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 Barriers of dietary salt reduction among hypertensive patients: a cross sectional study

2020 ◽  
Vol 7 (9) ◽  
pp. 3459
Author(s):  
Mariyam Khwaja
Keyword(s):  
Blood Pressure ◽  
Salt Intake ◽  
Lifestyle Modification ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Dietary Salt ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Hypertensive Patients ◽  
Dietary Salt Intake

Background: Healthy dietary practice is an important lifestyle modification and one of the key adjuncts to pharmacotherapy in management of hypertension. A modest reduction in salt intake of 5 gm/day lowered blood pressure by 7/4 mmHg diastolic in hypertensive patients. Despite knowledge about the ill consequences, many people continue to consume high levels of salt in their diet. To motivate people to reduce salt in their diet, a solid understanding of barriers encountered by those under salt reduction recommendation is necessary. Hence, this study was conducted with the aim of identifying the barriers to dietary salt reduction among hypertensive patients.Methods: A community based cross sectional study was conducted on a sample of 356 hypertensive patients in field practice areas (urban and rural) in Department of Community Medicine, JNMC, AMU, Aligarh. A pretested semi-structured questionnaire was used for the study. Compliance to dietary salt intake was assessed by calculating average salt intake per person per day. The tenets of health belief model were used to examine the key determinants of human behavior. Analysis was done by using correlation, proportions, chi-square and multiple linear regression.Results: 31.4% of the participants took salt <5 gm per day. A significant association was noticed with area, religion, social class, family size, perceived benefits and perceived susceptibility. A significant positive correlation was seen with total adherence score and family size.Conclusions: A lot of barriers hinder the compliance to dietary salt reduction. Health Education stressing the role of salt reduction in control of blood pressure is recommended.

scholarly journals Lifestyle Modification Practice and Associated Factors among Diagnosed Hypertensive Patients in Selected Hospitals in West Arsi Zone, Oromia Regional State, Ethiopia

2021 ◽  
Author(s):  
Hika Wakjira ◽  
Tesfaye Gobena ◽  
Hirbo Shore
Keyword(s):  
Associated Factors ◽  
Lifestyle Modification ◽  
Communicable Disease ◽  
Cross Sectional Study ◽  
Lifestyle Modifications ◽  
Cross Sectional ◽  
Middle Income ◽  
Hypertensive Patients ◽  
Co Morbidity ◽  
Arsi Zone

Abstract Background: Globally 1.13 billion peoples were living with hypertension, Out of this two-thirds of them were living in low and middle-income countries. In Ethiopia, Non Communicable Disease deaths are estimated at around 42%. However, it remain widely undetected and poorly controlled. To resolve these, lifestyle modification approach that often overlooked are corner stone of the prevention and management of hypertension.Objective: To assess lifestyle modification practice and associated factors among hypertensive patients in selected hospitals in West Arsi Zone, Oromia Regional, Ethiopia December 7 to 21, 2019.Method: Hospital-based cross-sectional study was conducted in the selected public hospital among 299 hypertensive patients. Systemic random sampling method were used to select the study participants. Data were collected by face-to-face interviews using a structured questionnaire by trained data collectors. Data were analyzed using descriptive statistics and multivariate logistic regression method to identify predictors of the outcome (p<0.05).Results: Of the total participants, only 25.2% (95% CI: 18.8-32.9) of the patients were practice recommended lifestyle modifications. Patients Age older than 65 years (AOR=2.9, 95% CI: 1.17-7.0), the patients with 2-5 years’ time since diagnoses hypertension (AOR=0.26, 95%CI: 0.07-0.9), multiple co-morbidity (AOR=2.7, 95% CI: 1.25-5.8) and their knowledge on hypertension management (AOR=14.6, 95% CI: 4.6-45.9) have an independently associated with recommended lifestyle modification.Conclusion: Lifestyle modification practices among hypertensive patients were low in this study. Age, comorbidity, time since diagnoses of hypertension and knowledge of lifestyle were identified as predictors of the outcome.

scholarly journals A CROSS-SECTIONAL STUDY ON ADHERENCE TO LIFESTYLE MODIFICATION AMONG KNOWN HYPERTENSIVE PATIENTS IN UDUPI DISTRICT

2021 ◽  
pp. 50-58
Author(s):  
PRASHANTH SHETTY ◽  
KARTHIK RAO N ◽  
GURUKANTH RAU N ◽  
SANJAY M PATTANSHETTY ◽  
DIVYA KARANTH
Keyword(s):  
Risk Factors ◽  
Secondary Care ◽  
Lifestyle Modification ◽  
Communicable Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Lifestyle Modifications ◽  
Good Adherence ◽  
Cross Sectional ◽  
Hypertensive Patients

