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Background: Hypertension, a lifestyle disease is the major cause for all cardiovascular morbidity and mortality. Though controllable, its prevalence has been increasing worldwide as awareness, treatment and control rates are very poor. In India the situation is quite alarming and hence need to be intervened. Aims and Objectives: To determine the kn...
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... In our study we had more females compared to males, with a male: female ratio of 1:2.61 which may be because we received more females suggesting good health seeking behaviour among females and this correlates with a study conducted in USA and Nigeria. (27,28) DOI: http://dx.doi.org/10.31191/afrijcmr.v4i1.52 ...
Background Basic knowledge about hypertension and its treatment can have a positive impact on high blood pressure control reducing cardiovascular morbidity and mortality. This study aimed at assessing the knowledge levels and to determine the factors that influenced knowledge levels among hypertensive patients receiving treatment at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. Methods A cross-sectional study was conducted at the outpatient hypertensive clinic of KATH between April and May 2019. Three hundred and ninety-seven (397) hypertensive patients aged 18 years and above who had been diagnosed with hypertension for at least six months and currently taking at least one antihypertensive drug completed a self-administered questionnaire. The questionnaire consisted of basic socio-demographic profile, patient-related information on hypertension and its treatment and knowledge on hypertension. The Hypertension Knowledge-Level Scale (HK-L) was used to determine the level of knowledge among patients receiving treatment at the Komfo Anokye Teaching Hospital (KATH), Kumasi. Results Out of the 397 patients, 199 (50.1%) had high knowledge level on hypertension and its treatment. Binary logistic regression analysis was conducted for hypertension knowledge level. Respondents with a junior level of education, paid for their antihypertensive drugs by themselves, had asthma as a comorbidity and took non-prescribed drugs had a significant association with knowledge level on hypertension and its treatment. Conclusion Knowledge about hypertension in hypertensive patients is moderate and therefore much effort should be made in educating and involving them in the condition to help them gain control over the disease and improve adherence rates.
... These findings align with those reported in studies conducted in Jamnagar city [8,9] . The majority of patients were female, a trend consistent with findings observed in studies conducted across diverse regions such as Turkey, India, the USA, and Nigeria [9,10,11,12,13] . An individual's literacy status significantly influences their lifestyle choices and attitudes, thereby impacting their susceptibility to risk factors and disease management. ...
... This has been reported among hypertensive patients both in the developed and developing countries [11]. The highest perceived barrier of life style modification practices related to hypertension is lack of knowledge in India also [12]. ...
Introduction: Hypertension (HTN) or high blood pressure (BP) is the most important cardiovascular risk factor worldwide, contributing to around one half of the coronary heart disease and two thirds of the cerebrovascular disease burdens. Effective prevention, detection, treatment, and control of BP continue to be an important goal for health care providers. A positive impact of life-style interventions is a well known fact. Awareness of HTN remains an important concern in this mountainous and predominantly rural population. Objective: To evaluate the awareness of lifestyle interventions among patients of hypertension. Methods: A cross-sectional study was conducted in Sikkim Manipal Institute of Medical Sciences in general medicine OPD from Jan 1. 2017 to Jan 15, 2017. All the stable hypertensive patients, attending medicine OPD aged >18 years were recruited in the study. Patients were interviewed using a semi structured questionnaire regarding knowledge of life style interventions. Results: Among all the hypertensive patients (n = 100), 60 patients had adequate knowledge (>50%) and 40 patients had inadequate (<50%) knowledge of these interventions. Significant association between educational background and knowledge on lifestyle interventions was present. Urban population was more aware as compared to rural population Blood pressure was significantly under control in the aware population. Conclusion: Patients knowledge on lifestyle interventions for the management of blood pressure is important. The rural population and uneducated people have inadequate knowledge on lifestyle modifications of hypertension. Structured teaching programs are needed to improve awareness about the lifestyle changes.
... e findings of Pandor's study (2006) in Jamnagar city 8 were similar . More than half of the patients were female and this was comparable to results from studies conducted in Turkey, India, USA 9,10,11,12 and Nigeria . However, the proportion of male (54.74%) and female patients (45.26%) in her study was almost the reverse than in the present study. ...
