scholarly journals Knowledge, attitude and practice of hypertension among hypertensive patients in a tertiary care teaching hospital

Author(s):  
Rajan J. ◽  
Sakthibalan M. ◽  
Gerard Marshall Raj ◽  
Mangaiarkkarasi A.

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 (Department of Medicine) of Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, India from October to December 2018. A close-ended questionnaire was given to the patients, which comprised of 16 questions on knowledge (5), attitude (5) and practice (6). Data was analyzed and expressed in descriptive statistics.Results: The commonly prescribed anti-hypertensive medications were calcium channel blockers (79%) and β blockers (26.5%). Knowledge regarding hypertension, normal BP, symptoms and complications was 74%, 54.5%, 41.5% and 37.5% respectively. Positive attitude regarding regular medications, role of drugs, diet control, salt restriction and physical activity was found in 94%, 40.5%, 74%, 76% and 67% respectively. Regular BP measurement, follow up, salt restriction and exercise were practiced by 77%, 77%, 72% and 9% of patients respectively.Conclusions: Present study reflected a lack of knowledge among hypertensive patients regarding normal BP, symptoms and complications. A positive attitude and practice were observed among the patients except for practice of regular exercise. Hence, emphasize on awareness about symptoms, complications and importance of physical activity should be improved particularly among male patients.

Author(s):  
Mohd Junaid ◽  
Swapnil Shinkar ◽  
Amol Patil

Background: Poor knowledge, attitude, and practice (KAP) patterns among patients might reflect the danger of possible high transmission of COVID-19 and the need for awareness campaigns. The need of the hour is to gauge the knowledge, awareness and practices of the people to help prevent the further outbreak of COVID-19.Methods: Questionnaire based cross sectional study was done for a period of 7 days to access the knowledge attitude and practice towards COVID-19 among patients attending a tertiary care hospital in Durg, Chhattisgarh.Results: A total of 288 people participated in the study, majority of respondents were males 53% mean age was 39±15.9 years. Overall, 80.4% of the participants had good knowledge, 68.6% of the participants had a positive attitude, 83.8% of the participants were following good practices. Gender and income influenced knowledge scores, being significantly higher in males and higher income individuals (p value <0.05) while attitude and practices scores had no significant association with gender and income group (p value >0.05).Conclusions: Though the population demonstrated decent knowledge, appropriate practice, and positive attitude towards COVID-19 at the time of outbreak there is still need of on-going health education and awareness campaigns and need of policies and intervention that are more person centred. 


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2259-2265
Author(s):  
Rakesh KS ◽  
Santosh Kumar K

Knowledge of Breastfeeding and its practice among lactating mothers is an essential factor which determines the breastfeeding rates. Exclusive breastfeeding helps in preventing neonatal and infant mortality and morbidity and is one of the most important public health intervention, which can reduce the under-five mortality also. This study was conducted in Saveetha medical college hospital between March 2020 and June 2020. To assess the knowledge, attitude, Practice of Breastfeeding among lactating mothers. Descriptive cross-sectional study. 100 lactating mothers admitted to our hospital after delivery were selected randomly. They were interviewed based on a questionnaire which was prepared to assess the knowledge attitude and practice of breastfeeding. Informed consent was obtained after explaining the objective of the study. Out of 100 mothers, 71.38% had good knowledge, 66.6% showed a positive attitude towards breastfeeding, and 63.33% had acceptable breastfeeding practices. The breastfeeding practices followed in our hospital can be improved further by proper counselling and nutritional education of the mothers in the antenatal and immediate postnatal period. The comprehensive lactation management programme which has recently been started in our hospital could aid in the same. Dedicated lactation counsellor and lactation nurse could also help achieve improved breastfeeding practices and attitude towards breastfeeding.


2021 ◽  
Vol 17 (2) ◽  
pp. 136-144
Author(s):  
Radha Paudel ◽  
Sarita Shrestha ◽  
Laxmi Gurung

