The prevalence of hypertension and prehypertension among children in schools of rural health training area of a tertiary care hospital in Nagpur, Maharashtra

Background: In this modern era, chronic non communicable diseases (NCDs) are a major global health challenge with numerous grave complications on the human body. Old age population tends to carry risk of almost all kind of diseases including non communicable diseases. Hypertension is one of biggest well known risk factor for many of non-communicable diseases usually found in the outdoor patients. Method: This cross sectional study was undertaken to provide the data on the Prevalence & Pattern of hypertension amongst patients who were aged 60 years & above and who attended the Out Patients Department of the Rural Health & Training Centre of tertiary care hospital of Chandigarh city of India. Results: Majority of patients belonging to age group 60-69 years were found to be diastolic hypertensive (24.46%). Majority of male patients were found to be diastolic hypertensive (28.43%) (P< 0.05). More of less same trend was found among female patients. Conclusion: Hypertension was found to be highly prevalent among the outdoor elderly patients of Rural Health & Training Centre of Chandigarh, India. This study warrants the need of an early detection of hypertension, which can be accomplished by a periodic screening of the people. Keywords: Hypertension; Elderly; India.

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PREVALENCE OF HYPERTENSION AMONG PRE-ELDERLY PATIENTS ATTENDING PERIPHERAL HEALTH CENTRE OF TERTIARY CARE HOSPITAL OF INDIA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i11.733 ◽

2019 ◽

Vol 3 (11) ◽

Author(s):

Dr. Munish Kumar Sharma ◽

Dr. Neeraj Gour ◽

Dr N K Goel ◽

Dr. Deepak Sharma ◽

Dr. Meenakshi Chaudhary ◽

...

Keyword(s):

Blood Pressure ◽

Systolic Blood Pressure ◽

Rural Health ◽

Tertiary Care Hospital ◽

Diastolic Pressure ◽

Health Centre ◽

Tertiary Care ◽

Noncommunicable Diseases ◽

Care Hospital ◽

Training Centre

Background: In this modern era, chronic noncommunicable diseases (NCDs) are a major global health challenge with numerous grave complications on the human body. Hypertension is the most common disorder which is being encountered in the outdoor patients Method: This cross sectional study was undertaken to provide the data on the prevalence of hypertension amongst patients who were aged 20 years and above (pre elderly) and who attended the Out Patients Department of the Rural Health & Training Centre of tertiary care hospital of Chandigarh city of India. Results: Association of age with systolic blood pressure & diastolic pressure was found to be highly significant (P < 0.001). On the other hand association gender with systolic blood pressure & diastolic blood pressure was also found to be highly significant (P < 0.001). Logistic regression was also applied & it was found that age and male gender is a better predictor of diastolic hypertension but it was found to be non-significant (P > 0.05). Conclusion: Hypertension was found to be highly prevalent among the outdoor patients of Rural Health & Training Centre of Chandigarh, India. This study warrants the need of an early detection of hypertension, which can be accomplished by a periodic screening of the people. Key words: Hypertension; India.

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Medication adherence and health belief model among hypertensive patients attending rural health centres of a tertiary care hospital in South India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171342 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1159 ◽

Cited By ~ 5

Author(s):

Shameena A. U. ◽

Sanjeev Badiger ◽

Nanjesh Kumar S.

Keyword(s):

Medication Adherence ◽

Health Belief Model ◽

Rural Health ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Health Belief ◽

Care Hospital ◽

Rural Health Centres ◽

Health Centres ◽

Belief Model

Background: Medication adherence is a growing concern to healthcare systems as non-adherence to pharmacotherapy has been associated with adverse outcomes and higher costs of care. Objective: To assess the determinants of Patient’s adherence to Hypertensive medication and to evaluate the levels of adherence based on Health belief Model.Methods: A cross-sectional study conducted in the OPDs of Rural Health Centres of a tertiary care hospital over a period of 4 months(April’16 –July’16) using a semi-structured and validated questionnaire which contain information on demographic characteristics, medication and health related facility and Health Belief Model. All hypertensives taking medication for more than 6 months were included in this study. Medication Adherence was assessed using the Morisky Medication Adherence Scale-8(MMAS-8).Statistical Analysis: Data was analysed using SPSS and P value <0.05 was considered statistically significant.Results: Out of 300 patients, 114 were males and 186 were females. The level of Adherence was 23% in our study subjects. Gender (0.05), Religion (0.02), Marital status (0.035), Socioeconomic status (p=0.000) and Frequency of medication (p=0.000) had association with adherence. Based on health belief model, perceived severity (p=0.000), perceived susceptibility (p=0.000), perceived benefit (p=0.000), perceived barrier (p=0.000), Cue to action (p=0.025) and self-efficacy (p=0.00) had association with adherence.Conclusions: Patients Knowledge, understanding and perception can improve the adherence to medication. The results of our study can be used for better treatment of Hypertension.

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