Introduction: Non-communicable diseases (NCDs) have taken over communicable diseases as the leading cause of morbidity and mortality globally. Of all the NCDs, cardiovascular disease (CVD) is a major cause of disability and premature death throughout the world, and contributes substantially to the escalating costs of health care. Of an estimated 58 million deaths globally from all causes in 2005, cardiovascular disease accounted for 30%. is proportion is equal to that due to infectious diseases, nutritional deficiencies, and 1 maternal and perinatal conditions combined. India is walking on the double-edged sword of communicable diseases as well as NCDs. And, contrary to the popular belief, CVDs are indeed common in the 2 Indian sub-continent. Hypertension (HTN) is the most common form of CVD and also a major risk factor for other CVDs like coronary heart disease (CHD).A recent meta-analysis has shown prevalence of hypertension as 40.8% 3 and 17.9% in urban and rural population of India. HTN is directly responsible for 57% of all stroke deaths and 24% of all coronary heart 4 diseases deaths in India. It is presumed that mortality rates for CHD will become greater with the constantly increasing prevalence of risk 5 factors. e increase in prevalence of HTN and CHD is largely attributable to rapid transition of lifestyle practices in developing 6 countries like India. Assessment of knowledge regarding these risk factors, especially modifiable ones, is very important in patients too. Since, awareness can lead to risk factor modification and control leading to better secondary prevention by better disease control, slowing disease progression and reducing chances of complications. It was observed that though several population-based studies are done to assess knowledge of risk factors, studies in patients have been neglected so far. Considering this background, there is an obvious need for a research with regards to HTN and CHD, especially to assess the awareness of risk factors of the same and its correlates among the patients already diagnosed with these diseases to prevent further complications. Aims and objectives: (1) To estimate the awareness of risk factors of HTN or CHD (2) To find out association between awareness regarding HTN or CHD with socio-demographic factors. Materials and Methods: Study area and design: e present study was a hospital-based cross-sectional study conducted in selected urban and rural areas of Jamnagar, a coastal district is in the western-most part of the country for a period of one year, from July 2013 to June 2014. Study Population: Patients attending Non-communicable disease (NCD) clinics at the Tertiary care hospital and at the selected Community Health Centers (CHCs) of study district. Inclusion criteria: 1. Patients who are aged 30 years or more. 2. Patients who are already diagnosed as having HTN and CHD. Exclusion criteria: 1. Patients who do not satisfy the inclusion criteria. 2. Patients not willing to participate. 3. Patients who are critically or mentally ill. 4. Patients who were diagnosed as hypertensives during current pregnancy. Sample Size and Sample Selection: Since prevalence (P value) from previous studies on the topic of present study is not available, an 7 anticipated P value is taken as 50%, as per WHO practical manual. Relative allowable error of 10%was taken and using the formula 2 4pq/L a sample size of 400was calculated. Out of 400 sample size, 50% study subjects (200 subjects) were selected from tertiary care hospital of study district and of remaining 50% (200) study subjects from CHCs of study district. ere are 11 CHCs in study district, of which 50% were chosen through simple random technique. If a patient had been already included in the study, then next patient was taken up instead of this one for the study to avoid repetition. Ethical Clearance: e study protocol was reviewed and approved by e Institutional Ethical Committee (IEC) of the institution. An informed consent was taken from all participants of the study after fully explaining the purpose of the study and assuring them of full confidentiality. Data Collection: Data collection was done by personal interview that was carried out in language understood by the study subjects using a pre-designed, pre-tested, semi-structured proforma comprising questions about socio-demographic factors, his/her knowledge about risk factors of HTN or CHD. In addition, clinical examination along with blood pressure and anthropometric measurements were done. All the individuals who participated in the study gave their consent to be part of the study. Data Entry and Analysis: Data entry was done using Microsoft Office Excel 2007 and data analysis was done using MedCalc Ver. 13.2.2. Results: The study population comprised of 400 hypertensive and CHD patients attending selected health-facilities of Jamnagar. Among the Original Research Paper Background: Hypertension (HTN) and Coronary Heart Disease (CHD) are major public health problems in the current global health scenario. Amending modifiable risk factors can greatly influence the disease progress and complications in patients and prevention in the population. Aim: To estimate the awareness of risk factors of HTN or CHD and to find out the association of awareness of risk factors with socio-demographic factors. Methods: e present study was a hospital-based cross-sectional study done in 400 patients. Results: Knowledge about risk factors of HTN and CHD is not satisfactory and often comes after the onset of the disease and not prior to it. Significant association was seen in the level of awareness between area of living, literacy status, socioeconomic status and also duration of illness. Conclusion: Our study elicited that unless other aspects of development like literacy, poverty and uncontrolled urbanization are not addressed, health cannot be achieved. Also, non-pharmacological treatment is given a step-motherly treatment instead of its proven efficacy.
