Knowledge of and Compliance with Therapeutic Regimens among Hypertensive Patients in Nigeria

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Timothy A Ehwarieme ◽  
Emmanuelson N Chukwuyem ◽  
Cynthia O Osayande
Keyword(s):  
Significant Relationship ◽  
Lifestyle Modification ◽  
Sampling Technique ◽  
Further Education ◽  
Public Health Issue ◽  
Global Public Health ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Treatment Regimens ◽  
Significant Difference

Hypertension is a global public health issue as it is the most common cardiovascular disease worldwide. Being one the few diseases that come with complications, this study investigated the level of compliance of hypertensive patients with treatment regimens among such patients attending outpatient departments of selected tertiary hospitals in Benin City, Edo State, Nigeria. A cross-sectional descriptive research design was used. A sample size of 309 was selected from a total population of 946. A convenient sampling technique and self-structured questionnaire were used as an instrument for data collection. Results showed that only 40.7 per cent of the respondents had a good knowledge of hypertension. The majority (90 %) (N = 270) of the respondents were not compliant with treatment regimens. There was a significant relationship between knowledge of hypertension and lifestyle modification among the respondents at (χ2 = 0.022; < p = 0.05). There was no significant difference in the level of compliance with antihypertensive treatment between respondents in the selected hospitals (p = 0.791). The monthly income was found to have a significant relationship with compliance with treatment regimens at (χ2 = 0.000, 0.037, 0.001, 0.008, 0.010, 0.000 and 0.000; < p = 0.05). The study also shows that there was no significant difference in knowledge and the rate of compliance among the selected hospitals (0.883 and 0.798 respectively). Therefore it is recommended that nurses engage in health education and awareness programmes to meet the needs for increased awareness and further education of the people on the advantages of adherence to their medication and treatment regimens.

scholarly journals Knowledge and Perception Regarding Hypertension among Hypertensive Patients at a Tertiary Hospital in Kathmandu, Nepal

2020 ◽  
Vol 7 (1) ◽  
pp. 51-62
Author(s):  
Sabita Pandey Bashyal ◽  
Narbada Thapa
Keyword(s):  
Sampling Technique ◽  
Simple Random Sampling ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Severe Illness ◽  
Cross Sectional ◽  
Middle Income ◽  
Hypertensive Patients ◽  
Significant Difference

Background: Hypertension has a great impact on cardiovascular disease and death all over the world. Low and middle-income countries including Nepal are facing higher disease burden because of complications arise from uncontrolled hypertension. Patient’s knowledge and perception play an important role for the proper management of hypertension. There are limited studies related to knowledge and perception of hypertension, therefore, this study aimed to assess the knowledge and perception of hypertension among hypertensive patients at a tertiary hospital in Nepal. Methods: This is a hospital based, mixed-method, cross-sectional study which was conducted among 400 hypertensive patients in the outpatient department of Sahid Gangalal National Heart Center, Kathmandu, Nepal. Patients who were diagnosed as hypertensive at least 6 months before were selected by simple random sampling technique and were interviewed using semi- structured questionnaire, and interview schedule from March to May 2019. Data were analyzed using descriptive and inferential statistics.    Results: The mean age of the respondents was 58.86 ±11.07 years and nearly half (47.8%) of them were in the age group of 60 years and above. More than half, (58%) were male, 77.8% were overweight, about half of them had a significant family history of hypertension with first degree relatives. Regarding the knowledge, the total mean score was 16.16±3.032 and had significant difference with age (p= 0.002), gender (p=.000), education (p=0.002), occupation (p=0.000), and duration of HTN diagnosis (p=0.000). Majority of them perceived hypertension as less serious illness and had significant difference with education level (p=0.001) and duration of HTN diagnosis (p=0.000). Conclusions: Majority of participants had inadequate knowledge of hypertension and they perceived hypertension as less severe illness which might hinder the adherence to treatment recommendations. Hence, mass awareness program strategies might be helpful to increase hypertension related knowledge and perception.

