Abstract

Introduction:The most prevalent form of hypertension is systolic blood pressure (SBP) and it is considered to be predisposing risk factor for cardiovascular disease. The objective of the study was to assess self-care practices, knowledge and awareness of hypertension, especially related to SBP among cardiac hypertensive patients.Methodology:A Cross sectional study was conducted on 664 cardiac hypertensive patients, which were selected by non-probability convenience sampling from cardiology outpatient department of three tertiary care hospitals. Face to face interviews were conducted using a pre designed questionnaire. Data was entered and analyzed by SPSS (V17).Results:81.8%, did not know that hypertension is defined as high blood pressure. 97.1% of the sample population did not know that top measurement of blood pressure was referred to as systolic and only 25.0% correctly recognized normal systolic blood pressure to be less than 140mmHg. 7.4% of the patients consulted their doctor for hypertension once or twice in a month. Risk factor for high blood pressure most commonly identified by the participants was too much salt intakeConclusions:The results state that there is an inadequate general knowledge of hypertension among cardiac patients and they do not recognise the significance of elevated SBP levels. There is a need to initiate programs that create community awareness regarding long term complications of uncontrolled hypertension, particularly elevated SBP levels so that there is an improvement in self-care practices of the cardiacpatients.

Highlights

  • The most prevalent form of hypertension is systolic blood pressure (SBP) and it is considered to be predisposing risk factor for cardiovascular disease

  • The results state that there is an inadequate general knowledge of hypertension among cardiac patients and they do not recognise the significance of elevated SBP levels

  • There is a need to initiate programs that create community awareness regarding long term complications of uncontrolled hypertension, elevated SBP levels so that there is an improvement in self-care practices of the cardiacpatients

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Summary

Introduction

The most prevalent form of hypertension is systolic blood pressure (SBP) and it is considered to be predisposing risk factor for cardiovascular disease. Considered as the silent killer (Hoel & Howard, 1997), high arterial Blood Pressure (BP) is the greatest causative agent for the mortality involved in cardiovascular diseases, renal failure and stroke (Rahimi&Rahimi, 2006). The studies conducted on global burden of Hypertension (HTN) reported that 25% of adults are having HTN and 9.2 % of the total deaths are because of high BP related events (Lawes, Vander Hoom, & Rodgers, 2008). It increases two to three folds of an individual's risk for cardiovascular disease (Padwal, Strauss, & McAlister, 2001). According to the “Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure”, www.ccsenet.org/gjhs

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