... [11] Furthermore of two hundred hypertensive patients interviewed in Nigeria seventy four percent were not aware of the role of reduced salt, sixty eight percent were unaware of smoking cessation and sixty three percent were unaware of the role of reducing weight in the management of hypertension. [12] In Ghana several researchers have studied the prevalence, detection and control of hypertension in rural and urban localities in the country, [3] however not much work has been done to assess therapy related factors with regard to the control of the blood pressure of hypertensive patients. In addition therapy related factors documented in other studies may be different from our setting. ...
Objective: To evaluate the level of knowledge of hypertensive patients with regard to administration of medicines and life style modifications for the management of hypertension, as this can affect control levels. Methods: Five hundred and sixteen (516) patients were interviewed using a semi structured questionnaire which captured data on patients knowledge on the purpose, side effects, frequency, duration of medicines and life style modification for managing hypertension. Results: One hundred and ninety three (37%) of the patients were males and 323(63%) were females. One hundred and eighty four (36%) had middle school education. Two hundred and one (39%) were aware of side effects of medicines dispensed for the management of hypertension whereas 490(95%) knew the frequency of administering antihypertensive dispensed. The mean antihypertensive knowledge score obtained was 2.6221 [SD: 1.30816] out of 5. The p-value obtained for the effect of education on patients knowledge on the administration of antihypertensive 0.000. Three hundred and twenty respondents (62%) and 195 (37%) of respondents were aware of lifestyle modification such as reducing dietary salt intake and avoiding cigarette smoking. The mean score obtained for respondents knowledge on life style modification was 2.4981[SD: 1.25334] The chi square test value obtained for the effect of gender and educational background on patient knowledge on life style modification for the management of hypertension were [13.294, df=4, p=0.010], [26.603, df=16,p=0.046] respectively. Conclusion: Patient's knowledge on the administration of medicines and lifestyle practices for the management of blood pressure can be graded as average. There is the need for initiates to address counselling and monitoring of hypertensive patients with regard to their therapy (both medicines and lifestyle practices) in settings were the number of health professionals are limited and literate levels are low.
Background: Cancer is emerging as a major problem globally. Cancer and its treatment often effect on physical and psychological aspects that commonly includes chronic pain, cardiovascular changes including pulse rate and blood pressure, urinary incontinence, fatigue, sleep disturbance, disturbance in bowel pattern, nausea or vomiting, neuropathy, skin rashes, impaired sexual drive, toxicity, stress, anxiety, depression. Foot reflexology is form of therapy practiced as a treatment in Complimentary alternative medicine (CAM). Administering of foot reflexology therapy among cancer patients can be helpful to improve the physical and psychological aspects.
Objective: To evaluate the level of knowledge of hypertensive patients with regard to administration of medicines and life style modifications for the management of hypertension, as this can affect control levels. Methods: Five hundred and sixteen (516) patients were interviewed using a semi structured questionnaire which captured data on patients knowledge on the purpose, side effects, frequency, duration of medicines and life style modification for managing hypertension. Results: One hundred and ninety three (37%) of the patients were males and 323(63%) were females. One hundred and eighty four (36%) had middle school education. Two hundred and one (39%) were aware of side effects of medicines dispensed for the management of hypertension whereas 490(95%) knew the frequency of administering antihypertensive dispensed. The mean antihypertensive knowledge score obtained was 2.6221 [SD: 1.30816] out of 5. The p - value obtained for the effect of education on patients knowledge on the administration of antihypertensive 0.000. Three hundred and twenty respondents (62%) and 195 (37%) of respondents were aware of lifestyle modification such as reducing dietary salt intake and avoiding cigarette smoking. The mean score obtained for respondents knowledge on life style modification was 2.4981[SD: 1.25334] The chi square test value obtained for the effect of gender and educational background on patient knowledge on life style modification for the management of hypertension were [13.294, df=4, p=0.010], [26.603, df=16,p=0.046] respectively. Conclusion: Patient's knowledge on the administration of medicines and lifestyle practices for the management of blood pressure can be graded as average. There is the need for initiates to address counselling and monitoring of hypertensive patients with regard to their therapy (both medicines and lifestyle practices) in settings were the number of health professionals are limited and literate levels are low.
