scholarly journals Reported self-management of hypertension among adult hypertensive patients in a developing country: a cross-sectional study in a Nigerian tertiary hospital

2021 ◽  
Vol 21 (3) ◽  
pp. 1191-1200
Author(s):  
Ogban E Omoronyia ◽  
Idowu Okesiji ◽  
Chiamaka H Uwalaka ◽  
Enagu A Mpama
Keyword(s):  
Developing Country ◽  
Self Regulation ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
University Teaching ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Hypertensive Patients

Background: Sustained control of blood pressure, is dependent on degree of self-management, which includes self-inte- gration, self-regulation, self-monitoring and adherence to regimen. We assessed the pattern of self-management of hyper- tension among adult hypertensive patients in a developing country. Methods: Cross-sectional study design and convenience sampling, was used to recruit adult hypertensive patients, attending Lagos State University Teaching Hospital, Lagos, Nigeria. Interviewer-administered questionnaire was used to obtain data on self-management components. SPSS version 21.0 was used to analyze data, with p-value set at 0.05. Result: One hundred and seven (107) respondents, had mean age of 49.0 ± 12.0 years. Mean value for self-management was 3.15 ± 0.55, comprising self-integration (3.06 ± 0.36), self-regulation (3.32 ± 0.63), self-monitoring (3.29 ± 0.84) and adherence to regimen (3.15 ± 0.55). Most components of self-management, had high levels of mean score. Respondents that were less than 40 years, compared with those that were more than 40 years, had greater mean values for self-integration (3.37 vs 3.05), but significantly lesser values for all other components (p < 0.05). Conclusion: Young hypertensives had poor levels of most components of self-management. There is urgent need for health educational programs on self-management of hypertension among young people in sub-Saharan Africa. Keywords: Hypertension; self-management; self-integration; self-regulation; adherence; Nigeria.

scholarly journals Blood Glucose Monitoring and Sharing Amongst People With Diabetes and Their Facilitators: Cross-sectional Study of Methods and Practices

JMIR Diabetes ◽  
10.2196/29178 ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. e29178
Author(s):  
Amr Jamal ◽  
Shabana Tharkar ◽  
Weam Saleh Babaier ◽  
Shrooq Faisal Alsomali ◽  
Allulu Saad Alsulayhim ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Diabetes Control ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Digital Devices

Background The last two decades have witnessed a burgeoning rise in the prevalence of diabetes globally. It has already reached epidemic proportions in Saudi Arabia, with reported high risk among women. As a result, diabetes monitoring and self-management programs are being highly prioritized for diabetes control and management. Objective To investigate measuring and sharing practices of the self-monitoring of blood glucose (SMBG) among patients with type 1 or 2 diabetes using insulin. Methods A cross-sectional study was conducted on a sample of 203 patients attending primary care clinics at a tertiary care center. The questionnaire assessed the measuring, recording, and sharing of SMBG practices of patients having diabetes with their physicians. The methods used for recording and sharing were categorized into paper-based and electronic-based. In addition, the determinants of the different methods used and frequency of sharing were analyzed. Results The overall monitoring prevalence was 95% (193/203), and 57% (117/203) of participants shared the SMBG results. Among the 193 individuals that performed self-monitoring, 138 (72%) performed daily monitoring, and 147 (76%) recorded their blood sugar levels. Almost 55% (81/147) used paper-based materials like notebooks and paper for recording, while the rest (66/147, 45%) used digital devices like laptops and smartphones. A shift towards the use of digital devices and smart applications was observed in patients below 50 years of age. The digitally recorded blood glucose measurements were being shared thrice more often than the recordings made on paper or in notebooks (OR [odds ratio] 2.8; P=.01). Patients >50 years of age (OR 2.3; P=.02), with lesser formal education, married (OR 4.2; P<.001), with smaller family size (OR 2.6; P=.01), having type 2 diabetes (OR 4.1; P<.001) and any comorbid conditions (OR 2.6; P=.01) were associated with higher odds of using paper-based sharing methods. Only the female gender and type 2 diabetes were associated with increased frequency of sharing, while uncontrolled diabetes, the presence of other comorbidities, and duration of diabetes did not show any influence. Conclusions Good monitoring and optimal sharing practices were found. Sharing using electronic devices can be emphasized. Diabetes self-management programs can incorporate the use of digital technology in training sessions. Digital literacy and its applications in health care may enhance SMBG practices resulting in better diabetes control.

scholarly journals Investigating Information Resources Used in Hypertensive Patients: A Cross-Sectional Study on Self-Management of Disease

2021 ◽  
Author(s):  
Ameneh Marzban ◽  
Vahid Rahmanian ◽  
Azam Namdar ◽  
Marzieh Zamani
Keyword(s):  
Information Sources ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Information Resources ◽  
Health Centers ◽  
Self Management ◽  
Sources Of Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

Introduction: Health information seeking and knowledge acquisition play an important role in the management of chronic diseases such as hypertension. The purpose of this study was to determine the information sources used by hypertensive patients in self-management of patients referred to Jahrom... health centers. Methods: This cross-sectional study was performed on 396 hypertensive patients who were selected by cluster sampling from six urban-rural health centers of Jahrom City in 2016. Data gathering tool was a 17-question researcher-made questionnaire that was used after validation and reliability. Data were analyzed using descriptive statistics and chi-square test by SPSS version 16 software. Results: 61.40% (243 patients) of patients with hypertension had information about their disease after developing hypertention. Most of their information sources were physicians and health workers 60.02% (236 people), family and friends 31.12% (122 people) and other patients 25.8% (101 people) and mass media 24.51% respectively. 96 people). 35.4% (n = 86) of patients admitted that this acquisition of knowledge has decreased their referrals to specialized levels  The most important reasons for not obtaining information in 35.29% (140 people) were difficulty and lack of access to information resources. Conclusion: The results of this study showed a relatively high and good knowledge of the patients after the disease. The most frequently used sources of information were physicians and health workers. Therefore, it is imperative that health professionals use effective ways of transmitting information to these people.

