The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia

Salim, Hani; Lee, Ping Yein; Sazlina, Shariff-Ghazali; Ching, Siew Mooi; Mawardi, Maliza; Shamsuddin, Nurainul Hana; Ali, Hanifatiyah; Ismail, Adibah; Tan, Ngiap Chuan

doi:10.1371/journal.pone.0224649

Cited by 25 publications

(30 citation statements)

References 28 publications

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“…Being more educated allows people with hypertension to access and understand health information and resources to better manage their health better. 11 39 They may be mindful of higher healthcare expenditure if they are hospitalised for hypertension-related complications such as stroke and maybe more conscious of the cost of maintaining their health. 4 Thus, those with better education may be more likely to be motivated to adopt self-care practices to avoid such complications.…”

Section: Discussionmentioning

confidence: 99%

“…Hypertension self-care profile among adult with hypertension aged 18 years and above were found to be moderate. 11 To date, such data in Singapore are relatively lacking. This study aimed to compare the sociodemography, disease characteristics and HTN-SCP between Malaysia and Singapore and to determine the factors influencing hypertension self-care among study populations in Malaysia and Singapore among people aged 40 years and above.…”

Section: Introductionmentioning

confidence: 99%

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Comparing and determining factors associated with hypertension self-care profiles of patients in two multi-ethnic Asian countries: cross-sectional studies between two study populations

et al. 2021

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ObjectivesTo compare the sociodemography, disease characteristics and hypertension self-care profiles and to determine the factors influencing Hypertension Self-Care Profiles (HTN-SCP) in two populations in primary care settings from Singapore and Malaysia.DesignCross-sectional, cross national.SettingMulti-centre, primary care clinics Malaysia and Singapore.Participants1123 adults with hypertension enrolled and analysed.Primary and secondary outcome measuresComparison between sociodemography, disease characteristics and the mean scores of HTN-SCP domains (behaviour, motivation and self-efficacy) and the factors influencing hypertension self-care.Results1123 adults with hypertension attending primary care clinics in Malaysia and Singapore were involved. The participants’ mean age was 63.6 years (SD 9.7) in Singapore and 60.4 (SD 9.1) in Malaysia. Most of the participants in Singapore had tertiary education (22.3%) compared with Malaysia (13.0%), p<0.001. A higher proportion of participants from Singapore had controlled blood pressure (74.6%) compared with Malaysia (33.8%), p<0.001. The mean total score of HTN-SCP was significantly higher among Singapore participants compared with Malaysia participants 190 (SD 28) versus 184 (SD 23) (p<0.001). Similarly, the mean score for motivation domain 67 (SD 10) versus 65 (SD 9), followed by self-efficacy score 65 (SD 11) versus 62 (SD 9) and behaviour score (58 SD 9 vs 56 SD 9) were higher among Singapore participants. In both countries, the factors which influenced higher HTN-SCP mean scores across all domains were being Indian and had tertiary education.ConclusionsThe study population in Singapore had a higher HTN-SCP mean score compared with Malaysia. The common factors influencing higher HTN-SCP mean scores at both study sites were ethnicity and level of education. Future intervention to improve self-care among people with hypertension may need to be tailored to their behaviour, motivation and self-efficacy levels.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparing and determining factors associated with hypertension self-care profiles of patients in two multi-ethnic Asian countries: cross-sectional studies between two study populations

et al. 2021

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“…Pretested structured questionnaires adapted from validated scales and published literature [27][28][29][30][31][32][33][34][35][36][37][38] were used to collect data from participants. The tool contains sociodemographic characteristics (sex, age, religion, marital status, education, main occupation, and residence area and wealth index), health profiles of the patients (comorbidity and follow-up duration), knowledge about hypertension, social support, and khat chewing and self-care practice (Supplementary File 1).…”

Section: Data Collection Tools and Measurementsmentioning

confidence: 99%

Self-care practice and associated factors among hypertensive patients in public health facilities in Harar Town, Eastern Ethiopia: A cross-sectional study

