Background: Patients with hypertension are a high risk of cardiovascular disease. An increase of 10 mmHg (more than normal) in diastolic blood pressure leads to a relatively increased risk of stroke and cardiovascular disease by 37%. Moreover, hypertension may impair vision. The symptoms range from blurred vision to blindness. A lack of knowledge about hypertension negatively influences patients’ awareness and behaviors and is a major obstacle in controlling hypertension. The general objective of the study was to assess the overall level of knowledge, self-care practices, and its associated factors among hypertensive patients in adult cardiac and renal referral clinics in public hospitals Addis Ababa city Administration Addis Ababa Ethiopia. Methods: An institutional-based cross-sectional study was conducted in public health hospitals. The final sample size was 384, which was proportionally allocated to each of the institutions and systematic random sampling was used to select study units that were part of the study. Results: The results of the study showed that (43.6%) of the study participants had good knowledge about hypertensive self-care. A strong association was observed between knowledge about hypertension and educational status, family history of hypertension, place of residence; and occupational status of the study participants. About (51.5%) of the study participants had good self-care practices towards hypertension. However, there was a significant association between self-care practices, place of residence and educational status of the study participants. Study participants who had secondary and above educational status had good self-care practice than participants had no formal education. Conclusion: Despite the important role of knowledge and self-care practices in the management of hypertension is recognized to be useful and effective in achieving hypertension control and preventing its complication. The findings of this study confirmes that self-care practices was accomplished as recommended by the majority of respondents, but knowledge was more problematic.
Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 2) |
DOI | 10.11648/j.ijcts.20200602.13 |
Page(s) | 28-37 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Hypertension, Knowledge, Self-care Practice and Factors
[1] | Alsolami F, Hou X, Correa-Velez I. Factors Affecting Antihypertensive Treatment Adherence: A Saudi Arabian Perspective. Clin Med Diagnostics. 2012; 2: 27–32. |
[2] | Niman ET, S/O Sreedharan et, edathumtharamal (h), koorachund po, calicut dt k, s. b. effectiveness of structured teaching programme on knowledge regarding hypertension and self-care among hypertensive. 2010; 1. |
[3] | Talaat mcrae-SA and A. Effect of Counseling on Patients’ Adherence Regarding Anti-Hypertensive Therapeutic Regimen. Life Sci J. 2014; 11 (5): 314–35. |
[4] | ArticNancy M. Albert, Ph. D., CCNS, CHFN, CCRN, NE-le C. Fluid Management Strategies in Heart Failure. Am Assoc Crit Nurses. 2012; 32 (2): 20–33. |
[5] | Iyalomhe GBS, Iyalomhe SI. Hypertension-related knowledge, attitudes and lifestyle practices among hypertensive patients. J Public Heal Epidemiol. 2010; 2 (July): 71–7. |
[6] | Lee R, Ii P, Pharm D, Cardiology BAQ, Karpiuk EL, Pharm D, et al. Cardiac Transplantation Introduction : Brief. Pharmacother Self-Assessment Program, 6th Ed. |
[7] | Michael EKG, Assegid S. Prevalence of hypertension and its risk factors in southwest Ethiopia : a hospital-based cross-sectional survey. Integr Blood Press Control. 2013; (30 July). |
[8] | Erkoc SB, Isikli B, Metintas S, Kalyoncu C. Hypertension Knowledge-Level Scale (HK-LS): A Study on Development, Validity, and Reliability. Int J Environ Res Public Heal www.mdpi.com/journal/ijerph. 2012; 9: 1018–29. |
[9] | Boulle A. Knowledge of the hypertensive person regarding prevention strategies for coronary in the subject Health Studies. http://www.biomedcentral.com. 2009; (March). |
