scholarly journals Effects of Patients’ Perceptions on Hypertension Treatment in the Cape Coast Metropolis, Ghana

2019 ◽  
pp. 1-12
Author(s):  
Julius Waamsasiko Adong
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Side Effects ◽  
Sampling Technique ◽  
Hypertension Treatment ◽  
Cape Coast ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Herbal Preparations ◽  
Adherence Scale

Background: The rising levels of hypertension related complications in Ghana are perceived to be associated with low anti-hypertensive medication adherence, which is attributable to patient wrong perceptions of hypertension. Aim: To explore the effects of patients’ perceptions on hypertension treatment in cape coast, Ghana. Study Design: Cross sectional survey. Place and Duration of Study: Cape Coast, Ghana. December 2013 to March 2014. Methodology: Eight out of 350 patients were selected from a baseline quantitative survey conducted at the Cape Coast Metropolis. The purposive sampling technique was used after baseline analysis with the Morisky Medication Adherence Scale, to select four adherents and four non-adherents to anti-hypertensive medication. In-depth interviews were conducted for the eight patients, data was processed using content analysis procedure based on three specific themes. Results: Perceived appearance of symptoms was misinterpreted as sign of rising blood pressure.  Combination of anti-hypertensive and herbal preparations was prevalent among non-adherents. Perceived side effects of anti-hypertensive particularly, sexual weakness was intense among non-adhering patients. Conclusion: Hypertensive patients in the Cape Coast Metropolis of Ghana, were at a higher risk of medication non-adherence and uncontrolled blood pressure. The findings underscore the need to change patient orientation about hypertension, by addressing misconceptions of symptoms and medication side effects, whiles discouraging the use of herbal preparations.

Medicinal plants’ use among patients with dyslipidemia: an Iranian cross-sectional survey

2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Mohammad Hashem Hashempur ◽  
Seyed Hamdollah Mosavat ◽  
Mojtaba Heydari ◽  
Mesbah Shams
Keyword(s):  
Side Effects ◽  
Medicinal Plants ◽  
Demographic Data ◽  
Zingiber Officinale ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Herbal Preparations ◽  
Positive Effects ◽  
High Prevalence

Abstract Background Despite growing demand for medicinal plants, there is little data about their use by patients with dyslipidemia. We aimed to determine the prevalence, pattern, and associated factors for the use of medicinal plants among patients with dyslipidemia. Methods A 17-item semi-structured questionnaire was filled out by 195 patients with dyslipidemia in a cross-sectional study carried out in two academic endocrinology clinics in Shiraz, Iran. The questionnaire comprised of three main domains of demographic data (6 questions), clinical data (2 of them), and data related to the use of medicinal plants (totally 9 questions). Results A total of 77.4% of patients took medicinal plants. The most common medicinal herbs used by dyslipidemic patients were Zataria multiflora, Cinnamomum zeylanicum, and Zingiber officinale. Duration of dyslipidemia was significantly longer in herbal users than non-herbal users (p=0.04). Patients believing that concomitant use of conventional drugs and herbal preparations had synergic positive effects in addition to those persuaded that herbal preparations possessed less side effects, were significantly more likely to use medicinal plants (p=0.008 and 0.005, respectively). Additionally, most of the medicinal herb users (87.4%) changed neither the pattern nor the dosage of their medications all during herbal preparations use. Conclusions This study demonstrated a high prevalence of medicinal plants’ use among patients with dyslipidemia, which was associated with the duration of dyslipidemia, patients’ viewpoints about herbal preparations’ synergic positive effects, and their fewer side effects.

scholarly journals HUBUNGAN KEPATUHAN MINUM OBAT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

2021 ◽  
Vol 12 (2) ◽  
pp. 327
Author(s):  
Ikit Netra Wirakhmi ◽  
Iwan Purnawan
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Health Centre ◽  
Sampling Technique ◽  
Well Being ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertension Therapy

AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma & Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure. 

scholarly journals Hypertension knowledge, heart healthy lifestyle practices and medication adherence among adults with hypertension

2018 ◽  
Vol 6 (1) ◽  
pp. 108 ◽  
Author(s):  
Hawa Ozien Abu ◽  
Hanan Aboumatar ◽  
Kathryn Carson ◽  
Robert Goldberg ◽  
Lisa Cooper
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Salt Intake ◽  
Healthy Lifestyle ◽  
Pressure Control ◽  
Dietary Salt ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lifestyle Practices ◽  
Hypertension Knowledge