Blood Glucose Monitoring and Sharing Amongst People With Diabetes and Their Facilitators: Cross-sectional Study of Methods and Practices (Preprint)

2021 ◽  
Author(s):  
Amr Jamal ◽  
Shabana Tharkar ◽  
Weam Saleh Babaier ◽  
Shrooq Faisal Alsomali ◽  
Allulu Saad Alsulayhim ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Diabetes Control ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Digital Devices

BACKGROUND The last two decades have witnessed a burgeoning rise in the prevalence of diabetes globally. It has already reached epidemic proportions in Saudi Arabia, with reported high risk among women. As a result, diabetes monitoring and self-management programs are being highly prioritized for diabetes control and management. OBJECTIVE To investigate measuring and sharing practices of the self-monitoring of blood glucose (SMBG) among patients with type 1 or 2 diabetes using insulin. METHODS A cross-sectional study was conducted on a sample of 203 patients attending primary care clinics at a tertiary care center. The questionnaire assessed the measuring, recording, and sharing of SMBG practices of patients having diabetes with their physicians. The methods used for recording and sharing were categorized into paper-based and electronic-based. In addition, the determinants of the different methods used and frequency of sharing were analyzed. RESULTS The overall monitoring prevalence was 95% (193/203), and 57% (117/203) of participants shared the SMBG results. Among the 193 individuals that performed self-monitoring, 138 (72%) performed daily monitoring, and 147 (76%) recorded their blood sugar levels. Almost 55% (81/147) used paper-based materials like notebooks and paper for recording, while the rest (66/147, 45%) used digital devices like laptops and smartphones. A shift towards the use of digital devices and smart applications was observed in patients below 50 years of age. The digitally recorded blood glucose measurements were being shared thrice more often than the recordings made on paper or in notebooks (OR [odds ratio] 2.8; <i>P</i>=.01). Patients >50 years of age (OR 2.3; <i>P</i>=.02), with lesser formal education, married (OR 4.2; <i>P</i><.001), with smaller family size (OR 2.6; <i>P</i>=.01), having type 2 diabetes (OR 4.1; <i>P<</i>.001) and any comorbid conditions (OR 2.6; <i>P</i>=.01) were associated with higher odds of using paper-based sharing methods. Only the female gender and type 2 diabetes were associated with increased frequency of sharing, while uncontrolled diabetes, the presence of other comorbidities, and duration of diabetes did not show any influence. CONCLUSIONS Good monitoring and optimal sharing practices were found. Sharing using electronic devices can be emphasized. Diabetes self-management programs can incorporate the use of digital technology in training sessions. Digital literacy and its applications in health care may enhance SMBG practices resulting in better diabetes control.

scholarly journals Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025819 ◽  
Author(s):  
Zhan Qu ◽  
Monica Parry ◽  
Fang Liu ◽  
Xiulin Wen ◽  
Jieqiong Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Management Practices ◽  
Self Regulation ◽  
Cross Sectional Study ◽  
Effective Theory ◽  
Self Management ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient Reported

ObjectivesThis study explored the relationship between self-management and blood pressure (BP) control in China.DesignA cross-sectional study.SettingEight community health centres from four cities in the Northeast (Shenyang), Northwest (Xi’an), Southwest (Chengdu) and South (Changsha) of China.ParticipantsA total of 873 adults with hypertension, including 360 men and 513 women. Hypertension was defined as systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg.Outcome measurementsBP control was the primary outcome variable. This was categorised as good control if individuals with hypertension reduced their BP to <140/90 mm Hg, otherwise, it was categorised as poor control. Secondary outcomes included self-management, defined as: (1) context or condition-specific factors or physical/social environments (eg, age, sex, marital status, education, personal income and health insurance) and (2) process or knowledge/beliefs, self-regulation skills/abilities and social facilitation (eg, treatment, diet, exercise and risk factor management). Data were analysed using logistic regression models using SPSS V.20.ResultsA total of 67.1% (n=586) participants had poor BP control. Limited outpatient care benefits in mainly rural residents (OR 2.26, 95% CI 1.06 to 4.81) and longer disease duration (OR 1.03, 95% CI 1.01 to 1.04) were associated with poor BP control. Self-management practices reduced the odds of having poor BP control (OR 0.98, 95% CI 0.97 to 0.99).ConclusionsThe individual and family self-management theory can serve as an effective theory for understanding the key contexts, processes and outcomes essential for BP control in China. Future research should evaluate the effect of a self-management intervention (eg, self-monitoring, medication adherence, regular and routine doctor visits, and social supports) for BP control in China using a multisite cluster randomised controlled trial. Sex and gender difference, cost and patient-reported outcomes should also be examined.

Sign in / Sign up

Export Citation Format

Share Document