scholarly journals RELATIONSHIP OF FAMILY SUPPORT WITH ADHERENCE TO TAKING MEDICATION AMONG HYPERTENSIVE PATIENTS

2020 ◽  
Vol 6 (1) ◽  
pp. 35-41
Author(s):  
I Gede Purnawinadi ◽  
Irene Jessica Lintang
Keyword(s):  
Medication Adherence ◽  
Family Support ◽  
Significant Relationship ◽  
Negative Relationship ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Relationship Of ◽  
The Relationship

ABSTRACT Introduction: Hypertension requires lifelong treatment. One influence of the successful treatment of hypertensive patients is adherence to taking drugs through family support roles. Purpose: This study identified the relationship between family support and adherence to taking medication for hypertensive patients at the Airmadidi Health Center in North Minahasa Regency. Method: This study was an observational analytic with cross-sectional approach. The sampling technique used was purposive sampling with a sample of 127 respondents diagnosed with hypertension. Results: Dominant family support (84.3%) was included in the low category, and dominant medication adherence (65.4%) was included in the low category. There is a significant relationship between family support and medication adherence to hypertensive patients (p value 0.016), but the correlation coefficient is weak (r = -0.213) with a negative relationship direction. Discussion: Communities including families of hypertensive patients are expected to take part in improving compliance with taking medication for hypertensive patients, and for hypertensive patients must be more obedient in taking drugs. Keywords: Family Support, Hypertension, Adherence, Taking Medication.

scholarly journals Hubungan Aktivitas Fisik Dengan Tekanan Darah Pada Penderita Hipertensi Di Rumah Sakit Muhammadiyah Palembang

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Siti Maskanah ◽  
Suratun Suratun ◽  
Sukron Sukron ◽  
Yulius Tiranda
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Significant Relationship ◽  
Health Workers ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
The Relationship

Objective: To find out the relationship between the physical activity and blood pressure hypertensive patients of Muhammadiyah Hospital of Palembang. Methode: Cross sectional method was used with the number of sample of 67 hypertensive patients taken by using purposive sampling technique: The Fisher Exact test was used to analyze the relationship between physical activity and blood pressure.Results: The result showed that most of the activities carrie d out were moderate activities (67,2%). The result pf the analysis showed that there was a significant relationship between physical activity and systole and diastolic blood pressure with each p value of 0,003, OR: 6,458 and p value 0, 013, OR: 144.  Conclusion: There was a significant relationship between phsical activity and blood pressure. It is expected that health workers be able to play an active role and involve families in optimizing phsical activity for patient with hypertension.

scholarly journals ANALISIS EFEKTIVITAS BIAYA PENGGUNAAN AMLODIPIN DIBANDINGKAN KAPTOPRIL PADA PASIEN HIPERTENSI DI RUMAH SAKIT UMUM DAERAH MAJENE PERIODE JANUARI HINGGA JUNI TAHUN 2019

2021 ◽  
Vol 6 (2) ◽  
pp. 262-271
Author(s):  
Andi Maulana Kamri ◽  
◽  
Rachmat Kosman ◽  
Dian Rahayu
Keyword(s):  
Cost Effectiveness ◽  
Average Cost ◽  
Sampling Technique ◽  
Cost Effective ◽  
Term Treatment ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Cost Effective Treatment ◽  
Long Term Treatment ◽  
Significant Difference

Hypertension is a chronic disease that requires long-term treatment and high cost. The research aimed to determine a more cost-effective treatment between amlodipine and captopril in hypertensive patients at Majene Hospital from January to June 2019. The sampling technique was purposive sampling with a cross-sectional method. The data collection was obtained from medical records and direct medical costs of hypertensive patients who take amlodipine or captopril. The Mann-Whitney statistical test was performed to determine the significant difference between the treatment groups. The results showed that the Average Cost Effectiveness Rasio (ACER) value of the 5 mg amlodipine and 12.5 mg captopril groups was Rp. 4233.3 and Rp. 4904 with an Incremental Cost Effectiveness rasio (ICER) value of Rp. 1063.5. Meanwhile, the Average Cost Effectiveness Rasio (ACER) value of the 10 mg amlodipine and 25 mg captopril group was Rp. 3764,7 and Rp. 4875.1. In conclusion, amlodipine is more cost effective than captopril.

