Knowledge on Hypertension and Self-Care Practice among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019

Kassahun, Chanyalew Worku; Asasahegn, Ayele; Hagos, Desalegn; Ashenafi, Elshaday; Tamene, Firegenet; Addis, Getachew; Endalkachew, Kidist

doi:10.1155/2020/5649165

Cited by 34 publications

(39 citation statements)

References 23 publications

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“…In this subgroup analysis, more than three-fourth (77%, 95% CI 69% to 85%) of the hypertensive patients were following the recommended alcohol consumption. This finding is similar to that of the study conducted in Nepal (84%) 44 and Iran (86.7%), 41 42 but higher than that of a study conducted in Kenya (49.5%). 31 39…”

Section: Discussionsupporting

confidence: 87%

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Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis

Tadesse

Gerensea

2021

Open Heart

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BackgroundIn high-income and low-income countries, including Ethiopia, hypertension (HTN) is a serious public health concern. As a consequence, a massive self-care practice (SCP) is necessary, and the domains of SCP, including adherence to medication, physical activity, weight management, low-salt diet, non-smoking, moderate alcohol usage, and dietary management, are required. However, there is no nationwide study on HTN SCPs in Ethiopia. This meta-analysis, therefore, aimed to estimate the pooled level of HCP among individuals living with HTN in Ethiopia.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline was used to report this systematic review and meta-analysis. We systematically searched the databases PubMed/MEDLINE, Embase, Google Scholar and Science Direct for studies conducted in Ethiopia. All observational studies published until July 2020 were included. Data were analysed using R V.3.5.3 software, and the pooled prevalence with 95% CIs was presented using tables and forest plots. The presence of statistical heterogeneity (I2) within the included studies was evaluated. We used a funnel plot to identify evidence of publication bias. The random-effects meta-analysis model was employed to estimate the pooled proportion of good HTN SCPs.This was submitted for registration with the International Prospective Register of Systematic Reviews in March 2020 and accepted with the registration number CRD42020175743 (https://www.crd.york.ac.uk/PROSPERO).ResultsOur search databases produced 356 papers. Twelve of these papers fulfilled the inclusion and were found suitable for the review. The total population in this study was 3938. Off these hypertensive populations, 44% (95% CI 34 to 53) had good SCP. The subgroup analysis for each component of SCP was done. The subgroup analysis of good adherence to low-salt diet, alcohol abstinence, medication adherence, non-smoking, physical exercise and weight management was 52% (95% CI 39% to 66%), 77% (95% CI 69% to 88%), 65% (95% CI 45% to 85%), 92% (95% CI 88% to 95%), 43% (95% CI 30% to 56%) and 51% (95% CI 32% to 69%), respectively. In conclusion, nearly half of patients with HTN had good SCPs.

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Section: Discussionsupporting

confidence: 87%

“… 41 43 Our finding was lower than that of the study conducted in Nepal (80%). 44 In the opposite side, our finding was lower than that of the study conducted in Iran (100%). 41 42 …”

Section: Discussioncontrasting

confidence: 78%

Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis

Tadesse

Gerensea

2021

Open Heart

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“…Despite widespread prevalence of hypertension, and its prediction to rise steeply, 22 previous and current studies have shown that low patient awareness about the hypertension, its risks, and complications is ubiquitous. Many studies [23][24][25] report that the patients have poor to average knowledge regarding hypertension, despite of the range of sources of information available. Common factors impacting knowledge uptake with regards to Pakistan may be illiteracy and poverty.…”

