with a mean of 30.8% (SD ± 15.5) ranging from 4.4-89.1%. Conclusions Inadequate knowledge on hypertension, its complications and management strategies was seen. Targeted health education strategies are urgently needed to improve knowledge to prevent consequences of poorly controlled hypertension.
BACKGROUND Hypertension is a major risk factor for cardiovascular disease and awareness about the disease and adherence for the antihypertensive drugs is poor. AIM OF THE STUDY To assess the knowledge, attitude, awareness among hypertensive patients and compliance for the drugs. STUDY DESIGN A cross sectional study SETTING The study was conducted in outpatient department of Cardiology in Super speciality hospital of Government Medical college Jammu. MATERIALS AND METHODS Hypertensive patients who attended the outpatient clinic during one month period of 1 st July to 31 st July2015 were given a questionnaire regarding sociodemographic profile, risk factors for high blood pressure, awareness & adherence to treatment were recorded and analysed in percentage. RESULTS There were 180 hypertensive patients, out of which 108 were males, 72 were females, 63.9% were in age group of 41-60yrs and from rural areas, 80(44.4%) have to travel at least for one to two hrs to reach the hospital. 80% of them were married, 87.7% belong to Hindu religion, 56.1% have qualification of 10 th std 31.6% were govt employee & 55.5% have monthly income of 1000-10,000. 75% knew that it is a lifelong disease and 72.2% knew that treatment is lifelong. Only 56.1% has knowledge of reading of BP, 87.7% and 63.8% has awareness of symptoms and complications respectively. More than 80% has awareness about the other risk factors. CONCLUSION Overall knowledge, awareness attitude and compliance of hypertensive patients was good as these were already diagnosed patients and were on follow up for 2-3 yrs. There is need of launching a comprehensive approach involving primary health care providers and to screen the patients in general public and to educate them about the disease & need to take drugs regularly.