scholarly journals Assessment of patients’ knowledge, attitude and practice regarding hypertension in a tertiary care hospital

Author(s):  
Alak K. Das ◽  
Gautam Lahiri ◽  
Aaheli Bose ◽  
Dipak K. Sarkar

Background: Hypertension is an important risk factor for cardiovascular complications. This can be described as the ‘sleeping snake’ which bites when it wakes up. We aimed to determine the knowledge (K), attitude (A) and practice (P) [KAP] regarding hypertension among hypertensive patients taking antihypertensive medication in Medical College, Kolkata.Methods: A cross-sectional study was conducted among the hypertensive patients from July 2017 to September 2017 using random sampling technique. Suitably designed and validated questionnaire of knowledge, attitude and practice on hypertension consisting of 20 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 318 patients met the inclusion criteria and majority of them were male (53.15%), had received secondary level of education (43.08%) and had hypertension for <5 years (56.91%). The blood pressure ranged from 110-240/70-120 mmHg. The median K, A and P scores were 4 (5), 5 (0) and 3 (1) respectively. Practice was statistically associated with sex (p<0.007). Significant differences were found between patients with below and above secondary educational level regarding knowledge (p=0.0001), attitude (p=0.02) and practice (p=0.001). Patients with duration of hypertension more than five years had better knowledge compared to those with duration less than five years (p=0.0001).Conclusions: Our study showed that there are scopes for improving knowledge, attitude and practice among hypertensive patients for better management of hypertension.

2016 ◽  
Vol 55 (204) ◽  
pp. 86-92 ◽  
Author(s):  
Shakti Shrestha ◽  
Bhojraj Adhikari ◽  
Ramesh Sharma Poudel ◽  
Kailash Thapaliya ◽  
Tikaram Kharal ◽  
...  

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


Author(s):  
Ravindra S. Beedimani ◽  
Sameer Uz Zaman ◽  
Subrahmanyam Darb ◽  
Sharat Chandra Potturi

Background: Drugs are one of the most commonly used interventions in medical therapeutics. Spontaneous reporting of adverse drug reactions (ADRs) is the backbone of pharmacovigilance (PV) program. Under-reporting of ADRs by prescribers was possibly due to lack of knowledge, attitude and practices regarding PV. This study was done to assess the knowledge, attitude, and practice (KAP) of medical students (grouped to sixth and eighth semester) and medical doctors about PV in a tertiary care hospital.Methods: It was a questionnaire based cross-sectional study administered to 246 medical students and doctors. Study tool was a validated questionnaire containing 15 questions to evaluate KAP of PV among medical students and doctors. A descriptive analysis of data was done where necessary, statistical significance for associations between the group and their responses to questionnaire was provided using Pearson Chi square test and Fisher exact test.Results: Sixty-eight percent of the participants (90% doctors; 76% eighth-semester and 46% sixth-semester medical students) know the correct definition of PV. Sixty-one percent of the participants (67% sixth-semester, 61% doctors and 53% eighth-semester) think that reporting is a professional obligation for them. Only 15% of the participants have ever been taught or trained on how to report an ADR.Conclusions: Medical doctors and students lack adequate knowledge and practice of reporting ADRs, but they seem to have a positive attitude towards the PV program. Our study findings strongly suggest that there is a great need to create awareness amongst them to promote reporting of ADRs.


Author(s):  
Sudipto Chatterjee ◽  
R. Vijendra ◽  
K. Girish ◽  
Mahesh Kumar Manjeri Koroth