[10] | Behzad Jahani, Ghodratollah Shakerinejad, Khoda Bakh Karami hypertensive patients in ahwaz ; based on health. world J pharmaceutics Res. 2015; 4 (5): 109–20. |
[11] | Huanhuan Hu, Gang Li and Takashi Arao. Prevalence Rates of Self-Care Behaviors and Related Factors in a Rural Hypertension Population , Int J of hypertension. 2013. |
[12] | Medicine S. Knowledge, Attitudes and Perception of hypertensive patients towards lifestyle modification in controlling hypertension. 2011; (October): 1–61. |
[13] | Myo Nyein Aung, et A. awareness and knowledge of hypertension in an at-risk population in the Karen ethnic rural community, Thasongyang, Thailand. Int J Gen Med. 2012; 553–61. |
[14] | Bonnette ET. Self-care and patients with hypertension at primary health care clinics. Am Assoc Crit Nurses. 2012; (November). |
[15] | Ross S, Walker A, Macleod MJ. Patient compliance in hypertension : the role of illness perceptions and treatment beliefs. Am Assoc Crit Nurses. 2004; 607–13. |
[16] | Ali M, Beigi B, Zibaeenezhad MJ, Aghasadeghi K, Jokar A, Shekarforoush S, et al. The Effect of Educational Programs on Hypertension Management. Int Cardiovasc Res J. 2014; 8 (5): 94–8. |
[17] | Markenson D, Ferguson JD, Chameides L, Cassan P, Epstein J, Gonzales L, et al. Part 17 : First Aid 2010 American Heart Association and American Red Cross Guidelines for. J Am Heart Assoc. 2010. |
[18] | Eugene V, Bourne PA. Hypertensive patients : knowledge, self-care management practices and challenges. J Behav Heal. 2013; 2 (3): 259–68. |
[19] | Oliveria SA, Chen RS, Mccarthy BD, Davis CC, Hill MN. Hypertension Knowledge, Awareness, and Attitudes in a Hypertensive Population. Am Hear association. 2003; 219–25. |
[20] | Mahajan H, Kazi Y, Sharma B, Velhal GD. Assessment of KAP, Risk Factors and Associated Co-Morbidities in Hypertensive Patients. J Dent Med Sci. 2012; 1 (2): 6–14. |
[21] | Vikneswari A et al. Knowledge of hypertensive patient. Asian J Res Biol Pharm Sci. 2014; 2 (4): 183–8. |
[22] | Bollu M, Nalluri KK, Prakash AS, Lohith MN. Study of knowledge, attitude, and practice of general population of guntur toward silent killer diseases : hypertension and diabeteS. Asian J Pharm Clin Res. 2015; 8 (4): 4–8. |
[23] | Abhinand RS, Sams LM. knowledge of self-care management practice among hypertensive patients. Eur J Nurs. 2014; 1 (1): 27–31. |
[24] | Abebe SM, Berhane Y, Worku A, Getachew A. Prevalence and Associated Factors of Hypertension : A Crossectional Community Based Study in Northwest Ethiopia. /journal.pone. 2015; 241: 1–11. |
[25] | NOBLE. Knowledge, attitude and practice of lifestyle modification among hypertensive patients at. Asian J Pharm Clin Res. 2011. |
[26] | Bilal M, Haseeb A, Lashkerwala SS, Zahid I, Siddiq K, Dar MI, et al. Knowledge, Awareness and Self-Care Practices of Hypertension Among Cardiac Hypertensive Patients. Glob J Heal Sci Vol. 2016; 8 (2). |
[27] | Rani M, Beth M, Low SY, Chung PY. knowledge on self-blood pressure monitoring (SBPM) among hypertensive patients in selected wards of Hospital Lam Wah Ee, Malaysia. IeJSME. 2012; 6 (2): 43–5. |
[28] | LI Z. knowledge and lifestyle practices of hypertensive patients attending a primary health care clinic in Botswana Zungu. Asian J Res Biol Pharm Sci.: 1–14. |
[29] | Buna Bhandari, et al. Awareness of diseases and self-care practice among hypertensive patients. J Nobel Med Coll. 2012; 1 (2): 29–35. |
[30] | Li X, Ning N, Hao Y, Sun H, Gao L, Jiao M, et al. Health Literacy in Rural Areas of China : Hypertension Knowledge Survey. Int J Environ Res Public Health. 2013; 1125–38. |
[31] | Article R. Critiques on the Objective Structured Clinical Examination. Rev Artic. Vol. 34: 478–82. |
[32] | Guddad S, Malaga U, Kasturiba B, Hasabi I. Knowledge and lifestyle factors of hypertensive subjects. Karnataka J Agric Sci, 2. 2012; 25 (3): 0–3. |
[33] | Oladapo OO, Salako L, Sadiq L, Soyinka K, Falase AO. Knowledge of Hypertension and other Risk Factors for Heart Disease among Yoruba Rural Southwestern Nigerian Population. Br J Med Med Res. 2013; 3 (4): 993–1003. |