scholarly journals Compliance to antihypertensive medication: a cross-sectional study in Aligarh

2017 ◽  
Vol 4 (10) ◽  
pp. 3698 ◽  
Author(s):  
Mariyam Khwaja ◽  
M. Athar Ansari ◽  
Saira Mehnaz
Keyword(s):  
Social Class ◽  
Rural Areas ◽  
Hypertensive Heart Disease ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Global Public Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

Background: Hypertension is a global public health issue. Hypertensive heart disease is one of the top ten leading causes of death in the world. It was responsible for an estimated 1.1 million deaths worldwide in 2012. To prevent some of the complications of hypertension regular intake of the prescribed treatment in the form of medicines (pills) is essential. Poor compliance to anti-hypertensive therapy is usually associated with bad outcome of the disease and wastage of limited health care resources. With these viewpoints the study aimed to assess the level of compliance of hypertensive patients to their anti-hypertensive medications and to determine the socio-demographic correlates of compliance. Methods: This was community based cross sectional study conducted in urban and rural areas in Aligarh. A total of 350 hypertensive patients were selected using simple random sampling. A pretested semi-structured questionnaire was used. Compliance was measured by Morisky 8-item Medication Adherence scale. Analysis was done using proportions and Chi-square test. Results: The overall compliance of study population was 23.7%. It was found to be significantly associated with gender, education, social class and associated co morbidities. Education, higher social class and duration of hypertension were found to be the main facilitators to adherence. The barriers to adherence were cost of drug and more number of pills per day. Conclusions: Patient education, family counselling and social support networks should be strengthened in health promotion programs in order to enhance compliance of hypertensive patients with the therapeutic regimen and to improve their quality of life. 

scholarly journals Awareness of HIV/AIDS and other sexually transmitted infections among the Montenegrin seafarers

2019 ◽  
Vol 76 (1) ◽  
pp. 24-29
Author(s):  
Ljiljana Jovicevic ◽  
Milan Parlic ◽  
Jasmina Stevanovic ◽  
Tatjana Novakovic ◽  
Snezana Barjaktarovic-Labovic ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Migrant Workers ◽  
Hiv Transmission ◽  
Immune Deficiency Syndrome ◽  
Public Health Issue ◽  
Global Public Health ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Significant Difference ◽  
Working And Living Conditions

Background/Aim. Human immunodeficiency virus (HIV) continues to be a major global public health issue having claimed more than 35 million lives so far. Seafarers belong to a group of migrant workers whose working and living conditions are confined for a long time. Their way of life put them at a high risk of HIV infection and other sexually transmitted infections (STIs). The aim of this study was to assess the level of knowledge about HIV and other STIs among Montenegrin sailors. Methods. A research was carried out from October 2014 to April 2015 as a cross-sectional study. The research included 543 examinees. A research instrument was a particularly structured closed-type questionnaire created by the Joint United Nations Programme on HIV/acquired immune deficiency syndrome (AIDS) (UNAIDS) and used in international and national researches. For data analysis, we used the SPSS for Windows 20.0. Results. The result that only 42.9% of the examinees knew that HIV and STI transmission could be prevented by a proper and frequent use of condoms was alarming. More than a third of the examinees (38.9%) were aware of the fact that HIV could be transmitted by having sexual intercourse with a person who looked healthy, while 25.6% of them thought that HIV could not be transmitted in this way. Considering the level of education, there was a statistically significant difference related to the awareness of HIV transmission by sharing a meal with a person was HIV positive (p = 0.001). There was also found a statistically significant difference related to the awareness of the examinees about HIV transmission by using public toilets (p = 0.004). Conclusion. The results of this research showed that beside the fact that awareness level of HIV and STIs among the sailors was heightened in comparison to 2008, the level of awareness is still not satisfactory.