Section: Discussionmentioning

confidence: 99%

Levels and Predictors of Self-Care Among Patients with Hypertension in Pakistan

Ajani¹,

Gowani²,

Gul³

et al. 2021

IJGM

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Background Globally, hypertension is the leading non-communicable disease and strongest predictor of cardiovascular diseases. To mitigate and prevent hypertension-related complications, self-care behavior adaptation has proven to be vital. In this study, we examined the six clinically prescribed levels of self-care as prescribed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and its predictors among a select sample of hypertensive individuals in Karachi, Pakistan. Methods This study reports the cross-sectional survey of a sequential mixed method study which assessed the levels of self-care of hypertensive individuals residing in an urban cosmopolitan setting within Karachi Pakistan. Four hundred and two patients were screened using the H-SCALE questionnaire, while socio-demographic predictors of self-care and level of knowledge of hypertension were identified using a study-specific checklist. Self-care was assessed against six clinical domains including medication adherence, diet, weight management, physical activity, and abstinence from alcohol. Results Participants were recruited from the two largest tertiary care hospitals in Karachi. Good knowledge about hypertension, including its causes, management, and complications was reported by 4.47% of the participants. Highest levels of self-care adherence were found for abstinence from alcohol (100%), smoking cessation (83.33%), and medication compliance (71.89%), whereas lowest levels were found for diet (27.11%), and physical activity (24.88%). In terms of predictors for self-care, age, male gender, and self-checking of blood pressure at home, followed by the level of education were the most common predictors for each self-care behavior in the given population. Conclusion Overall knowledge of self-care for hypertension is sub-optimal among hypertensive patients in Pakistan which is reflected in their behaviors. There is a need to introduce healthcare educational programs in Pakistan which can improve self-care behaviors of hypertensive individuals and potentially reduce the prevalence of associated cardiovascular diseases and its complications.

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“…Another study conducted in Thailand among hypertensive patients in Bangkok showed that although hypertensive patients were aware of their uncontrolled hypertension, they still chose to have a high salt diet due to a preference for tastier and instant food [48]. The pattern of the findings from other countries was similarly observed, such as in Ethiopia [49,50], Nepal [42], India [51,52], Australia [53], Iran [54,55], Spain [56], and Korea [57]. These studies revealed that individuals generally have a reasonable knowledge of the salt and its adverse effects of overconsumption as well as their favorable attitudes toward salt reduction; however, almost none of them took action to reduce salt intake, and their blood pressure was still uncontrolled.…”

Section: Discussionmentioning

confidence: 85%

Dietary Salt-Related Determinants of Hypertension in Rural Northern Thailand

Rusmevichientong

Morales

Castorena³

et al. 2021

IJERPH

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Hypertension and its connection to high salt consumption have been observed in the Thai population. This study mainly contributed to the literature to examine the dietary-salt-related determinants associated with the risk of hypertension in rural northern Thailand, which exhibited the highest prevalence of hypertension. A total of 376 adults residing in San Pa Tong District, Chiang Mai province, were face-to-face interviewed using a structured questionnaire assessing dietary-salt-related knowledge, attitudes, consumption, sources, and habits. The subject’s blood pressure (BP) was measured twice before and after the interview. Hypertension was defined as a systolic BP ≥ 130 mmHg or a diastolic BP ≥ 80 mmHg. The dietary-salt-related knowledge, attitude, and habits toward salt reduction were positively correlated; however, knowledge and attitudes were not significantly correlated with consumption. Multivariate logistic regression results indicated subjects who frequently bought ready-to-eat food, ate out, or used bouillon cube/monosodium glutamate (MSG) during food preparation were likely to have hypertension (OR = 2.24, 95% CI: 1.36–3.69, p = 0.002). MSG was heavily consumed and used as a flavor enhancer in northern Thai cuisine; however, a few subjects realized it contains sodium due to no salty taste. The deficiency of specific dietary-salt-related knowledge illustrated the need for tailored educational intervention strategies.

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Knowledge on Hypertension and Self-Care Practice among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019

Cited by 34 publications

References 23 publications

Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis

Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis

Levels and Predictors of Self-Care Among Patients with Hypertension in Pakistan

Dietary Salt-Related Determinants of Hypertension in Rural Northern Thailand

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