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

Omoronyia, Ogban; Okesiji, Idowu Omotunde; Uwalaka, Chiamaka; Mpama, Enagu

doi:10.4314/ahs.v21i3.28

Cited by 6 publications

(1 citation statement)

References 30 publications

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“…The findings showed the health self-management skills of these 385 Chinese undergraduate nursing students were at an intermediate to a high level. There was a higher score than one for health self-management in patients with hypertension [ 25 ], and also better self-management in patients with diabetes [ 26 ]. This suggests that undergraduate nursing students have better health self-management skills, which may be attributed to their professional studies.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Zhang,

Wang,

et al. 2024

BMC Nurs

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Background Good health self-management positively affects the health of healthcare providers and their ability to manage their patients’ health. This study explored the relationship between ehealth literacy, health self-management skills, and mental health literacy among undergraduate nursing students. Some studies have confirmed the correlation between e-health literacy and health self-management skills, while mental health literacy may be correlated with both, and this study aims to explore the relationship between the three. Methods A descriptive cross-sectional survey was conducted at a medical university in northwestern China among 385 Chinese undergraduate nursing students. Participants completed the General Information Questionnaire, the Adult Health Self-Management Skills Rating Scale, the Mental Health Literacy Rating Scale, and the eHealth Literacy Scale, and provided valid responses. The IBM SPSS 27.0 statistical software was used for data entry and descriptive analysis, t-test, ANOVA, and Pearson correlation analysis. The IBM Amos 26.0 was used to construct the mediation effect model, and the Bootstrap method was employed to test mediating effects. Results Mental health literacy, ehealth literacy, and health self-management skills of undergraduate nursing students were at a moderate to high level. Mental health literacy, ehealth literacy, and health self-management were positively correlated. Mental health literacy, particularly, played a partial mediating role of 31.1% ( 95% CI [0.307–1.418] ) between ehealth literacy and health self-management. Conclusions Undergraduate nursing students’ mental health literacy partially mediates the link between eHealth literacy and health self-management skills. Schools should emphasize the development of nursing students’ e-health literacy and mental health literacy in order to improve their health self-management skills, which will not only bring about a better health outcome for the students, but will also benefit the health of the social population.

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Section: Discussionmentioning

confidence: 99%

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Zhang,

Wang,

et al. 2024

BMC Nurs

View full text Add to dashboard Cite

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Self-management in young and middle-aged patients with hypertension: a systematic review and meta-synthesis of qualitative studies

He,

Wei,

et al. 2024

Syst Rev

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Understanding barriers and facilitators to integrated HIV and hypertension care in South Africa

Johnson,

Khan,

Ali

et al. 2024

Implement Sci Commun

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Background The burden of hypertension among people with HIV is high, particularly in low-and middle-income countries, yet gaps in hypertension screening and care in these settings persist. This study aimed to identify facilitators of and barriers to hypertension screening, treatment, and management among people with HIV in primary care clinics in Johannesburg, South Africa. Additionally, different stakeholder groups were included to identify discordant perceptions. Methods Using a cross-sectional study design, data were collected via interviews ( n = 53) with people with HIV and hypertension and clinic managers and focus group discussions ( n = 9) with clinic staff. A qualitative framework analysis approach guided by COM-B and the Theoretical Domains Framework were used to identify and compare determinants of hypertension care across stakeholder groups. Results Data from clinic staff and managers generated three themes characterizing facilitators of and barriers to the adoption and implementation of hypertension screening and treatment: 1) clinics have limited structural and operational capacity to support the implementation of integrated care models, 2) education and training on chronic care guidelines is inconsistent and often lacking across clinics, and 3) clinicians have the goal of enhancing chronic care within their clinics but first need to advocate for health system characteristics that will sustainably support integrated care. Patient data generated three themes characterizing existing facilitators of and barriers to clinic attendance and chronic disease self-management: 1) the threat of hypertension-related morbidity and mortality as a motivator for lifestyle change, 2) the emotional toll of clinic’s logistical, staff, and resource challenges, and 3) hypertension self-management as a patchwork of informational and support sources. The main barriers to hypertension screening, treatment, and management were related to environmental resources and context (i.e., lack of enabling resources and siloed flow of clinic operations) and patients’ knowledge and emotions (i.e., lack of awareness about hypertension risk, fear, and frustration). Clinical actors and patients differed in perceived need to prioritize HIV versus hypertension care. Conclusions The convergence of multi-stakeholder data highlight key areas for improvement, where tailored implementation strategies targeting motivations of clinic staff and capacity of patients may address challenges to hypertension screening, treatment, and management recognized across groups. Supplementary Information The online version contains supplementary material available at 10.1186/s43058-024-00625-5.

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

Cited by 6 publications

References 30 publications

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Self-management in young and middle-aged patients with hypertension: a systematic review and meta-synthesis of qualitative studies

Understanding barriers and facilitators to integrated HIV and hypertension care in South Africa

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