Background: Drugs that are dispensed against a valid prescription issued to a patient by a registered medical practitioner are known as “prescription-only drugs”. In India, they have been regulated under schedule H, H1, G, and X of the Drugs and Rules (1945). The drugs which are not included in the list of “prescription-only drugs” are considered to be over-the-counter drugs (OTC). There is no provision for an OTC drug schedule in the Drugs and Cosmetics Rules 1945, and these drugs have higher chances of misuse or abuse. This study was undertaken to assess the knowledge, attitudes and practice among medical interns about OTC drugs in a tertiary care hospital in India.Methods: This was a cross-sectional study, which was conducted at Kempegowda Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India, from March 2018 to September 2018. A pre-validated questionnaire consisting of 24 questions to assess the knowledge, attitude, and practice was administered to 80 medical interns chosen by simple randomization, out of which 14 questions were related to knowledge, 6 related to attitude and 4 related to the practice. The participants were provided 30 minutes to complete the questionnaire. The data recorded were analyzed using Microsoft Excel.Results: There were some gaps in the knowledge, attitude and practice among the medical interns about OTC medications.Conclusions: There is a need for special emphasis on the MBBS curriculum about the use of OTC drugs.


Author(s):  
Akhilesh Kumar ◽  
Monica Aggarwal ◽  
Varsha Rathor

Background: Antibiotics are the most commonly used drugs often associated with inappropriate use leading to resistance. While knowledge enlightens and provides an insight into the problems faced, behavioral change solely depends on the beliefs and attitude. Aim of this study to evaluate the knowledge and beliefs about antimicrobial prescribing among prescribers in a teaching tertiary care hospitalMethods: The present study was conducted in the Department of Pharmacology, ESIC   Medical College and Hospital, Faridabad. after  Ethical clearance from the Institutional Ethics Committee. Design of this study was a prospective, cross-sectional study carried out in the form of a survey in which a pretested, semi-structured, validated questionnaire of 30 questions was provided to Junior residents, Senior residents and Faculty of different specialties and response was recorded. Questionnaire comprises of 10 questions each in knowledge, attitude and practice section.Results: Out of 132 prescribers 86.5% believed that irrational practice will cause global resistant development. majority (92.3%) were expressing the need that sample culture should be sent before starting antibiotics but only 69.2 % were of the opinion that culture and sensitivity should be done in all infections and 92.3% were expressing the view that hospital antibiotics policy is useful in reducing AMR.Conclusions: The present survey on antibiotic usage gives useful information about the knowledge, attitudes and practices of prescribers and help plan suitable educational interventions that aim at improving the antimicrobial prescribing and minimizing the development of resistance.


Author(s):  
Vindhya Polineni ◽  
Supriya Acharya

Background: Diabetes mellitus is a chronic non-communicable disease which has become the epidemic of the 21st century.  According to WHO 1.6 million deaths were estimated to be directly caused by diabetes in the year 2016 and attributed to be the seventh leading cause of death in the world. Objective of the study was to assess the knowledge, attitude, practice about diabetic care among the diabetic patient, and to assess the association between KAP of diabetic care and socio-demographic factors.Methods: Cross-sectional study was done with purposive sampling for 4 months, on 62 sample size. Data collection tool was the KAP questionnaire which was adapted a study by Herath HMM.Results: Out of 66 participants, 34 (51.5%) had good knowledge about diabetes, 27 (40.9%) and 5 had poor knowledge (7.6%), 16 had positive attitude about diabetes care (24.2%) and 50 (75.8%) had negative attitude, 47 had good practice about diabetes care (71.2%) and 19 (28.8%) of them had bad practice.Conclusions: Though majority of the study participants had good to moderate knowledge (92.4%), their attitude was negative (75.8%) and the knowledge level did not fully reflect into the attitude and practices (71.2%). This suggests there is a gap in the knowledge, attitude and practice.


