scholarly journals The Knowledge, Attitude and Practice of Lifestyle Modification among Hypertensive Patients at Rajshahi Medical College Hospital

2021 ◽  
Vol 9 (1) ◽  
pp. 96-100
Author(s):  
  Deepa Biswas ◽  
Farzana Ferdousi Shanta
2021 ◽  
Vol 14 (4) ◽  
pp. 2199-2204
Author(s):  
Vasanthan M Vasanthan M ◽  
Vinodhini V. M ◽  
Kasthuri N

Introduction Diabetes mellitus and dyslipidemia are non-communicable diseases that can be prevented and controlled by maintaining a healthy lifestyle. Knowledge, attitude, and practice (KAP) in patients will provide information of much importance in Advocacy (to set guidelines by the Healthcare providers), Communication (increase awareness in subpopulation), and Social mobilization (improve services and expand community support). The study aimed to assess the effectiveness of an educative session on Knowledge, attitude, and practice (KAP) in patients attending a private medical college hospital on diabetes and dyslipidemia in the South-Indian population. Methodology The study was cross-sectional which included 100 patients (41 female and 59 male) of 18-50 years of age attending the hospital and the Central clinical laboratory for various disease conditions. A self-administered questionnaire on personal aspects and diabetes and dyslipidemia was collected. Result Among the study participants, 18% completed school education, 74% completed under-graduation, and 8% completed post-graduation. The frequency of livelihood showed 84% from rural and 16% from an urban background. Nearly 71% were active and 29% were sedentary performing self-activity. The source of information regarding the treatment of patients was also obtained from the patients to implement the same in advocacy. The knowledge of the study group on various aspects including the causes, symptoms, tests, complications of diabetes mellitus, lipid profile, dietary fiber, and exercises was analyzed. We found clarity of explanation about diabetes improved well after the educative session. Around 80% of responders believed that both fiber and routine exercises would contribute to preventing diabetes. Analysis of the attitude and practice revealed a significant knowledge of practicing proper diet, exercises, and routine health care after the educative session. Conclusion We conclude that healthcare providers shall focus on educating the patients according to their needs with the knowledge to have positive attitudes on healthy lifestyle practices in addition to the appropriate treatment.


2020 ◽  
Vol 8 ◽  
pp. 205031212095329
Author(s):  
Saron Bogale ◽  
Kirubel Minsamo Mishore ◽  
Assefa Tola ◽  
Abraham Nigussie Mekuria ◽  
Yohanes Ayele

Introduction: Hypertension is an overwhelming global challenge. Appropriate lifestyle modifications are the cornerstone for the prevention and control of hypertension. In this regard, lack of knowledge and poor attitude toward lifestyle modification have been a major setback. Objective: To assess knowledge, attitude and practice of lifestyle modification recommended for hypertension management and the associated factors among adult hypertensive patients in Harar, Eastern Ethiopia. Methods: Hospital-based cross-sectional study was conducted among 274 hypertensive patients in Hiwot Fana Specialized University Hospital, from 1 March to 30 May 2019. The pre-tested structured questionnaire was used, and the data were collected through an interview. The data were analyzed using SPSS version 20. A multivariate logistic regression model was fitted to determine independent predictors of knowledge and practice of lifestyle modifications among hypertensive patients. Adjusted odds ratio (AOR) at 95% confidence interval (CI) was used for predicting the independent effect of each variable on the outcome variables. Results: From the total participants, 200 (73.0%) of participants had good knowledge, 182 (66.4%) had favorable attitude and 136 (49.6%) had good practice on lifestyle modification recommended for hypertension management. Regarding factors associated with lifestyle modification, being in age range of 46–64 years (AOR: 4.08, 95% CI: 1.14–14.56); having formal education (AOR: 3.93, 95% CI: 1.27–12.23); being government employee (AOR: 8.06, 95% CI: 1.40–46.32) and being housewives (AOR: 5.10, 95% CI: 1.26–20.79) were factors significantly associated with good knowledge of lifestyle modification, However, favorable attitude was found to be the only factor associated with good practice of lifestyle modification (AOR: 9.20, 95% CI: 2.60–32.24). Conclusion: In the current study, knowledge and attitude toward lifestyle modification recommended for hypertension management was fairly good but practice level was poor. Concerted strategies are required to increase the knowledge, attitude and practice of the lifestyle modification measures in this population group.


Author(s):  
Richa Malhan ◽  
Jayati Nath ◽  
Anil K. Bhusan

Background: Family planning is defined by WHO as a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of family groups and thus contribute effectively to the social development of a country. The main objective was to assess the knowledge, attitude and practice regarding family planning and the practice of contraceptives among the antenatal women.Methods: A hospital based, cross sectional study was conducted in obstetrics and gynaecology department of SGT medical college, hospital and research institute over a period of 6 months. Convenient sampling was used to identify and interview 500 pregnant women, using a semi structured questionnaire. Data was entered and analysed with SPSSv21.Results: In our study, 74.2% participants have the knowledge about Cu-T as a method of contraception and 39% participants considered it a safe and economical method of contraception, 16.2% participants used PPIUCD and 40.2% considered it as unsafe method. Uses of PPIUCD was significantly associated with increasing age, illiteracy and non-working participants. Around one third participants were having uncertain attitude towards use of PPIUCD.Conclusions: In our study we observed that uses of PPIUCD is still lower side and there is a need to be motivate the people for effective and appropriate use of contraceptives when required and arrest the trend towards unwanted pregnancy. 


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.


2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117


Sign in / Sign up

Export Citation Format

Share Document