High blood pressure self-care among hypertensive patients in Iran: a theory-driven study

INTRODUCTION: The healthcare sector crisis is a reality affecting countries all over the world. In order to mitigate it, different cost-effective measures, such as promotion of health and disease prevention, have been implemented. However, several variables may limit these measures, among which are patients’ responsibilities. Objectives: In this study patient behavior (disease knowledge and self-care practices) as a determinant factors in the healthcare system crisis was analyzed in a group of hypertensive patients. METHODS: This was a descriptive correlational cross-sectional study in which 185 patients diagnosed with high blood pressure attending the high blood pressure program at three different primary health care locations in Cartagena, Colombia 2017. A questionnaire, structured into three components: 1) sociodemographic characteristics, 2) disease knowledge, and 3) self-care practices and lifestyle, was administered to participating individuals. The Analysis of the information was made in SPSS version 22. RESULTS: The average hypertensive disease knowledge was high (60.5%). Self-care practices were rated as mediocre (73.5%) or poor (24.3%). A significant correlation establishing that with increased level of disease knowledge, self-care practices improve by 11.5% (p<0.05). CONCLUSION: Patient behavior constitutes a determinant factor in the health care system crisis, since although hypertensive patients possess good disease knowledge, they do not put it into practice, constituting an absurd attitude taking into account that it’s related to their wellbeing, and it turns into an attack on a health care system that is about to collapse.

Download Full-text

Reduction of Sodium Intake is a Prerequisite for Preventing and Curing High Blood Pressure in Hypertensive Patients - Second Part: Guidelines

Current Hypertension Reviews ◽

10.2174/1573402111666141231124028 ◽

2015 ◽

Vol 10 (2) ◽

pp. 77-80 ◽

Cited By ~ 3

Author(s):

Natale De Santo

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Sodium Intake ◽

Hypertensive Patients

Download Full-text

Obstructive sleep apnea syndrome and sleep quality in hypertensive patients

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.63.12.1055 ◽

2017 ◽

Vol 63 (12) ◽

pp. 1055-1060 ◽

Cited By ~ 3

Author(s):

Marcelo Rodrigues Bacci ◽

Jonathan Naim Mora Emboz ◽

Beatriz da Costa Aguiar Alves ◽

Glaucia Luciano da Veiga ◽

Neif Murad ◽

...

Keyword(s):

Blood Pressure ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Quality ◽

High Blood Pressure ◽

Antihypertensive Drugs ◽

Poor Sleep ◽

Hypertensive Patients ◽

Group I ◽

Obstructive Sleep

Summary Introduction: Obstructive sleep apnea and hypopnea syndrome (OSAHS) is one of the developmental factors of high blood pressure (HBP), a relevant global public health problem. OSAHS is characterized by the reduction or complete cessation of respiratory airflow due to intermittent airway collapse. Additionally, significant changes in sleep rhythm and pattern are observed in these patients. Objective: To evaluate the association between OSAHS and sleep quality in essential and resistant hypertensives. Method: A cross-sectional, observational study evaluated 43 hypertensive patients treated at the outpatient clinics of the Faculdade de Medicina do ABC (FMABC) who were medicated with two or more antihypertensive drugs and divided into nonresistant or resistant to treatment. Results: Group I (using up to two antihypertensive agents – 60.47% of the sample) presented mean systolic blood pressure (SBP) of 127.5±6.4 mmHg, mean diastolic blood pressure (DBP) of 79.6±5.2 mmHg, mean body mass index (BMI) of 27.2±5.3 kg/m2 and mean age of 51.2±15.1 years. Group II (using more than two antihypertensive drugs – 37.2% of the sample) presented mean SBP of 132.1±9.3 mmHg, mean DBP of 84.5±5.8 mmHg, mean BMI of 27.2±7.2 kg/m2 and mean age of 55.5±13.4 years. The patients presented low quality of sleep/sleep disorder evaluated by the Pittsburgh Sleep Quality Index (PSQI), which represents a preponderant factor for OSAHS. Conclusion: Patients at high risk for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).

