Knowledge, Attitude and Practice on Hypertension among Antihypertensive Medication Users

Shrestha, Shakti; Adhikari, Bhojraj; Poudel, Ramesh Sharma; Thapaliya, Kailash; Kharal, Tikaram; Bastakoti, Mahanath; Bhatta, Nanda Kishor

doi:10.31729/jnma.2848

Cited by 13 publications

(24 citation statements)

References 14 publications

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“…al, in which subjects had a good score on the knowledge parameter. 13,9,14,8,6 Also, in our study there was no association drawn between gender and knowledge which contradicted the study by Sadeq et al, which stated males having better knowledge as compared to females. 13 The present study shows a significant relationship between level of education and knowledge where most of the graduates had better scores as compared to the illiterate but this was in contrast to a study conducted by Rahman et al, in which no association was found between knowledge scores and level of education.…”

Section: Discussioncontrasting

confidence: 98%

“…This was in accordance to the results obtained by a large number of studies conducted in India as well as in Nepal, Bangladesh and Iran. 6,8,10 Even though the subjects had high median scores on attitude, the scores on knowledge were very poor, which was the main cause of poor self-care practices. Poor scores on self-care practice corresponded with most of the studies except a study by Rashidi et al, in which subjects had good practice scores on lowering salt intake in their diet as well as reduced consumption of fatty food.…”

Section: Discussionmentioning

confidence: 99%

“…There is no doubt that adherence is in turn influenced by knowledge, attitude and self-care practices (KAP). 6 A proper understanding about these factors will be particularly helpful in assessing adherence towards therapy. The purpose of this study was to generate evidence which will allow scope for the development of interventional strategies that can create community awareness about hypertension, as awareness is the first step in formulating a preventive program for the disease.…”

Section: Introductionmentioning

confidence: 99%

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The study of awareness and adherence in patients receiving anti-hypertensive drugs: a hospital based study

Tausif¹,

Sharma²,

Ahmad³

et al. 2019

Int J Basic Clin Pharmacol

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Background: Hypertension is an important worldwide public health challenge. It has changed from a trivial cause of death and disability to one of the global burden diseases. The biggest obstacle for inadequate therapeutic control of blood pressure is meagre knowledge, poor attitude, inadequate treatment practices and lack of adherence towards antihypertensive treatment. The present study was planned to assess the awareness of hypertension on various aspects and to evaluate treatment adherence in hypertensive patients.Methods: This cross-sectional study was conducted on 100 hypertensive patients of both genders visiting medicine OPD at HIMS, Dehradun over a period of six months. A structured and validated questionnaire was used to assess the knowledge, attitude and practice (KAP) among patients. Morisky 8-Item Medication Adherence Questionnaire was used to assess the adherence towards antihypertensive medications. For statistical analysis Chi square test was used.Results: Out of the 100 patients the median KAP scores were 6(5),5(1) and 10(4) respectively. Most of the subjects had high median scores on attitude but majority of the subjects had low knowledge and self-care practice scores. Further Analysis of data revealed that a poor score in self-care practice was significantly associated to the gender(p<0.004) as well as to the level of education(p<0.006).Only 40% patients were adherent to their medication, this result was statistically associated with the level of education (p<0.00001).Conclusions: Hypertensive patients in our community have good attitude but poor knowledge and self-care practices towards management of hypertension. Patients were also found to be non-adherent to their antihypertensive medications.

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The study of awareness and adherence in patients receiving anti-hypertensive drugs: a hospital based study

Tausif¹,

Sharma²,

Ahmad³

et al. 2019

Int J Basic Clin Pharmacol

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“…In this study, 40.5% were males and 59.5% were females with higher literacy rate of 81.5%. The male to female ratio and literacy rate was comparable to the study done by Rashidi Y et al 6 The mean systolic and diastolic blood pressure was 141/90 mmHg similar to a study done by Shrestha S et al and Durai V et al 7,8 The common comorbid condition was type 2 diabetes mellitus which was in accordance with previous study. 7,9 The KAP scoring elicited that this study patients had poor knowledge with regard to the symptoms and complications of hypertension.…”

Section: Discussionsupporting

confidence: 90%

Knowledge, attitude and practice of hypertension among hypertensive patients in a tertiary care teaching hospital

Rajan

Sakthibalan

Raj

et al. 2019

Int J Basic Clin Pharmacol

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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.

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“…Majority of the hypertensive patients in the present study had a high knowledge regarding the obesity and stress as risk factors of hypertension. The link between obesity and stress and hypertension has been the subject of various review articles 19 and it has been shown that this may be due to activation of the sympathetic nervous system, renin-angiotensin system, and also sodium retention. 19 Along with their knowledge regarding obesity their attitudes toward changing their diet and increase their physical activity was also high.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practice of Iranian hypertensive patients regarding hypertension

Rashidi¹,

Manaflouyan²,

Azar³

et al. 2018

J Cardiovasc Thorac Res

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Introduction: This study aimed at evaluating knowledge and awareness of hypertension and the risk factors for hypertension among hypertensive patients. Methods: In this study, 110 hypertensive patients were enrolled and filled out two self-administered questionnaires. The first questionnaire was about the demographic characteristics and the second one was about the knowledge (n = 10), attitude (n = 9) and practice (n = 8). The internal consistency and the stability of the questionnaires were approved. The Mann-Whitney U test and Kruskal-Wallis and Spearman correlation coefficient were used for statistical analysis. Results: Seventy-three percent of participants know the normal range of hypertension. Most of the participants truly knew that stress (87.3%), obesity (70.9%) and aging (48.2%) are risk factors for hypertension. About 60% of participants knew the complications of uncontrolled hypertension. About 82.7% of participants believed that after adaptation of body to hypertension, there is no need to use antihypertensive drug. About 13.6% of participants measured their blood pressure daily and 11.8% of them measured it once a month. The educational level of participants was significantly associated with knowledge score (P = 0.01). There was a significant correlation between knowledge (P < 0.001) and attitude and also attitude and practice (P < 0.001) scores. Conclusion: These findings have important implications for developing proper and continuous self-management hypertension education programs in Iran which should mostly emphasize on the practical information about control and prevention programs.

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Knowledge, Attitude and Practice on Hypertension among Antihypertensive Medication Users

Cited by 13 publications

References 14 publications

The study of awareness and adherence in patients receiving anti-hypertensive drugs: a hospital based study

The study of awareness and adherence in patients receiving anti-hypertensive drugs: a hospital based study

Knowledge, attitude and practice of hypertension among hypertensive patients in a tertiary care teaching hospital

Knowledge, attitude and practice of Iranian hypertensive patients regarding hypertension

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