Objective: To assess patients’ knowledge about hypertension and its association with heart healthy lifestyle practices and medication adherence.Methods: We conducted a cross sectional survey of 385 adults with hypertension treated at 2 primary care clinics in Baltimore, Maryland, USA. We used an 11-item measure to assess hypertension knowledge and obtained self-reports on dietary changes, engagement in aerobic exercise and medication adherence. Results: Approximately 85% of patients properly identified high blood pressure, but more than two-thirds were unaware that hypertension lasts a lifetime once diagnosed; one-third were unaware that hypertension could lead to renal disease. Patients with low hypertension knowledge were less likely to reduce their salt intake (OR=0.44 [95% CI: 0.24-0.72]) and eat less to lose weight (OR=0.48 [95% CI: 0.26-0.87]) than patients with high hypertension knowledge.Conclusion: In general, patients were knowledgeable about hypertension, but most were unaware that hypertension is a lifelong condition and could lead to kidney disease. High knowledge of hypertension was associated with healthy lifestyle practices including eating less to lose weight and dietary salt reduction.Practice Implications: Intensifying education strategies to improve patients’ knowledge of hypertension may enhance their engagement in heart healthy lifestyle practices for optimal blood pressure control.

HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PASIEN HIPERTENSI LANSIA DI WILAYAH KERJA PUSKESMAS SUNGAI CUKA KABUPATEN TANAH LAUT

2017 ◽  
Vol 1 (1) ◽  
pp. 62
Author(s):  
Yugo Susanto
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Family Support ◽  
Cross Sectional ◽  
High Category ◽  
The Family ◽  
Adherence Scale ◽  
Hypertension Therapy ◽  
Elderly Hypertensive ◽  
Cross Sectional Design

One of communicable diseases become very serious health problem was hypertension. The purpose of hypertension therapy was to control blood pressure in range of normal blood pressure, it is needed the adherence for hypertension therapy. The family supportcould improved healthy status. Patient with family support  feel that people care, so it could directed patient to improve their healthy lifestyle.The purpose of this study was to determine elderly family support, medication adherence in elderly hypertensive patients, and analyzedthe correlation between the family support with the adherence ension in elderly hypertension patients in Puskesmas Sungai Cuka Tanah Laut.This study was conducted with the cross sectional design in December 2014 until January 2015. Population was280the elderly patient in the region of  primary public health Sungai Cuka and 164 of them were used for sample. Data was collected by completion questionnaires family support and Morisky Modification Adherence Scale (MMAS)questionnaires. Data analysis was performed by gamma test with 95% confidence level.Based on the results, that Elderly who have family support by category 23.8% lower category, middle category were 64%, high category were 11.6%, and 0.6% were very high category. The adherence degree of elderly hypertension patientwere 45,7% low adherence degree, moderate adherence degreewere 36%, and high adherence degree were 18.3%. There were a correlation between the family support andthe medication adherence in elderly hypertension patients at Puskesmas Sungai Cuka Tanah Laut. (γ =0.295).

scholarly journals Does Home Remedy Use Contribute to Medication Nonadherence Among Blacks with Hypertension?

2020 ◽  
Vol 30 (3) ◽  
pp. 451-458
Author(s):  
Yendelela L. Cuffee ◽  
Milagros Rosal ◽  
J. Lee Hargraves ◽  
Becky A. Briesacher ◽  
Suzanne Akuley ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Diastolic Blood Pressure ◽  
Health Care Providers ◽  
The United States ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Home Remedy ◽  
Adherence Scale

Background: Home remedies (HRs) are described as foods, herbs, and other house­hold products used to manage chronic conditions. The objective of this study was to examine home remedy (HR) use among Blacks with hypertension and to determine if home remedy use is correlated with blood pressure and medication adherence.Methods: Data for this cross-sectional study were obtained from the TRUST study con­ducted between 2006-2008. Medication adherence was measured using the Morisky Medication Adherence Scale, and HR use was self-reported. Multivariable associa­tions were quantified using ordinal logistic regression.Results: The study sample consisted of 788 Blacks with hypertension living in the south­ern region of the United States. HR use was associated with higher systolic (HR users 152.79, nonusers 149.53; P=.004) and diastolic blood pressure (HR users 84.10, nonusers 82.14 P=.005). Use of two or more HRs was associated with low adher­ence (OR: .55, CI: .36-.83, P= .004).Conclusion: The use of HR and the number of HRs used may be associated with medi­cation nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadher­ence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies.Ethn Dis. 2020;30(3):451-458; doi:10.18865/ed.30.3.451

scholarly journals Digit Preference in Office Blood Pressure Measurements, United States 2015–2019