2021 ◽  
Vol 4 (Special1) ◽  
pp. 337-342
Author(s):  
Jacob Davies Kalliath ◽  
Anuradha Kizhatil ◽  
Brilly M Rose ◽  
Ann Mary Kuncheria ◽  
Alexander John

Background: COVID – 19 infection is a serious pandemic the world is now facing. This study aimed to assess the knowledge, attitude, and practice regarding COVID-19 infection among medical students at a private medical college in central Kerala.  Methods: A cross-sectional web-based study was conducted during April-May 2020 in a private medical college in Ernakulam District using the Universal sampling technique. The study tool was a semi-structured validated questionnaire containing sociodemographic details and questions on knowledge, attitude, and practice (KAP) regarding COVID-19 infection. Data were analyzed using SPSS version 20 software. Results: A total of 288 students were included in the study, with a mean age of 21±1.4. The male-to-female ratio was 2.75:1. Medical students showed adequate knowledge (81.6%), attitude (91.3%), and practice (84.7%) towards the COVID-19 pandemic, respectively. The main symptoms of COVID-19 infection were known to at least 83% of the participants. The majority (85.4%) were aware that there is no specific treatment for COVID-19 infection and 90% were aware of the main modes of the disease transmission. The majority (99%) of the medical students believed that COVID-19 infection could be prevented through social distancing, wearing masks, and the practice of self-hygiene. About 75.6% believed that government measures for prevention are adequate. Steam inhalation, saline gargling, and consumption of vitamin C-rich foodstuffs were the main specific measures adopted. Older age and female gender were found to be associated with better knowledge. Conclusion: Adequate KAP levels among medical students in this study are attributable to the current lockdown and the strict government measures to contain the infection.


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. 


Author(s):  
Swetha E. Jose ◽  
Navya C. Joseph ◽  
Soorya Sheela ◽  
Vidhu M. Joshy

Background: Immunization is globally recognized as one of the most powerful, safe, and cost-effective for the prevention/control of some childhood diseases. Father's involvement is essential for the successful immunization of the child, as man is the head of the family and he takes responsibility for all decision’s measures including health and financial issues. Fathers having good knowledge of RI are likely to encourage their children to assess immunization services. This study thus aimed at assessing the knowledge, attitude and practice of fathers, uptake of RI and its associated factors. To assess the knowledge, attitude and practice of fathers about childhood immunization.Methods: After obtaining institutional ethical clearance we interviewed 110 fathers who have children within the age group 9 months to 2 years who attended the pediatric OP and their knowledge, attitude and practice about immunization was analyzed.Results: Out of 110 fathers interviewed majority come from joint family (91.8%) and had secondary education only (42.7%). Majority were skilled workers (65.5%). Only 0.9% had child death in their family and only 2.7% had a history of vaccine preventable disease in their family. Only 10.9% had good knowledge, 99.09% had good attitude and only 32.7% had good practice.Conclusions: It was found that majority of fathers had poor knowledge and practice about childhood immunization. More awareness programs have to be done in order to improve the routine immunization.


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.


2019 ◽  
Vol 6 (2) ◽  
pp. 371
Author(s):  
Nilesh S. Sonawane ◽  
Chaitanya R. Patil

Background: Tuberculosis is major public health problem especially in the low and middle income countries like India. We conducted a study to assess the knowledge, attitude and practice related to tuberculosis among the patients attending our tertiary care institute.Methods: A cross sectional study was conducted in a tertiary care hospital on the patients attending OPD of tertiary care hospital in Maharashtra. The patients with debilitating illness or bed bound patients and those diagnosed and cured of tuberculosis or were on treatment of tuberculosis were excluded from the study. A pretested and designed questionnaire was used to assess the knowledge, attitude and practice about the cause, clinical features and treatment of tuberculosis.Results: The mean age of the study subjects was 43.34±11.23 years with male: female ratio of 1.45. About 16.67% of the subjects stated that cause of TB is bacteria, 51.33% reported that cough was the most common symptom, 58.67% believed that it spreads from person to person and among the people who said it spreads 58.67% said that it can be preventable.Conclusions: About 1/5th of the study subjects expressed the cause of TB is bacteria or germs, and more than ½ believed that TB spreads from person to person. About 2/3rd of the patients felt that TB was a very serious disease; more than ½ of them expressed fear if they were diagnosed with TB but more than ½ of them also expressed rejection if they have a TB patient as a closed one.


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