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.

scholarly journals Emotional Bonding and Sexual Activity During COVID-19 Lockdown: A Cross-National Pilot Study

2021 ◽  
pp. 263183182110274
Author(s):  
Deblina Roy ◽  
Sujita Kumar Kar ◽  
SM Yasir Arafat ◽  
Pawan Sharma ◽  
Russell Kabir
Keyword(s):  
Online Survey ◽  
Sampling Technique ◽  
Sexual Relationships ◽  
Sexually Active ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Emotional Bonding ◽  
Significant Difference ◽  
The Mean ◽  
Study Participants

Background: The COVID-19 pandemic and lockdown measures have affected the sexuality and emotional bonding among the couple across the world. Objectives: We aimed to assess the effects of the COVID-19 pandemic and lockdown on the married people’s emotional bonding and sexual relationships in 3 south Asian counties (Bangladesh, India, and Nepal). Methods: A cross-sectional online survey was conducted among Bangladesh, India, and Nepal residents from April 3 to April 15, 2020. The survey was designed in English. The participants were selected through convenience sampling technique, the link of the online questionnaire was shared with the participants. Only participants older than 18 years and above, married, and living with their spouses were included in the study. Results: A total number of 120 respondents were included finally for analysis from the participating countries (India, Nepal, and Bangladesh). The mean age of the participants was 35.42 (±5.73) years; the majority were males under the age of 40 years and had completed postgraduation as their qualification. Among the study participants, more than half (53.8%) of the women reported being sexually active during the lockdown, whereas 41% of the men reported being sexually active. Among the sexually active participants, most women (57.7%) reported that they perceived positive emotional bonding with their partners. Nevertheless, there was no significant difference observed when compared with men. There are variations in responses. However, no significant association was identified. Conclusion: There are a few insights from the study, that is, there was no significant difference found in almost 3 countries in emotional intimacy. There had been a trend that there is improved emotional bonding with their partners, although no significant difference was observed.

scholarly journals Study of Maternal and Fetal Outcome among Booked and Unbooked Patients at tertiary Hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 1027-1030
Author(s):  
Shanti Sunuwar Subedi ◽  
Rakina Bhansakarya ◽  
Sajjan Kumar Sharma
Keyword(s):  
Sampling Technique ◽  
Secondary Level ◽  
Tertiary Hospital ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Spontaneous Vaginal Delivery ◽  
Significant Difference ◽  
The Difference

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.

scholarly journals Prevalence of anxiety disorder among workers with cancer in Amman, Jordan

2020 ◽  
Author(s):  
Abdel Rahman Aref Ali Abu Shreea ◽  
Lee Khuan ◽  
Sharifah Norkhadijah Syed Ismail ◽  
Nasrudin Subhi ◽  
Sobuh (Moh’d Sobhi) Ahmad Abu-Shanab ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Marital Status ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sample Population ◽  
Cross Sectional ◽  
Long Term Conditions ◽  
Cancer Data ◽  
Patients With Cancer ◽  
Significant Difference

AbstractIntroductionCancer is now being recognised as a long term conditions due to advances in treatments that increase the survival rate of patients with cancer to as long as 10 years from the time of the disease. Anxiety is among the commonly discovered psychiatric illness in patients with cancer and is often neglected. Approximately 10% of patients with cancer are affected with anxiety worldwide. Hence, this study was aimed to determine the prevalence of anxiety disorder and its associated factors among workers with cancer in Jordanian population.MethodsA cross-sectional study was conducted at the King Husain Cancer Centre (KHCC) in Amman, Jordan. Proportional sampling technique was used to obtain the sample population of 355 workers with cancer. Data were collected through self-administered Generalized Anxiety Disorder (GAD-7) questionnaire and analyses were carried out using SPSS version 25.ResultsResponse rate of 100% were obtained from the participants. Prevalence of anxiety disorder among workers with cancer was recorded at 20.8% with male (23.1%) having the higher prevalence rate than female (17.3%) workers with cancers. A significant difference in anxiety between marital status (p=0.025), types of cancer (p=0.001), treatment types (p=0.024) were observed. A multiple regression was run to predict anxiety disorder from marital status, type of cancer and treatment types. These variables statistically significantly predicted anxiety disorder [F(3, 351) = 8.117, p < .001, R2 = 0.225].ConclusionThere is high prevalent of anxiety disorder among workers with cancer in Jordan. Predictors of anxiety among workers with cancer were also identified in this report.

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