2020 ◽  
Author(s):  
Kathryn E Foti ◽  
Lawrence J Appel ◽  
Kunihiro Matsushita ◽  
Josef Coresh ◽  
G Caleb Alexander ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care Physicians ◽  
Subsequent Treatment ◽  
Common Source ◽  
Hypertension Treatment ◽  
Office Visits ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Modest Improvement ◽  
Digit Preference

Abstract Background Blood pressure (BP) measurement error may lead to under- or overtreatment of hypertension. One common source of error is terminal digit preference, most often a terminal digit of ‘0’. The objective was to evaluate national trends in terminal digit preference in office BP measurements among adults with treated hypertension. Methods Data were from IQVIA’s National Disease and Therapeutic Index, a nationally representative, serial cross-sectional survey of office-based physicians. The analysis included office visits from 2015 to 2019 among adults aged ≥18 years receiving antihypertensive treatment. Annual trends were examined in the percent of systolic and diastolic BP measurements ending in zero by patient sex, age, and race/ethnicity, physician specialty, and first or subsequent hypertension treatment visit. Results From 2015 to 2019, there were ~60 million hypertension treatment visits annually (unweighted N: 5,585-9,085). There was a decrease in the percent of visits with systolic (41.7% to 37.7%) or diastolic (42.7% to 37.8%) BP recordings ending in zero. Trends were similar by patient characteristics. However, a greater proportion of measurements ended in zero among patients aged ≥80 (vs 15-59 or 60-79) years, first (vs subsequent) treatment visits, visits to cardiologists (vs primary care physicians), and visits with systolic BP ≥140 or diastolic BP ≥90 (vs <140/90) mmHg. Conclusions Despite modest improvement, terminal digit preference remains a common problem in office BP measurement in the U.S. Without bias, 10-20% of measurements are expected to end in zero. Reducing digit preference is a priority for improving BP measurement accuracy and hypertension management.

P1945High levels of unawareness and suboptimal management of hypertension in India: data from a large community based study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Mohan ◽  
P Jarhyan ◽  
S Ganesh ◽  
S V Nikhil ◽  
R Khatkar ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Diseases ◽  
Economic Status ◽  
Sampling Technique ◽  
Self Report ◽  
Hypertension Control ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
South Indian ◽  
Pressure Controlled

Abstract Background Hypertension is the most common cause of the rising cardiovascular disease (CVD) epidemic in India. However, despite availability of proven therapies management remains sub-optimal. Purpose To determine the hypertension control rates and associated factors among adults with known hypertension in urban and rural India. Methods We conducted a representative population based cross-sectional survey among 12243 participants aged ≥30 years residing in rural and urban North and South India. Participants were selected using a multistage cluster random sampling technique. Trained personnel collected the data using an interviewer administered questionnaire, measured blood pressure, conducted anthropometry and collected bio-samples. Hypertension was defined as known hypertension (self-report of physician diagnosis) or systolic blood pressure (SBP) ≥140 mmHg or diastolic blood pressure (DBP) ≥90 mmHg. Control was defined as SBP <140 mmHg and DBP <90 mmHg among those with known hypertension. The associations were measured using logistic regression. Results The mean (±SD) age of participants was 47.7 (±12.5) years, women comprised 54%. The age-standardized prevalence of hypertension was 29.0% (95% CI: 28.2- 29.8) and known hypertension was 14.0% (13.4- 14.6). Among all hypertensives 38.6% (37.0–40.2) were on treatment and 26.2% (24.6–28.0) had their blood pressure controlled, while among known hypertensives 79.8% (77.8–81.7) were on treatment and 55.7% (53.3–58.1) had their blood pressure controlled. In multivariate analysis, participants from North Indian site [OR: 1.9 (1.6–2.3)], urban residents [1.3 (1.1–1.6)], younger participants [1.5 (1.2–1.8)], men [2.0 (1.5–2.6)], those with low socio-economic status [1.6 (1.1–2.3)], without comorbidities and those without a family history hypertension were more likely to be unaware about their hypertensive status and less likely to take treatment. Hypertension control was significantly higher in participants from South Indian site [1.5 (1.2–1.0)], the highly educated [1.6 (1.1–2.4)], those without heart diseases [1.8 (1.1–3.1)], those without central obesity [1.4 (1.1–1.9)], physically active individuals [1.5 (1.1–2.0)] and current non-alcohol users [1.9 (1.3–2.6)]. Conclusions Many individuals with hypertension remain unaware and sub-optimally managed. This warrants the implementation of tailored public education to raise awareness, complemented by active screening for the early detection and effective management of hypertension, in order to stem the rising tide of preventable CVD in India. Acknowledgement/Funding Unrestricted educational grant from Eli Lilly under the Lilly NCD Partnership

