scholarly journals The study of awareness and adherence in patients receiving anti-hypertensive drugs: a hospital based study

2019 ◽  
Vol 8 (7) ◽  
pp. 1634
Author(s):  
Aalia Tausif ◽  
Taruna Sharma ◽  
Sohaib Ahmad ◽  
Suman Bala ◽  
Juhi Kalra
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Antihypertensive Medications ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Level Of Education ◽  
Treatment Practices ◽  
Validated Questionnaire

Background: Hypertension is an important worldwide public health challenge. It has changed from a trivial cause of death and disability to one of the global burden diseases. The biggest obstacle for inadequate therapeutic control of blood pressure is meagre knowledge, poor attitude, inadequate treatment practices and lack of adherence towards antihypertensive treatment. The present study was planned to assess the awareness of hypertension on various aspects and to evaluate treatment adherence in hypertensive patients.Methods: This cross-sectional study was conducted on 100 hypertensive patients of both genders visiting medicine OPD at HIMS, Dehradun over a period of six months. A structured and validated questionnaire was used to assess the knowledge, attitude and practice (KAP) among patients. Morisky 8-Item Medication Adherence Questionnaire was used to assess the adherence towards antihypertensive medications. For statistical analysis Chi square test was used.Results: Out of the 100 patients the median KAP scores were 6(5),5(1) and 10(4) respectively. Most of the subjects had high median scores on attitude but majority of the subjects had low knowledge and self-care practice scores. Further Analysis of data revealed that a poor score in self-care practice was significantly associated to the gender(p<0.004) as well as to the level of education(p<0.006).Only 40% patients were adherent to their medication, this result was statistically associated with the level of education (p<0.00001).Conclusions: Hypertensive patients in our community have good attitude but poor knowledge and self-care practices towards management of hypertension. Patients were also found to be non-adherent to their antihypertensive medications.

scholarly journals Knowledge on Hypertension and Self-Care Practice among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Chanyalew Worku Kassahun ◽  
Ayele Asasahegn ◽  
Desalegn Hagos ◽  
Elshaday Ashenafi ◽  
Firegenet Tamene ◽  
...  
Keyword(s):  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Care Practice ◽  
Limited Information ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Specialized Hospital ◽  
Study Participants

Background. Patients with hypertension need to be aware of various aspects of hypertension and exercise self-care. But, there is limited information regarding this issue. Objective of the Study. This study was designed to assess knowledge on hypertension and self-care practice among adult hypertensive patients in the University of Gondar Comprehensive Specialized Hospital, Ethiopia. Materials and Methods. Descriptive cross-sectional study was conducted among 384 hypertensive patients from April to May 2019. The study participants were selected using a systematic random sampling technique. Data were collected using a pretested interviewer-administered questionnaire. Descriptive statistics such as percentage and frequency of patients’ knowledge on hypertension and their self-care practice were computed. Cross-tabulation was used to see the frequency and percentage of selected sociodemographic variables and knowledge level with self-care practice subscales. Finally, the results were summarized and presented in texts, figures, and tables. Results. Among the study participants, 215 (56%) and 228 (59.4%) had good knowledge and self-care practice towards hypertension, respectively. The participants who had good knowledge had good self-care practice frequency. Conclusions. In this study, knowledge on hypertension was low, while self-care practice was moderate on the self-care interventions. Hence, increasing patients’ awareness and intervention on medication adherence, low salt diet consumption, physical activity, weight management, cigarette smoking cessation, and alcohol consumption reduction is important.

scholarly journals Knowledge, Attitude and Practice on Hypertension among Antihypertensive Medication Users

2016 ◽  
Vol 55 (204) ◽  
pp. 86-92 ◽  
Author(s):  
Shakti Shrestha ◽  
Bhojraj Adhikari ◽  
Ramesh Sharma Poudel ◽  
Kailash Thapaliya ◽  
Tikaram Kharal ◽  
...  
Keyword(s):  
Antihypertensive Medication ◽  
Current Knowledge ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Level Of Education ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

Introduction: 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.Methods: 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.Results: A total of 200 patients met the inclusion criteria and majority of them were male (60%), had received primary education (36%) and had hypertension for ≥5 years (46.5%). The blood pressure ranged from 100-180/60-110 mmHg. The median K, A and P scores were 8 (6), 5 (1) and 6 (3) respectively. K and A were statistically associated with sex both at p<0.001 and level of education (K at p<0.001 and A at p=0.016).Conclusions: The current knowledge, attitude and practice among hypertensive patients using antihypertensive medication can be improved. Keywords: attitude; hypertension; knowledge; practice. | PubMed