Background: COVID-19 has become a global health threat and the disease burden is expected to increase more. Nurses are the front lines of COVID management. Because this work requires close personal exposure to patients with COVID-19, nurses are at high risk of infection, contributing to further spread. Nurses’ knowledge, attitudes, and practices can influence the prevention and control of pandemic. Thus, the aim of the study was to assess knowledge, attitude, and practice regarding the prevention and control of COVID-19 among nurses.   Methods: Descriptive cross-sectional study design was carried out among 141 nurses from the central hospital, Kathmandu. A purposive sampling technique was used and the data collection date was June 5 to July 20, 2020. A self-administered semi-structured questionnaire was used. The data were analyzed using descriptive statistics.   Results: The study showed that 60.3% of the participants had good knowledge, 53.2% of them had acceptable practice and a cent percent (100%) of them had a positive attitude on the preventive and control measures against COVID-19. More than 3/4th (75.8%) of them were agreed to handle the COVID-19 outbreak confidently in their healthcare setup. Although, 85.8% of participants were worried that they and their family members will probably get infected with COVID-19 while working in the hospital. However, 39% of them were feeling isolated by their community, and relatives due to their profession.   Conclusions: Nurses have good knowledge, a positive attitude, and acceptable practice about prevention and control of COVID-19. However, the level of some knowledge and practice was still lower than that expected.      Keywords: Attitude; COVID; Knowledge; nurses; prevention and control; practice    


Author(s):  
Akza K Alex ◽  
Bharathi DR ◽  
Nataraj GR ◽  
Adarsh Mathew ◽  
Tejaswini SM

Introduction: The prevalence of Diabetes Mellitus (DM) among adults has been increased considerably across the globe, and has contributed a substantial proportion in annual mortality rate. Diabetes and psychiatric disorders are having such an interface that they both influence each other in several ways. Objectives: The study was conducted to assess the prevalence, determinant factors, prescription pattern, efficacy and adverse reactions in diabetic patients associated with psychiatric illness in a tertiary care hospital. Materials and Methods: A prospective observational study was carried out for a period of ten months in General Medicine and Psychiatric Department, Basaveswara Medical College Hospital and Research centre, Chitradurga. Results: In this study, a total of 101 diabetic patients with or without co-morbidities were enrolled in the study. Among them, 27 in-patients were associated with psychiatric illness which was considered as co-morbid condition. The prevalence of psychiatric illness with diabetes mellitus was found to be 26.7% which is highly significant with the p-value (0.00). A higher prevalence was noticed with age group 41-50 years and with male gender. The common determinant factors of psychiatric illness in diabetic patients were being women, having no income, being at the age of menopause, having no physical activity, being illiterate and being single or widowed.  Among the anti-diabetic drug prescriptions, there was a higher percentage of use of insulin and the most commonly prescribed drug was combination of Glimepride + Metformin (sulfonylurea and biguanide). The most commonly prescribed anti-psychotic drugs were chlordiazepoxide and alprazolam. Conclusion: The study reveals a high prevalence of psychiatric illness in diabetic patients with determinant factors of psychiatric illness in diabetic patients were being women, having no income, being at the age of menopause, having no physical activity, being illiterate and being single or widowed. Key Words: Prevalence; Determinant factors; Diabetes mellitus; Psychiatric illness


Author(s):  
Tajuddin Shaik ◽  
Bikash Ranjan Meher

Background: To assess the knowledge, attitude and practice of rational use of antibiotics among dental students and make necessary interventions suitable to meet their need and aspiration.Methods: Questionnaire was administered to the students of a dental college hospital to assess their knowledge, attitude and practice about rational use of antibiotics. Data was analysed after entering in to a Microsoft excel sheet and by using descriptive statistics.Results: The response rate of our study was 100%. Large majority (94%) of the students knew that antibiotics were useful in bacterial infections. More than half of the students (63.7%) believed that antibiotic resistance is a threat to mankind. A very less percentage (23.3%) of students had ever attended (Continuous Medical Education) CME regarding the rational use of antibiotics.Conclusions: This study showed that that most of the students possessed average knowledge about antibiotics. Their attitude was also not satisfactory towards rational use of antibiotics and same was true for the practice as well. Educational intervention is utmost essential to improve their KAP regarding rational use of antibiotics.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Udaya Ralapanawa ◽  
Kameera Bopeththa ◽  
Noorika Wickramasurendra ◽  
Sampath Tennakoon ◽  
Tomohiro Katsuya