Download Full-text

Abstract P136: Healthier Personal Habits Of Primary Care Physicians Increase The Likelihood Of Their Recommending Lifestyle Modifications For Their Hypertensive Patients That Are Consistent With The National Guidelines

Circulation ◽

10.1161/circ.125.suppl_10.ap136 ◽

2012 ◽

Vol 125 (suppl_10) ◽

Author(s):

Olivia Y Hung ◽

Nora L Keenan ◽

Jing Fang

Keyword(s):

Blood Pressure ◽

Primary Care ◽

High Blood Pressure ◽

Primary Care Physicians ◽

Lifestyle Modification ◽

Lifestyle Interventions ◽

Lifestyle Modifications ◽

Hypertensive Patients ◽

Attitudes And Behaviors ◽

And Behaviors

Introduction: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) recommended lifestyle interventions, either with or without pharmacologic treatment, for all patients with high blood pressure. The objective of this study is to determine the association of physicians’ personal habits with their attitudes and behaviors regarding JNC VII lifestyle modification guidelines. Hypothesis: Primary care physicians who have healthier habits, as defined by eating more cups of fruits and/or vegetables, exercising more frequently, and/or not smoking, would be more likely to recommend lifestyle interventions consistent with JNC VII than their counterparts who have less healthy habits. Methods: One thousand primary care physicians completed DocStyles 2010, a voluntary web-based survey designed to provide insight into physician attitudes and behaviors regarding various health issues. Results: The respondents’ average age was 45.3 years and 68.5% (685 of 1000) were male. In regards to physician behavior, 4.0% (40 of 1000) smoked at least once a week, 38.6% (386 of 1000) ate ≥5 cups of fruits and/or vegetables ≥5 days/week, and 27.4% (274 of 1000) exercised ≥5 days/week. When asked about specific types of advice offered to their hypertensive patients, physicians reported recommending that their patients eat a healthy diet (922 of 1000), or cut down on salt (961 of 1000), or attain or maintain a healthy weight (948 of 1000), or limit the use of alcohol (754 of 1000), or be physically active (944 of 1000). Collectively, 66.5% (665 of 1000) made all 5 lifestyle modification recommendations. Physicians who were between 40 - 49 years old were 1.6 times as likely of making all 5 lifestyle recommendations compared with those who were under 40 years. Additionally, those who exercised at least once per week or did not actively smoke were approximately twice as likely to recommend these interventions. Conclusions: The probability of recommending all five lifestyle modifications increased with both the physician exercising at least once per week and not having smoked.

Download Full-text

Effect of educational intervention based on social cognitive theory on self-care behaviors of high blood pressure patients

Journal of Preventive Medicine ◽

10.52547/jpm.8.1.11 ◽

2021 ◽

Vol 8 (1) ◽

pp. 11-1

Author(s):

Shahram Rafei ◽

◽

Teamur Aghamolaei ◽

Zahra Hosseini ◽

Amin Ghanbarnejad ◽

...

Keyword(s):

Blood Pressure ◽

Social Cognitive Theory ◽

High Blood Pressure ◽

Educational Intervention ◽

Social Cognitive ◽

Cognitive Theory ◽

Self Care

Download Full-text

A Theory-Based Self-Care Intervention with the Application of Health Literacy Strategies in Patients with High Blood Pressure and Limited Health Literacy: A Protocol Study

International Journal of Hypertension ◽

10.1155/2018/4068538 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Homamodin Javadzade ◽

Azam Larki ◽

Rahim Tahmasebi ◽

Mahnoush Reisi

Keyword(s):

Blood Pressure ◽

Health Literacy ◽

High Blood Pressure ◽

Intervention Group ◽

Self Care ◽

Health Belief ◽

Limited Health Literacy ◽

Literacy Strategies ◽

Care Intervention ◽

Limited Health

The purpose of this study is to assess the effectiveness of a theory-based self-care intervention with the application of health literacy strategies in patients with high blood pressure and limited health literacy. This is a randomized controlled trial, with measurements at baseline and 1 and 3 months follow-up. 100 patients with high blood pressure and limited health literacy will be randomly allocated to either an intervention group or a usual care control group. We will mainly establish the intervention model based on the principal health belief model components. Patients randomized to the intervention group will receive four educational sessions during four weeks. Considering the limited health literacy level of the patients of the study, health literacy strategies will be used in educational material design for enhancing the quality of the intervention. In order to cover these strategies, we will design four standard animated comics and fact sheets with illustrations and photos consistent with the health belief model constructs and educational sessions’ topics. Data will be collected using some questionnaires and will be analyzed using the SPSS software. The findings of this study may assist with the development of a theoretical model for self-care intervention in patients with high blood pressure and limited health literacy.

Download Full-text