Analisis Faktor Determinan yang berhubungan dengan Kepatuhan Rekomendasi Modifikasi Gaya Hidup Pasien Hipertensi

2020 ◽  
Vol 7 (2) ◽  
pp. 256-263
Author(s):  
Abdul Qodir
Keyword(s):  
Blood Pressure ◽  
Lifestyle Modification ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Modifications ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Consecutive Sampling ◽  
Knowledge Practice

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan  dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications,  but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.

Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia

2021 ◽  
pp. 084456212110206
Author(s):  
Mezgebu Gode ◽  
Fekadu Aga ◽  
Aklil Hailu
Keyword(s):  
Social Support ◽  
Peripheral Neuropathy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Glucose Testing ◽  
Blood Glucose Testing ◽  
Care Practices

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

scholarly journals Self-care practice and associated factors among hypertensive patients in public health facilities in Harar Town, Eastern Ethiopia: A cross-sectional study

2020 ◽  
Vol 8 ◽  
pp. 205031212097414
Author(s):  
Feysal Mohammed Hussen ◽  
Hassen Abdi Adem ◽  
Hirbo Shore Roba ◽  
Bezatu Mengistie ◽  
Nega Assefa
Keyword(s):  
Confidence Interval ◽  
Odds Ratio ◽  
Formal Education ◽  
Adjusted Odds Ratio ◽  
Self Care ◽  
Care Practice ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Hypertensive Patients ◽  
Management Protocol

Background: Self-care practice is the activity that a hypertensive patient undertakes intending to improve their health. Poor self-care practice leads to uncontrolled hypertension. Therefore, strategies designed to prevent and control hypertension-related death, disability, and morbidity should consider the level of the patient’s self-care practice and risk factors. This study assessed self-care practice and associated factors among hypertensive patients in public health facilities of Harar Town in eastern Ethiopia. Method: An institution-based cross-sectional study was conducted among 398 randomly selected hypertensive patients from 25 March 2019 to 16 April 2019. Pretested structured questionnaires adapted from validated tools were used to collect data from participants using electronic Open Data Kit software through face-to-face exit interview. Data were analyzed by SPSS version 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with self-care practice. Adjusted odds ratio with 95% confidence interval was used to report association and the significance was declared at p-value < 0.05. Results: Level of good self-care practice was 29.9% (95% confidence interval: 25.3% and 34.7%). Age ⩾ 60 years (adjusted odds ratio = 3.4, 95% confidence interval: 1.2 and 9.3), formal education (adjusted odds ratio = 2.3, 95% confidence interval: 1.3 and 4.2), absence of comorbidities (adjusted odds ratio = 1.8, 95% confidence interval: 1.1 and 3.1), adequate knowledge about hypertension (adjusted odds ratio = 4.7, 95% confidence interval: 2.5 and 8.8), good social support (adjusted odds ratio = 2.7, 95% confidence interval: 1.6 and 4.7), and being khat abstainer (adjusted odds ratio = 1.9, 95% confidence interval: 1.1 and 3.5) were significantly associated with good self-care practice. Conclusion: The prevalence of good self-care practice was low. In this study, good self-care practice was significantly associated with age, formal education, comorbidities, knowledge about hypertension, social support, and current khat chewing condition. Regular check-up and follow-up of patients’ compliance with self-management protocol, and more emphasis should be given to identify factors that potentially impeding patients’ adherence to hypertension self-management protocol.

scholarly journals Awareness of disease and self care among hypertensive patients attending Tribhuvan University Teaching Hospital, Kathmandu, Nepal

2012 ◽  
Vol 1 (2) ◽  
pp. 29-35 ◽  
Author(s):  
Buna Bhandari ◽  
Mahesh Bhattarai ◽  
Manjul Bhandari ◽  
Nilambar Jha
Keyword(s):  
Teaching Hospital ◽  
Self Care ◽  
Study Finding ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Renal Diseases ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Treatment And Prevention ◽  
Prevention Of Hypertension