Objectives: Hypertension is the more prevalent non-communicable disease and is the major risk factors for the cardiovascular disease. Lifestyle modification plays a very important role in controlling or management of the hypertension. Hence, aim of this study is to assess the adherence and non-adherence to lifestyle modification among known hypertensive patients those who are visiting secondary care hospitals in Udupi District. Methods: This was a multi-centric hospital based cross-sectional study conducted at three secondary care hospitals. Samples were collected through convenient sampling. Standardized questionnaire used to collect data. Associations are obtained the help of frequencies, prevalence, and mean values, ANOVA test, Chi-square, and binary logistic regression were used for the analysis. Results: The mean age of the participants was 63.01±11.12 years. Males were 144 (42.2%) and females were 197 (57.8%) of the study population. It was found that the self-assessment is influenced by education level of participant (p=0.003) and time elapsed since diagnosis of hypertension (p<0.001). Majority of the participants from age group of 34 to 48 and 49 to 63 had good adherence to exercise, that is, 70.4% (19) and 74.6% (100), respectively, (p=0.001). Participants with awareness regarding risk factors and complications of hypertension showed good adherence to exercise. The patients, who adhered to exercise, also consumed less quantity of salt. Conclusion: Instilling positivity in mind of the patient regarding outcome of treatment and lifestyle modifications can help in controlling the high blood pressure and there by prevent cardiovascular and renal disease in the whole population.

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 ◽  
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.

scholarly journals Treatment adherence and blood pressure outcome among hypertensive out-patients in two tertiary hospitals in Sokoto, Northwestern Nigeria

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Rasaq Adisa ◽  
Olumide Ayodeji Ilesanmi ◽  
Titilayo Oyelola Fakeye
Keyword(s):  
Blood Pressure ◽  
Cigarette Smoking ◽  
Treatment Adherence ◽  
Pressure Control ◽  
Patient Specific ◽  
Lifestyle Modifications ◽  
Antihypertensive Medications ◽  
Chi Square ◽  
Cross Sectional ◽  
Adherence To Medication

Abstract Background Treatment adherence play important roles in blood pressure control leading to reduction in morbidity and mortality. This study therefore assessed adherence to pharmacological and non-pharmacological therapies among ambulatory hypertensive patients. Reasons for treatment non-adherence, and association between adherence and blood pressure were also investigated. Methods Cross-sectional questionnaire-guided interview and retrospective review of medical records of 605-patients from two-tertiary healthcare institutions in Sokoto, Northwestern Nigeria. Nine-item modified Morisky adherence scale was used to assess medication adherence. Overall adherence score to lifestyle modifications was obtained from the total scores from 4-domains of non-pharmacological measures including cigarette smoking and alcohol cessation, salt-restriction and exercise. Patient-specific adherence education was provided at contact to resolve the knowledge gap(s). Clinical-parameters were retrieved at contact and subsequent 2-months appointment. Descriptive statistics, Chi-square and Student’s t-test were used for analysis at p < 0.05. Results Fifty-four (8.9%) patients were adherent to medications. Forgetfulness (404; 35.2%) was the most common reason for medication non-adherence. Use of buddy/companion reminder (605, 30.2%) top the list of adherence education. Overall adherence to lifestyle modifications was 36(6.0%). Mean systolic blood pressure (SBP) at contact was 149.6 ± 22.5 versus 134.2 ± 15.8 mmHg at 2-months with a 10% reduction. There were significant associations in baseline SBP for patients with or without adherence to medication, cigarette smoking cessation, and exercise (p < 0.05). Conclusions Overall adherence to antihypertensive medications and lifestyle modifications is suboptimal, underscoring the need for continuous patient-specific adherence education to ensure better therapeutic outcomes.

scholarly journals Hypertension and its Relation with Waist to Hip Ratio in Women Referred to Bojnurd Urban Health Centers in 2014

2019 ◽  
Vol 11 (1) ◽  
pp. 1-5
Author(s):  
Hossein Lashkardoost ◽  
Fateme Hoseyni ◽  
Elham Rabbani ◽  
Farzane Q Moqadam ◽  
Leila Hosseini ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Waist To Hip Ratio ◽  
Significant Relationships ◽  
Present Cross Sectional Study

