The Role of Health Care Quality in Hypertension Self-Management: A Qualitative Study of the Experience of Patients in a Public Hospital, North-West Ethiopia

Hussien, Mohammed; Seid, Ahmed Muhye; Abebe, Fantu; Ambaw, Fentie

doi:10.2147/ibpc.s303100

Cited by 5 publications

(5 citation statements)

References 37 publications

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“…35 In sub-Saharan Africa, factors such as shortage of medicines, high cost of medicines, busyness of doctors due to high patient load, lack of appropriate education and counselling services, poor patient-provider interaction, and long waiting times have been reported as possible factors. 36,37 There should be more localized data to understand determinants of and barriers to treatment uptake to adapt public health interventions to the local context. As reported elsewhere, these factors include patients being worried about the need to take medication for life, perceived side effects of drugs, loss to follow-up, and inadequate counselling from physician at the time of diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…In a quality evaluation of seven routinely used cardiac drugs in 10 sub‐Saharan countries, two of the common antihypertensive agents (amlodipine and captopril) were found to be underdosed with the lowest ratio of measured to expected content of active ingredient of 49.2% 35 . In sub‐Saharan Africa, factors such as shortage of medicines, high cost of medicines, busyness of doctors due to high patient load, lack of appropriate education and counselling services, poor patient‐provider interaction, and long waiting times have been reported as possible factors 36,37 …”

Section: Discussionmentioning

confidence: 99%

“… 35 In sub‐Saharan Africa, factors such as shortage of medicines, high cost of medicines, busyness of doctors due to high patient load, lack of appropriate education and counselling services, poor patient‐provider interaction, and long waiting times have been reported as possible factors. 36 , 37 …”

Section: Discussionmentioning

confidence: 99%

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Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey

Jobe,

Mactaggart,

Hydara

et al. 2024

J of Clinical Hypertension

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Community treatment of hypertension in sub‐Saharan Africa is hampered by gaps at several stages of the care cascade. We compared blood pressure (BP) levels (systolic, diastolic and pulse pressures) in four groups of participants by hypertension and treatment status. We conducted a nationally representative survey of adults 35 years and older using a multistage sampling strategy based on the 2013 Gambia Population and Housing Census. The BP measurements were taken in triplicate 5 min apart, and the average of the last two measurements was used for analysis. Systolic and diastolic BP levels and pulse pressure were compared by hypertension status using mean and 95% confidence intervals (CI). 53.1% of the sample were normotensive with mean systolic BP (SBP) of 119.2 mmHg (95% CI, 118.7–119.6) and diastolic BP (DBP) of 78.1 mmHg (77.8–78.3). Among individuals with hypertension, mean SBP was 148.7 mmHg (147.7–149.7) among those unaware of their hypertension, 152.2 mmHg (151.0–153.5) among treated individuals and was highest in untreated individuals at 159.3 mmHg (157.3–161.2). The findings were similar for DBP levels, being 93.9 mmHg (93.4–94.4) among the unaware, 95.1 mmHg (94.4–95.8) among the treated and highest at 99.1 mmHg (98.1–100.2) in untreated participants. SBP and DBP were higher in men, and SBP was as expected higher in those aged ≥55 years. BP level was similar in urban and rural areas. Our data shows high BP levels among participants with hypertension including those receiving treatment. Efforts to reduce the health burden of hypertension will require inputs at all levels of the care cascade.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey

Jobe,

Mactaggart,

Hydara

et al. 2024

J of Clinical Hypertension

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“…According to So et al (2004), lack of knowledge can affect individual and community awareness about disease prevention strategies. Furthermore, hypertensive patients may have an inaccurate or incomplete understanding of hypertension, the processes and goals of hypertension treatment, and their role in managing hypertension (Hussien, Muhye, Abebe, & Ambaw, 2021). Therefore, good knowledge is essential to control the morbidity and mortality of hypertension (Kassa Mekonnen, Yimer Mekonnen, & Sewunet Mekonnen, 2019).…”

Section: Discussionmentioning

confidence: 99%

Correlation of Knowledge and Attitude Toward Hypertension Self-Management Practice During the Covid-19 Pandemic

Damiati

Martín²,

Nurbaeti

et al. 2023

Indonesian J. Community Health Nurs.