[34] | Tesfaye F, Byass P, Wall S. Population-based prevalence of high blood pressure among adults in Addis Ababa : uncovering a silent epidemic. BMC Cardiovasc Disord. 2009; 10. |
[35] | Heymann AD, Bs MB, Gross R, Tabenkin H, Porter B, Porath A. Factors Associated with Hypertensive Patients ’ Compliance with Recommended Lifestyle Behaviors. 2011; 13 (September): 553–7. |
[36] | Anomie F, Darkwa S. The Knowledge, Attitudes and Lifestyle Practices of Hypertensive Patients in the Cape Coast. J Sci Res Reports. 2015; 8 (December 2014): 1–15. |
[37] | Chang AK. Factors affecting self-care in elderly patients with hypertension in Korea. bs_bs_banner Int J Nurs Pract 2015; 2015; 21: 584–91. |
[38] | Awotidebe, T. O., Adedoyin, R. A., Rasaq, W. A., Adeyeye, V. O., Mbada, C. E., Akinola O. T., Otwombe KN. Knowledge, attitude and Practice of Exercise for blood pressure control : A cross-sectional survey. J Exerc Physiother. 2013; 10 (dec): 1–10. |
[39] | Seminary DM, El-shereef EAA, Thubiany MMAL. Hypertensive Patients : Self-Care Management Practices in Al-Taif, KSA. Int J Sci Res. 2015; 4 (12): 1705–14. |
[40] | Ambaw AD, Alemie GA, Yohannes SMW, Mengesha ZB. Adherence to antihypertensive treatment and associated factors among patients on follow up at University of Gondar Hospital, Northwest Ethiopia. BMC Public Health [Internet]. BioMed Central Ltd; 2012; 12 (1): 1. Available from: http://www.biomedcentral.com/1471-2458/12/1471-2458-12-282. |
[41] | Alessandro R et. al. Hypertension and hypertension-related disease in Mongolia ; findings of a national knowledge, attitudes and practices study. Demaio al BMC Public Heal. 2013; 1–10. |
[42] | Guda Tadesse. Knowledge, attitude and practice towards prevention and control of hypertension. 2015; unpublished (June 2015). |
APA Style
Sindew Mahmud Ahmed, Melaku Belaye Teferi. (2020). Assessment of Knowledge, Self-care Practice, and Associated Factors Among Hypertensive Patients the Public Hospital of Addis Ababa Ethiopia 2016 G.C.. International Journal of Cardiovascular and Thoracic Surgery, 6(2), 28-37. https://doi.org/10.11648/j.ijcts.20200602.13
ACS Style
Sindew Mahmud Ahmed; Melaku Belaye Teferi. Assessment of Knowledge, Self-care Practice, and Associated Factors Among Hypertensive Patients the Public Hospital of Addis Ababa Ethiopia 2016 G.C.. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(2), 28-37. doi: 10.11648/j.ijcts.20200602.13
AMA Style
Sindew Mahmud Ahmed, Melaku Belaye Teferi. Assessment of Knowledge, Self-care Practice, and Associated Factors Among Hypertensive Patients the Public Hospital of Addis Ababa Ethiopia 2016 G.C.. Int J Cardiovasc Thorac Surg. 2020;6(2):28-37. doi: 10.11648/j.ijcts.20200602.13
@article{10.11648/j.ijcts.20200602.13, author = {Sindew Mahmud Ahmed and Melaku Belaye Teferi}, title = {Assessment of Knowledge, Self-care Practice, and Associated Factors Among Hypertensive Patients the Public Hospital of Addis Ababa Ethiopia 2016 G.C.}, journal = {International Journal of Cardiovascular and Thoracic Surgery}, volume = {6}, number = {2}, pages = {28-37}, doi = {10.11648/j.ijcts.20200602.13}, url = {https://doi.org/10.11648/j.ijcts.20200602.13}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20200602.13}, abstract = {Background: Patients with hypertension are a high risk of cardiovascular disease. An increase of 10 mmHg (more than normal) in diastolic blood pressure leads to a relatively increased risk of stroke and cardiovascular disease by 37%. Moreover, hypertension may impair vision. The symptoms range from blurred vision to blindness. A lack of knowledge about hypertension negatively influences patients’ awareness and behaviors and is a major obstacle in controlling hypertension. The general objective of the study was to assess the overall level of knowledge, self-care practices, and its associated factors among hypertensive patients in adult cardiac and renal referral clinics in public hospitals Addis Ababa city