et al. 2020

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Background: Self-care practice is the activity that a hypertensive patient undertakes intending to improve their health. Poor self-care practice leads to uncontrolled hypertension. Therefore, strategies designed to prevent and control hypertension-related death, disability, and morbidity should consider the level of the patient’s self-care practice and risk factors. This study assessed self-care practice and associated factors among hypertensive patients in public health facilities of Harar Town in eastern Ethiopia. Method: An institution-based cross-sectional study was conducted among 398 randomly selected hypertensive patients from 25 March 2019 to 16 April 2019. Pretested structured questionnaires adapted from validated tools were used to collect data from participants using electronic Open Data Kit software through face-to-face exit interview. Data were analyzed by SPSS version 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with self-care practice. Adjusted odds ratio with 95% confidence interval was used to report association and the significance was declared at p-value < 0.05. Results: Level of good self-care practice was 29.9% (95% confidence interval: 25.3% and 34.7%). Age ⩾ 60 years (adjusted odds ratio = 3.4, 95% confidence interval: 1.2 and 9.3), formal education (adjusted odds ratio = 2.3, 95% confidence interval: 1.3 and 4.2), absence of comorbidities (adjusted odds ratio = 1.8, 95% confidence interval: 1.1 and 3.1), adequate knowledge about hypertension (adjusted odds ratio = 4.7, 95% confidence interval: 2.5 and 8.8), good social support (adjusted odds ratio = 2.7, 95% confidence interval: 1.6 and 4.7), and being khat abstainer (adjusted odds ratio = 1.9, 95% confidence interval: 1.1 and 3.5) were significantly associated with good self-care practice. Conclusion: The prevalence of good self-care practice was low. In this study, good self-care practice was significantly associated with age, formal education, comorbidities, knowledge about hypertension, social support, and current khat chewing condition. Regular check-up and follow-up of patients’ compliance with self-management protocol, and more emphasis should be given to identify factors that potentially impeding patients’ adherence to hypertension self-management protocol.

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“…However, despite the availability of medical treat-ments to reduce morbidity and mortality rates, self-care practices that include lifestyle modifications and compliance with prescribed medications remain the best approach to managing patients' abnormal blood pressure (Himmelfarb et al, 2016). Patients' willingness to adopt changes of self-care behaviors (e.g., weight-reduction plan, diet modification, smoking cessation, active lifestyle, and stress reduction) have proven by literature to have better clinical outcomes than medical treatment alone (Khresheh & Mohammed, 2016;Salim et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Hypertension Self-Care Management During COVID-19 Pandemic Crisis in the Meranao Tribe: A Phenomenological Inquiry

Sadang

Macaronsing²,

Alawi³

et al. 2021

Jurnal Keperawatan Indonesia

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The COVID-19 crisis has been a challenging and stressful event for individuals with known underlying health problems, not to mention their higher risk of contracting the disease. This phenomenological inquiry was conducted to explore the common self-care practices of the Meranao tribe in the Province of Lanao del Sur, Philippines, concerning their management of hypertension amidst the ongoing pandemic health crisis. This study employed a descriptive-phenomenological approach. Ten known hypertensive adults participated in the study selected using purposive sampling. Data collection employed focus group discussion (FGD) and then analyzed using Colaizzi's approach. Four themes were derived which explained the common practices of the tribe in the self-care management of hypertension amidst the crisis: 1) the use of herbal remedies; 2) compliance with prescribed medications; 3) dietary control; and 4) remaining physically active. Patients’ strict compliance with known scientific self-care practices in managing hypertension forms a multidimensional strategy in controlling, managing, and preventing hypertension and its related complications.Abstrak Studi Fenomenologi tentang Praktik Manajemen Perawatan Diri pada Pasien Hipertensi Saat Pandemi COVID-19. Krisis COVID-19 telah menjadi periode yang menantang dan menegangkan bagi individu dengan riwayat masalah kesehatan, belum lagi risiko yang lebih tinggi untuk menderita penyakit tersebut. Studi fenomenologi ini bertujuan untuk mengeksplorasi praktik perawatan diri Suku Meranao di Provinsi Lanao del Sur, Filipina yang berhubungan dengan manajemen hipertensi di tengah krisis kesehatan yang sedang berlangsung. Melalui pendekatan fenomenologi deskriptif, sebanyak 10 orang dewasa penderita hipertensi bersedia untuk menjadi partisipan penelitian ini dengan menggunakan metode purposive sampling. Data diperoleh melalui focus group discussion (FGD), dan dianalisis menggunakan pendekatan Collaizi. Empat tema diperoleh untuk menjelaskan praktik mereka dalam manajemen perawatan diri hipertensi di tengah krisis: 1) penggunaan obat herbal; 2) kepatuhan terhadap obat yang diresepkan; 3) kontrol makanan, dan 4) tetap aktif secara fisik. Kepatuhan ketat pasien pada praktik perawatan diri secara ilmiah dalam manajemen hipertensi memainkan strategi multidimensi dalam kontrol, manajemen, dan pencegahan hipertensi serta komplikasi yang terkait. Kata Kunci: Filipina, hipertensi, praktik manajemen perawatan diri, riset kualitatif, suku Meranao

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The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia

Cited by 25 publications

References 28 publications

Comparing and determining factors associated with hypertension self-care profiles of patients in two multi-ethnic Asian countries: cross-sectional studies between two study populations

Comparing and determining factors associated with hypertension self-care profiles of patients in two multi-ethnic Asian countries: cross-sectional studies between two study populations

Self-care practice and associated factors among hypertensive patients in public health facilities in Harar Town, Eastern Ethiopia: A cross-sectional study

Hypertension Self-Care Management During COVID-19 Pandemic Crisis in the Meranao Tribe: A Phenomenological Inquiry

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