Introduction: North Khorasan province has one of the highest rates of hypertension. One of the main causes of hypertension is obesity. Obesity is one of the most important public health problems around the world as a risk factor for non-communicable diseases. Since a similar study was not conducted in Bojnurd, we examined the relationship between waist to hip ratio with hypertension. Methods: The present cross-sectional study was conducted on women referring to Bojnurd health centers. To analyze the data, we used t-test, chi-square, multiple logistic regression and Pearson correlation in Stata 12 software. Results: In this cross-sectional study, the prevalence of systolic blood pressure was 14.78% and diastolic blood pressure was 15.65%. So waist to the hips showed the highest correlation with the changes in hypertension. Conclusion: There are significant relationships between the age and the number of pregnancies with the risk of hypertension. Since a significant percentage of people are unaware of the existence of hypertension, changing diet and having regular physical activity along with social support is an important strategy.

scholarly journals Kajian Pemberian Asi Eksklusif, Berat badan lahir rendah, dan Status imunisasi dengan kejadian stunting

2021 ◽  
Vol 16 (2) ◽  
pp. 250-268
Author(s):  
Sitti Zakiyyah Putri ◽  
Dahniar ◽  
Sumantri
Keyword(s):  
Random Sampling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Consecutive Sampling ◽  
Fisher’S Exact Test ◽  
Cluster Random Sampling

Stunting merupakan pertumbuhan fisik tinggi badan yang tidak normal sesuai dengan umur.  Stunting dipengaruhi oleh multifactor diantaranya adalah pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi dengan kejadian stunting pada balita. Desain penelitian yang digunakan yaitu analitik observational dengan pendekatan cross sectional study. Populasi dalam penelitian ini yaitu seluruh balita usia 25-60 bulan yang ada diwilayah kerja Puskesmas Banggae I yang berjumlah 96 balita. Teknik pengambilan sampel yang digunakan yaitu, yang pertama menggunakan cluster random sampling untuk pemilihan puskesmas kemudian yang kedua menggunakan consecutive sampling dengan jumlah sampel sebanyak 77 balita. Data dikumpulkan dengan menggunakan kuesioner. Analisis data mengunakan analisis person chi-square dan fisher’s exact test dengan ?=0.05. Balita usia 25-60 bulan sebagian besar mendapatkan ASI eksklusif, lahir dengan berat badan normal, dan mempunyai status imunisasi yang lengkap. Kesimpulan: hasil analisis menunjukkan bahwa tidak ada hubungan antara pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi dengan kejadian stunting pada balita usia 25-60 bulan. Saran: meninngkatkan pelayanan kesehatan bagi Puskesmas melalui kegiatan deteksi dini dengan mengukur tinggi badan anak balita secara rutin tiap bulan.      

scholarly journals A STUDY ON ASSOCIATION BETWEEN WORKRELATED FACTORS AND HYPERTENSION AMONG BUS DRIVERS IN TAMILNADU – A CROSS-SECTIONAL STUDY

2020 ◽  
pp. 59-61
Author(s):  
Imtiaz Ahmed S ◽  
PK Govindrajan ◽  
Felix Felix
Keyword(s):  
Blood Pressure ◽  
Strong Association ◽  
Treatment Compliance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Lifestyle Modifications ◽  
Bus Drivers ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related

Background and Objective Hypertension is a Leading cause of Morbidity and Mortality in developing nations. This study aims to Find the Association between Work related risk factors and Hypertension among transport Bus Drivers Method This study was a Cross Sectional Study carried out in Bus Depot and Bus Stand, Chidambaram, in Cuddalore district of Tamilnadu. The approximate prevalence of HTN among Adults in Tamilnadu was 31.5% (5). The estimated sample size for the study was 205. The Study tool included were Risk factor questionnaire and Physical measurement of Height, Weight and Blood pressure. Results Study showed significant Association between work-related factors or variables with Hypertension. Factors like Duration of Service in Present Job, Bus route travelling, Number of Hours at work, Family history of Hypertension are significantly associated with rise in Blood Pressure Conclusion Strong Association between work related factors like Service duration, travelling bus route, Duration of work hours, Shift duties and Hypertension was noted. Study recommends need for Periodic screening and follow up for Early diagnosis and treatment compliance. Lifestyle modifications and Periodic shift in duty patterns is also needed for the benefit of Bus drivers

scholarly journals Counseling on life style modification and knowledge and belief of hypertension and its management among hypertensive patients visiting community based screening and management program in Eastern Nepal