Administration Addis Ababa Ethiopia. Methods: An institutional-based cross-sectional study was conducted in public health hospitals. The final sample size was 384, which was proportionally allocated to each of the institutions and systematic random sampling was used to select study units that were part of the study. Results: The results of the study showed that (43.6%) of the study participants had good knowledge about hypertensive self-care. A strong association was observed between knowledge about hypertension and educational status, family history of hypertension, place of residence; and occupational status of the study participants. About (51.5%) of the study participants had good self-care practices towards hypertension. However, there was a significant association between self-care practices, place of residence and educational status of the study participants. Study participants who had secondary and above educational status had good self-care practice than participants had no formal education. Conclusion: Despite the important role of knowledge and self-care practices in the management of hypertension is recognized to be useful and effective in achieving hypertension control and preventing its complication. The findings of this study confirmes that self-care practices was accomplished as recommended by the majority of respondents, but knowledge was more problematic.}, year = {2020} }
TY - JOUR T1 - Assessment of Knowledge, Self-care Practice, and Associated Factors Among Hypertensive Patients the Public Hospital of Addis Ababa Ethiopia 2016 G.C. AU - Sindew Mahmud Ahmed AU - Melaku Belaye Teferi Y1 - 2020/06/29 PY - 2020 N1 - https://doi.org/10.11648/j.ijcts.20200602.13 DO - 10.11648/j.ijcts.20200602.13 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 28 EP - 37 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20200602.13 AB - Background: Patients with hypertension are a high risk of cardiovascular disease. An increase of 10 mmHg (more than normal) in diastolic blood pressure leads to a relatively increased risk of stroke and cardiovascular disease by 37%. Moreover, hypertension may impair vision. The symptoms range from blurred vision to blindness. A lack of knowledge about hypertension negatively influences patients’ awareness and behaviors and is a major obstacle in controlling hypertension. The general objective of the study was to assess the overall level of knowledge, self-care practices, and its associated factors among hypertensive patients in adult cardiac and renal referral clinics in public hospitals Addis Ababa city Administration Addis Ababa Ethiopia. Methods: An institutional-based cross-sectional study was conducted in public health hospitals. The final sample size was 384, which was proportionally allocated to each of the institutions and systematic random sampling was used to select study units that were part of the study. Results: The results of the study showed that (43.6%) of the study participants had good knowledge about hypertensive self-care. A strong association was observed between knowledge about hypertension and educational status, family history of hypertension, place of residence; and occupational status of the study participants. About (51.5%) of the study participants had good self-care practices towards hypertension. However, there was a significant association between self-care practices, place of residence and educational status of the study participants. Study participants who had secondary and above educational status had good self-care practice than participants had no formal education. Conclusion: Despite the important role of knowledge and self-care practices in the management of hypertension is recognized to be useful and effective in achieving hypertension control and preventing its complication. The findings of this study confirmes that self-care practices was accomplished as recommended by the majority of respondents, but knowledge was more problematic. VL - 6 IS - 2 ER -