Objective. Hypertension (HTN) remains a major risk factor for cardiovascular diseases globally. Despite considerable improvement in increasing awareness, treatment, and control of HTN, undiagnosed and uncontrolled HTN remains a major public health challenge. Our focus was on studying the knowledge, attitude, and practice regarding HTN in adult hypertensive patients at a tertiary care hospital in Sri Lanka. Methodology. A descriptive study on knowledge, attitude, and practice of hypertensive patients on antihypertensive medications attending the hypertensive clinic was carried out from January 2016 to June 2016 at THP. Results. The study was on a total of 371 hypertensive patients comprising 253 (68.2%) females and 118 (31.8%) males. Among the total participants, 12 (3.2%), all females, had never been to school. About half of them (47.7%) had not even reached GCE (ordinary level). More than two-thirds (77%) of the study population were aware of the complications of HTN as they were informed by a health care team member. About 74% of them were taking all their prescribed medications. Almost all (95%) patients had checked their blood pressure (BP) during the previous 12 months, and almost the same percentage had visited their doctor for BP checkups every 1–3 months. Conclusion. Our patients were well aware of the importance of regular follow-ups and also knowledgeable about the complications related to HTN. Almost 75% of the patients had optimum drug compliance. It was revealed that forgetfulness was the frequent cause for poor drug compliance.


2018 ◽  
Vol 9 (1) ◽  
pp. 50-54
Author(s):  
Kanchan Kundu ◽  
Shib Shankar Kuiri ◽  
Utpal De

Background: Urinary catheterization is an integral part of patient management. At the same time it is also a major source of morbidity if not done properly. In spite of being an important procedure, most of the time it is performed by junior most member of the team. Huge gap in knowledge and skill has been detected among junior doctors as far as urinary catheterization is concerned. Proper training under experienced doctors is required to reduce the gap for better patient management.Aims and Objectives: This study aims to assess the knowledge, attitude and practice of urinary catheterization among residents (interns, house staff {HS} and post graduate trainees {PGT}) attached to the different departments in a medical college hospital in south Bengal.Materials and Methods: A hospital based crosssectional study was conducted with the help of pre tested questionnaire among 200 residents in the department of surgery. The data obtained were analyzed for different parameters. Ethical clearance was taken from the Institutional Ethical Committee.Results: Residents with good theoretical understanding (82%) and practical training (82.5%) regarding urinary catheterization had better knowledge, attitude and practice compared to residents with less theoretical and practical exposure (p<0.05). 75% participants (150/200) who received supervision during their first catheterization had more knowledge (p=0.00), better attitude (p=0.04) and practice (0.02). It was also revealed that there was significant difference between the knowledge and attitude of interns compared to HS and PGT’s (p =0.00) but the difference between HS and PGT’s was not significant (p >0.05). Difference of practice of intern with HS and PGT’s as well as difference of practice between HS and PGTs all were significant (p = 0.00).Conclusion: Pre procedural theoretical, practical exposure and expert supervision are significantly effective in terms of improvement of knowledge, attitude and practice of Residents. These rubrics so be included in the assessment of medical students and adoption of soft skills in their curriculum could make them efficient enough to manage the emergencies. Training should be designed in step by step approach which should be managed by an experienced urologist.Asian Journal of Medical Sciences Vol.9(1) 2018 50-54


Author(s):  
PRASAD M ◽  
CHAKRABORTY A ◽  
DEEP N

Objectives: Generic medicines constitute an important aspect of affordable health care. “JAN AUSHADHI” campaign was started by the Government of India in 2008 to support generic prescriptions. Recently, medical council of India had requested all clinicians for generic prescriptions. With this background, this study was undertaken to evaluate the knowledge, attitude, and practice of generic medicines among doctors. Methods: It was a cross-sectional, prospective, questionnaire-based study. After obtaining institute permission, validated questionnaires were distributed to different clinical departments at Vydehi Institute of Medical Sciences and Research Centre, Bengaluru. With gentle reminders in between, filled forms were collected after 7 days. Results: Mean age of the participants was 29.05±17.81 years. Out of 250 questionnaires distributed, 156 were returned back without responding. The response rate was 62.4%. Out of 156, 35 (22.43%) were intern medical officers, 89 (57.05%) were post-graduates, and 32 (20.51%) were faculty members. Regarding knowledge, the mean score was 6.24±0.17. 52 (33.33%) participants had good knowledge, 73 (46.79%) had average knowledge, and 31 (19.87%) had poor knowledge about generic medicines. Generics were prescribed by 90 (57.69%) participants. Most of the clinicians (66.02%) felt that prescribing in generics is not a burden on them provided government ensured the quality control of drugs. 121 (77.56%) stated that the socioeconomic status of the patient is an important factor while prescribing generics. 136 (87.17%) felt that generics bring down the treatment costs. Conclusion: This study shows that participants were well aware about generic drugs. As opined by the clinicians, a national level online reference must be made available.


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