scholarly journals May Measurement Month 2019: an analysis of blood pressure screening results from Italy

2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B77-B81
Author(s):  
Camilla Torlasco ◽  
Andrea Faini ◽  
Martino F Pengo ◽  
Claudio Borghi ◽  
Guido Grassi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Public Awareness ◽  
Sampling Technique ◽  
Health Campaign ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Hypertension Awareness ◽  
High Participation ◽  
Definition Of

Abstract Cardiovascular (CV) diseases are burdened by high mortality and morbidity, being responsible for half of the deaths in Europe. Although hypertension is recognized as the most important CV risk factor, hypertension awareness, and blood pressure (BP) control are still unsatisfactory. In 2017 and 2018, respectively &gt;10 000 and &gt;5000 individuals took part in the May Measurement Month (MMM) campaign in Italy, of whom 30.6% and 26.3% were found to have high BP, respectively. To raise public awareness on the importance of hypertension and to collect BP data on a nation-wide scale in Italy. In the frame of the MMM campaign, an opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2019. BP measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. Screening was conducted in multiple sites by health personnel. Among the 10 182 people screened (females: 52.3%, mean age 58 ± 16years) mean BP was 127/78 mmHg, and 3171 (31.1%) participants had arterial hypertension, of whom 62.1% were aware of being hypertensive. Diabetes, body mass index &gt;25 kg/m2 were associated with higher BP and previous myocardial infarction with lower BP. For the third consecutive year we collected a nation-wide snapshot of BP control in a large sample of individuals. The high participation, with some yearly fluctuations likely due to the limitations of the sampling technique, confirms the power of this kind of health campaign in reaching a significant number of people to raise awareness on health topics.

scholarly journals Relationship of Hypertension Control Factors with Blood Pressure in Hypertension Patients at Pandanwangi Primary Health Care Malang

2021 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
Devi Rahmaningrum Wardani ◽  
Erna Dwi Wahyuni ◽  
Lailatun Ni'mah
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Medication Adherence ◽  
Family Support ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Significance Level ◽  
Control Factors ◽  
Correlational Design ◽  
Relationship Of

Introduction: Hypertension is a common cause of the increase of mortality rate and morbidiety in the community. Complications of hypertension cause approximately 9.4 deaths around the world each year. The purpose of this study is to analyze the relationship of factors controlling hypertension with blood pressure.Methods: This study used a descriptive correlational design with the cross sectional approach. The study population was patients with hypertension in Puskesmas Pandanwangi Malang City. The sample used as many as 96 people based on purposive sampling technique. The instruments used were questionnaire sheets, spyghmomanometer and stethoscope. Analysis using the test Spearman rho test with a significance level of p <0.005.Result: The results showed there are a relationship between knowledge (p = 0.000 and r = 0.778), attitude (p = 0.000 and r = 0.626), diet (p = 0.000 and r = 0.609), physical activity (p = 0.000 and r = 0.449), family support (p = 0.000 and r = 0.607), and medication adherence (p = 0.000 and r = 0.726) with blood pressure .Conclusion: There is a significant relationship and the direction between the knowledge, attitude, diet, physical activity, family support, and medication adherence with blood pressure.

PERCEIVED EFFECTS OF STREET HAWKING ON THE WELL-BEING OF CHILDREN IN ANYIGBA, DEKINA LOCAL GOVERNMENT AREA OF KOGI STATE, NIGERIA

2018 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Alfred Eboh
Keyword(s):  
Local Government ◽  
Survey Design ◽  
Sampling Technique ◽  
Well Being ◽  
Local Government Area ◽  
Negative Consequences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Effects ◽  
The Government

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.

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