2018 ◽  
Vol 8 (1) ◽  
pp. 19-23
Author(s):  
Bhawesh Koirala ◽  
Gajendra Prasad Rauniar ◽  
Anup Ghimire ◽  
Sanjib Kumar Sharma
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Diseases ◽  
Kidney Disease ◽  
Early Detection ◽  
Lifestyle Modification ◽  
Lifestyle Modifications ◽  
Research Committee ◽  
Community Based ◽  
General Behaviour ◽  
Hypertensive Patients

Background: Hypertension is a global health problem with almost quarter of adults estimated to have high blood pres­sure. There are evidences showing effectiveness of lifestyle modification on the prevention and management of hyper­tension. The adherence to lifestyle modifications and medication depends upon knowledge and belief on management of hypertension and the counseling they received from medical staffs. Methods: In this prospective crossover study, 140 hypertensive patients were enrolled after getting written informed consent. This study was performed after obtain­ing the ethical clearance from Institutional Research Committee (IRC), BPKIHS, and Dharan. Data was collected using validated structured self-constructed questionnaire from the hypertensive patients visiting community program (KHDC) held on first Saturday of every month for follow-up. KHDC is a community based program for early detection and man­agement of Kidney disease, Hypertension, Diabetes and Cardiovascular diseases. For descriptive statistics, percentage, mean, Standard deviation was calculated along with graphical and tabular presentation. Results: Out of 140 patients enrolled 52.1% were male. Majority of the patient were aged between 40-59 years of age (50.7%). Most of them were Aryans 55.7 % followed by Mongolians 44.3%. Mean of Systolic Blood pressure was 131.48(SD ± 16.57) and Mean of Diastolic Blood pressure was 81.7(SD ±9.57). Majority of patient believed that they have received appropriate counsel­ing from the medical staffs in regards to appropriate diet, Body weight, Smoking cessation, Physical activity and risk and complication of hypertension. Overall knowledge rate was high on all items but 27.9% patients believed that treating with drugs is sufficient for the management of hypertension. Only 7.1 % of them were smokers whereas 24.3% con­sumed alcohol, 72.1 % patients were non vegetarians and most of them preferred average amount of salt in their meal 52.1%. However 44.3 % patients preferred low amount of salt. Sixty percentages of patients reported that they were doing physical exercise regularly. Conclusion: The knowledge and belief on the management of hypertension is high in the hypertensive patients visiting community based program for early detection and management of Kidney disease, Hypertension, Diabetes and Cardiovascular diseases. Further, most patients received the counseling on lifestyle modi­fication which was reflected in their general behaviour.

scholarly journals Socio-demographic, Clinical Characteristics and Status of Hypertension Control among Rural Hypertensive Patients

1970 ◽  
Vol 6 (1) ◽  
pp. 5-9
Author(s):  
NU Ahmed ◽  
M Rahman ◽  
MDU Islam ◽  
SY Ali ◽  
AM Hossain ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Clinical Characteristics ◽  
Pressure Control ◽  
Cross Sectional Study ◽  
Hypertension Control ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Education And Awareness ◽  
Males And Females

Hypertension is an important independent predictor of cardiovascular disease, cerebrovascular accidents and death. The prevalence of cardiovascular diseases and hypertension is rapidly increasing in developing countries. A cross sectional study was conducted among 103 hypertensive patients during December 2009 to June 2010 in Goshair Hat Upazilla of Shariatpur District to determine the socio-demographic, clinical characteristics and status of control of hypertension in rural population. Respondents were distributed more or less equally among males and females. The mean ± SD and median age of the respondents were calculated as 59.97 ± 11.12 years, with 64% of them were included in the age group of 51 to 70 years. More than half of the respondents were housewives (51.5%), which were followed by businessmen (21.4%). Every three of five patients were over weight, while 22.3% respondents were obese. One third of the respondents were also diabetic (33%). None of the 103 patients had achieved the target for SBP (Systolic blood pressure) control (<140mm of Hg) and only 21.4% of the patients had achieved the target for DBP (Diastolic blood pressure) control (<90 mm of Hg). Again none of the diabetic hypertensive patients had achieved the target for SBP control (<130mm of Hg) and only one patient had achieved the target for DBP control (<80 mm of Hg). Overall five patients were found to have uncontrolled and severe hypertension (BP >180/110 mm of Hg), all of whom were female. From this study control of hypertension was found poor among rural hypertensive population. For effectively combating the burden of hypertension in this population, education and awareness about hypertension needs to be given priority. Key words: Hypertension; socio-demographic characteristics; rural area; control of blood pressure DOI: 10.3329/fmcj.v6i1.7402 Faridpur Med. Coll. J. 2011;6(1): 05-09

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