Impact of Patient Counselling on Knowledge, Attitude, and Practice of Hypertensive Patients in a Tertiary Care Hospital

Objective: India is in the affirmed phase of evolution and transition, demographic, economic, epidemiological, and nutrition transition. Moreover, all these transitions are leading non-communicable diseases such as obesity, hypertension, and insulin resistance. The study was aimed to estimate the prevalence of hypertension and its association with vital statics of adults among urban, semiurban, rural areas of Sub-Himalayan Region.Methods: A cross sectional community based study was done, using WHO step questionnaire. A survey was conducted in urban, semi urban, Rural areas of Uttrakhand, to make a sample size of 300 adults (18-45yr), 100 from each zone. Blood pressure and body mass index (BMI) of the participants was calculated. p<0.05 was considered statistically significant.Results: In the sample population based on systolic BP, 61.3% were non-hypertensives, 29.7% were pre-hypertensives, and 9% were hypertensives. Based on diastolic BP, 43.3% were non-hypertensives, 32.7% were pre-hypertensives, and 24% were hypertensives. Participants with hypertension and pre-hypertension have higher BMI and waist circumference.Conclusion: A high prevalence rate of pre-hypertension and hypertension was depicted in urban, semiurban, and rural areas of the sub-Himalayan region. 4.8% of the female participants had systolic high blood pressure compared to the 11.9% of the male participants. On the other hand, 21.8% of the female participants had diastolic high blood pressure compared to the over 25% of the male participants. Dehradun has the highest rates of high blood pressure while Rudraprayag has the lowest. BMI was significantly correlated with systolic BP in Dehradun adults (p<0.05). Diastolic BP was significantly positively correlated with age and BMI in Dehradun adults (p<0.05). Age was positively significantly correlated with pulse rate in Dehradun and Uttarkashi adults (p<0.05). In Rudraprayag adults, weight was significantly positively correlated with both systolic and diastolic BP (p<0.05). No other correlations were seen in anthropometry and vital statistics of Rudraprayag or Uttarkashi adults (p>0.05).

Section: Discussioncontrasting

confidence: 99%

Prevalence of Hypertension and Its Association With Vital Statics of Adults Among Urban, Semiurban, Rural Areas of Uttarakhand

Thapliyal

Singh

Joshi

2018

“…In addition to pharmaceutical care, the Brazilian Longitudinal Study of Aging (ELSI-Brazil) showed that BP control is associated with education level, socio-economic status, a private health plan, and obesity [27]. Thus, pharmacist intervention is important to provide education of patient and to improve medication adherence of hypertensive and heart failure patients [44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Role of the Pharmacist in Managing High Blood Pressure of Hypertensive Patients in Primary Care Units

Souza

Silva

Novo

et al. 2020

Objective: The aim of this study was to evaluate the influence of pharmaceutical care on the control of high blood pressure (BP) in hypertensive patients. Methods: The study included thirty hypertensive patients from primary or secondary healthcare located in the south of São Paulo, Brazil. Results: The majority of patients was aged over 60 years (68.75%), non-smokers (90%), non-alcoholics (93.33%), did not practice physical activities (93.33%), and presented comorbidities and polypharmacy. The most common drug-related problems were drug-drug interactions, missed doses, incorrect frequency or time of administration, incorrect patient administration technique, and self-medication. The interventions used during the pharmaceutical consultations (PC) were based on the organization of medicines with tools such as a pillbox organizer (84.38%). A significant improvement in BP control (p<0.05) was observed when comparing BP measurements before and after the PC; however, the number of PCs did not influence the BP reduction. Conclusion: Patient guidance and a simple intervention favor better patient understanding of medication administration schedules.

“…A similar treatment was given to our patient as well and she showed clinical improvement within the first 3 h of her presentation to the ED. The importance of providing patient education or counseling to hypertensive patients before their discharge from the hospital must be emphasized because it has been shown that compliance to drug therapy can be improved significantly, particularly when mediated by pharmacists [8][9][10].…”

Section: Case Reportmentioning

confidence: 99%

The Pitfall of Relying on a Sphygmomanometer During a Hypertensive Crisis

Tan¹,

Ding²

2019

Hypertensive crises can be life-threatening if undiagnosed due to the risk of acute target organ damage. This is a case of a middle-aged woman with poorly controlled hypertension who presented with a 3-day history of dyspnea, orthopnea, and cough productive of frothy sputum. Repeated attempts to measure her blood pressure (BP) using both a mercury and an electronic sphygmomanometer were unsuccessful. However, when an arterial catheterization of the right radial artery was performed, her mean BP was 358/151 mm Hg. A chest X-ray revealed cardiomegaly with plethoric lung fields. Following a diagnosis of hypertensive emergency with acute pulmonary edema, a glyceryl trinitrate infusion at a dose of 20 mg/min was commenced and titrated in an escalating manner. She was also given a single dose of intravenous frusemide 40 mg. Her BP was successfully reduced by 25% within 3 h of presentation.