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Introduction: Restrictions on mobility during the COVID-19 pandemic have worsened lifestyle and made it harder for people with hypertension to manage their condition, which can lead to complications. Knowledge and attitude have a significant correlation toward hypertension self-management. This study aimed to determine the correlation between knowledge and attitudes of hypertensive patients toward hypertension self-management practice during the COVID-19 pandemic. Method: The method used was a descriptive-analytic correlation with a cross-sectional approach. The sample used was 50 hypertensive patients aged ≥ 15 years old, samples obtained through the accidental sampling technique. Data collection through the google form online questionnaire containing a modified Indonesian version of the Knowledge, Attitudes, and Practice Level of Hypertensive Patients on Lifestyle Modification questionnaire. Statistical test for bivariate using Pearson and Spearman correlation. Result: The study found that 54% respondents had good knowledge and practice, and 50% had a positive attitude toward hypertension self-management during the COVID-19 pandemic. Poor hypertension self-management practices include 56% of respondents did not exercise; 54% did not plan a diet to control blood pressure; 32% did not measure blood pressure regularly; and 46% did not take antihypertensive drugs. Bivariate analysis showed that there was a correlation between knowledge (p = 0.000; r = +0.320), and attitudes (p = 0.001; r = +0.471) toward hypertension self-management practice during the COVID-19 pandemic. Conclusion: The study results showed that the correlation is positive, but the strength of the correlation is weak. therefore, it is necessary to educate the public regarding hypertension and self-management during the COVID-19 pandemic, especially regarding the definition of hypertension, medication adherence, and lifestyle modifications to control hypertension. Keywords: Attitude; COVID-19; Hypertension; Knowledge; Self-management

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“…Pelatihan tindakan selfcare pada pasien hipertensi bertujuan untuk mengurangi ketergantungan pasien pada tenaga kesehatan, menurunkan kejadian hospitalisasi pada pasien hipertensi, dan mengurangi beban kerja para tenaga kesehatan termasuk perawat (Lall & Prabhakaran, 2014). Tetapi pasien hipertensi tetap memerlukan bantuan dari para tenaga kesehatan, terutama perawat dalam membantu hipertensi melakukan selfcare hipertensi seperti meningkatkan pengetahuan hipertensi dalam melakukan selfcare hipertensi, meningkatan motivasi hipertensi dalam melakukan selfcare hipertensi, dan mendapat pelatihan untuk melakukan tindakan selfcare hipertensi hipertensi (Hussien et al, 2021).…”

Section: Faktor Hambatan Berasal Dari Tenaga Kesehatanunclassified

HAMBATAN PADA PELAKSANAAN SELF CARE HIPERTENSI: Scoping Review

Augusto¹,

Sari

Shalahuddin

2022

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Meningkatnya kasus pasien hipertensi mengalami komplikasi karena tidak optimalnya tindakan selfcare pada pasien. Sehingga perlu diketahui hambatanhambatan dalam melaksanakan selfcare hipertensi. Penelitian sebelumnya hanya membahas mengenai faktor hambatan pada pasien hipertensi. Sedangkan hambatan secara keseluruhan belum ditemukan. Maka penelitian ini dilakukan untuk menemukan hambatan dalam melakukan selfcare hipertensi. Tujuan dari penelitian ini adalah untuk menemukan apa saja hambatan dalam mengimplementasikan selfcare hipertensi dari beberapa penelitian sebelumnya yang kemudian akan dibagi menjadi beberapa kategori menurut sumber faktor penghambatanya. Metode penelitian scoping review. Pencarian literatur menggunakan database PubMed dan CINAHL, serta search engine Google Scholar. Literatur yang digunakan adalah penelitian eksperimental dan noneksperimental, menggunakan artikel berbahasa Indonesia dan Inggris, rentang waktu terbit studi adalah 10 tahun terakhir (2012 -2022), populasi penelitian adalah pasien hipertensi dewasa dan lansia. Kemudian artikel dilakukan ekstraksi data, analisa data secara kualitatif, dan hasil analisa dimasukan dan dilakukan pengelompokan berdasarkan sumber faktor hambatan selfcare yang ditemukan. Hasil penelitian ditemukan 16 artikel dan dari ke 16 artikel tersebut hampir seluruhnya menyebutkan faktor hambatan dalam melakukan selfcare hipertensi berasal dari pasien. Kesimpulan bahwa hampir seluruh faktor penghambat dalam melakukan selfcare hipertensi berasal dari pasien. Rekomendasi diharapkan perawat untuk meningkatkan hubungan komunikasi, keterampilan, dan jumlah tenaga kerja dalam memberikan bantuan self -care. Pasien, keluarga, caregiver, dan masyarakat berkontribusi penuh dalam proses pendidikan selfcare hipertensi. Serta peneliti selanjutnya untuk melanjutkan penelitian ini dan menemukan inovasi dalam upaya deteksi awal.

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The Role of Health Care Quality in Hypertension Self-Management: A Qualitative Study of the Experience of Patients in a Public Hospital, North-West Ethiopia

Cited by 5 publications

References 37 publications

Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey

Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey

Correlation of Knowledge and Attitude Toward Hypertension Self-Management Practice During the Covid-19 Pandemic

HAMBATAN PADA PELAKSANAAN SELF CARE HIPERTENSI: Scoping Review

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