Background: Hypertension (HTN) is a major risk factor for cardiovascular and renal diseases. The prevalence of hypertension has substantially increased during the past four decades. Information on prevalence as well as awareness regarding treatment and prevention of hypertension is scarce particularly in rural settings. The levels of awareness, treatment, and control of HTN vary between different countries and population groups. Objectives: The objective of this study was to find out the awareness of hypertensive patients about their own disease and self care. Methodology: Descriptive cross sectional study was conducted among 50 hypertensive patients who were admitted to Tribhuvan University Teaching Hospital (TUTH) and attended to medical OPD. Data was collected by using interview schedule by face to face interview method. Results: Among 50 hypertensive patients, 56% were aware about meaning of hypertension, 68% symptoms, 34% cause, 62% prognosis, and 62% complication of HTN. Likewise regarding self care, 70% were doing regular follow up, 92% using regular medication, most of them (80%) were not smoker and 84% were non alcoholic, and 74% taking low fat and low salt diet. Conclusion: Study finding reflects many of them (56%) had more than 50% of knowledge about the hypertension and more than half (54%) were giving more than 50% emphasis about their own self care.DOI: http://dx.doi.org/10.3126/jonmc.v1i2.7296 Journal of Nobel Medical College (2012), Vol.1 No.2 p.29-35

scholarly journals Awareness of dissection skills and tools session in preparing first MBBS learners for cadaveric dissection in medical school a qualitative analysis

2021 ◽  
Vol 8 (2) ◽  
pp. 94-97
Author(s):  
TLS Gowri ◽  
M Ramadevi ◽  
Aparna Vedapriya ◽  
V Janaki ◽  
Jana Siva Koti Srinivasa Rao ◽  
...  
Keyword(s):  
Initial Phase ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Post Test ◽  
Chi Square Test ◽  
The Subject

Qualitative dissections require knowledge of dissection tool kit and dissection skills which acquired will allow dissector to take care for cadaveric donor while acquiring the experience and knowledge of a successful dissection. This promotes the researcher to equip the learner in initial phase with dissection skills and tools.The main objective of the study is to analyse the learner prior and after interventional sessions as to how effective the session would be helpful in improving the quality and participation of learners in dissection. A qualitative prospective cross-sectional study was done in 168 Learners of I MBBS by an interventional session on the topic through General lecture and demonstration. Learners were assessed prior and after the interventional session by same validated questionnaire. Perceptions of learners were also taken. The obtained data were compared and its significance was analysed by Chi-square test using Epi info 7.1 software.The pre and post-test scores showed a significant improvement of 64 percent on average with p value less than 0.001 indicating that the session was fruitful. 80% of learners also opined that the session stimulated interest in the subject and improved their dissection skills.An interventional session on “Awareness of dissection skills and tools” in the initial phase would increase the Learners performing quality dissections with ease. This would also help the learner to acquire better independent surgical skills and understanding in clinical phases of learning and therefore would recommend it in early phase of I MBBS Anatomy.

scholarly journals Knowledge on home management of diarrhea among caregivers of children below five years with diarrhea in Ngandu Location, Nyeri County, Kenya

2020 ◽  
Vol 7 (7) ◽  
pp. 2450
Author(s):  
Leah Wambui Gathogo ◽  
Sherry Oluchina ◽  
Elijah Mwangi
Keyword(s):  
Sample Size ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Home Management ◽  
Level Of Education ◽  
Low Education ◽  
Level Of Knowledge ◽  
Cross Tabulation

Background: To prevent dehydration and malnutrition in children with diarrhea, it is important they get good management at home. The caregivers should commence home remedies immediately before they seek medical advice. This study assessed the level of knowledge on home management of diarrhea among caregivers of children below five years with diarrhea.Methods: This research applied descriptive cross-sectional study design. The current study was a household survey targeting caregivers of children below five years with diarrhea. The Cochran's sample size formula was used to calculate a sample size of 345 respondents. Purposive sampling was used to recruit respondents in the study. The study employed a researcher- administered semi-structured questionnaire and use of a checklist. Descriptive statistics and chi-square tests were used in the analysis.Results: The study found that that slightly above half 52.2% (n=180) of the respondents had low knowledge on management of diarrhea. There was a significant relationship (χ2=4.044, df=1, p<0.044) between respondent’s’ level of education and knowledge of home management of diarrhea. Cross tabulation showed that 60.2% of those who had low education also had low knowledge.Conclusions: The study concluded that the level of knowledge on home management of diarrhea among caregivers of children below five years with diarrhea was low. Level of education was a significant predictor of knowledge whereby low knowledge was associated with low education. The study recommends enhanced education of mothers on home management of diarrhea by nurses.

scholarly journals Assessment of drug therapy problem and associated factors among adult hypertensive patients at Ayder comprehensive specialized hospital, Northern Ethiopia

2019 ◽  
Vol 19 (3) ◽  
pp. 2571-2579
Author(s):  
Asgedom Solomon Weldegebreal ◽  
Fekadu Tezeta ◽  
Atey Tesfay Mehari ◽  
Wubetu Gashaw ◽  
Kassa Tesfaye Dessale ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Therapy ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Drug Therapy Problem ◽  
Drug Therapy Problems

Background: Drug-therapy problems(DTPs) among hypertensive patients can result in patient’s morbidity and mortality. The main aim of this study was to assess drug therapy problem and associated factors among <="" span="" style="font-family: hypertensive patients.Methods: A hospital based cross sectional study was conducted. The data was collected from patients’ medical charts and through interview. Drug therapy problem was categorized according to Cipolle methods of DTP classification. Thedata was analyzed using the Statistical Package for the Social Sciences (SPSS), version 21.Results: A total of 241 patients were studied. The mean number of antihypertensive medications prescribed were 1.41±0.53. A total of 357 drug therapy problems(DTPs) were identified. From the patients studied,134(55.6%) had at least one evidence of drug therapy problem. Non adherence was the most commonly identified drug therapy problem occurred in (143(59.3%)) patients. Substance use (AOR=0.445, 95% CI= 0.227-0.870, p=0.018) and comorbidity (AOR= 2.099, 95% CI= 1.192-3.694, p=0.010) werethe predictors of DTP.Conclusion: More than half of the participants had evidence of onset drug therapy problem. Thus efforts that could boost antihypertensive compliance and minimizes substance use should be adopted to reduce patients’s drug therapy problems.Keywords: assessment, drug, therapy, problem, Ethiopia.

scholarly journals Barriers and Perception Towards Spectacle Wear among Student Population of University of Buraimi, Oman

2021 ◽  
Author(s):  
Babu Noushad ◽  
Gopi Suresh Vankudre
Keyword(s):  
Refractive Error ◽  
English Language ◽  
Cross Sectional Study ◽  
Student Population ◽  
Health Science ◽  
Positive Perception ◽  
Chi Square ◽  
Cross Sectional ◽  
Eye Health ◽  
Validated Questionnaire

Objectives: The study aims to evaluate the barriers and perception towards spectacle wear among student population of University of Buraimi, Oman. Methods: This descriptive, questionnaire based, cross-sectional study was conducted between December 2017 and May 2018.  To evaluate participant’s barriers and perception towards spectacle wear, a self-designed, validated questionnaire prepared in English language, obtained responses from 170 a university student population within the Sultanate of Oman. Chi-square test was used to assess the association between the type of perception with the socio-demographic and refractive error related profiles of the participants. Results: All participants with inappropriate spectacle correction (61.82%) responded to the questionnaire.  Majority of them (73.5%, n = 125) were having their eyes examined for the first time. Only 28 (16.5%) were wearing spectacles. Nearly half of the participants (54%, n = 91) had positive attitude towards spectacle wear, followed by negative (36%, n = 62) and neutral perception (10%, n = 17). Participants from a health science background had a higher positive perception towards spectacle wear compared to the non-medical study majors (P = 0.012). The difference in the perception scores between myopic and hypermetropic refractive error group was statistically insignificant (P = 0.882). Conclusion: A majority of the participants were having inappropriate spectacle corrections and did not undergo any prior ocular examinations. Very few participants were wearing spectacles, however, it was inappropriate concerning their current refractive status. The other reasons for spectacle non-wear were, ordering of new spectacles, lost them, or were broken. Nearly half of the participants had positive perceptions towards spectacle wear. The positive perception was higher among students with health-related majors. The study stresses to extend the current school eye health initiative within the region to the university level. A holistic eye health promotional approach integrating students, teachers, and parents can help in improving spectacle wear within the population. Keywords: Eyeglasses; Refractive errors; School eye health; Spectacle compliance; Patient compliance.

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