Knowledge Of Hypertension Research Articles

Abstract 18503: Barriers to Linkage to Hypertension Care in Rural Western Kenya: A Qualitative Analysis

Introduction: Hypertension is the leading global risk factor for mortality and its prevalence is rising in sub-Saharan Africa (SSA). Unless adequately controlled, hypertension will impose large health and economic burdens. Since delays in seeking hypertension care are associated with increased mortality, a critical component of hypertension control is to facilitate early and sustained access of affected individuals to clinical services. However, specific barriers to linkage to hypertension care in SSA are not known. Objective: To evaluate barriers to linkage to hypertension care in rural western Kenya, using a qualitative research approach. Methods: Six mabaraza, or community gatherings (123 men, 119 women), and 17 focus group discussions (88 men, 81 women) were conducted among community health workers, community members, and hypertensive patients, across a spectrum of age, sex, occupation, and distance from health facility. Content analysis was performed with NVivo 10, identifying key themes representing distinct barriers, which were then classified into a modified Health Belief Model. Ranking of identified barriers was performed using triangulation of participant response density, Delphi method of investigator assessments, and published literature. Results: The salient barriers and corresponding proposed solutions are summarized in the Table. Cognitive issues related to knowledge of hypertension and its risks and management were commonly reported by participants. Emotional elements, particularly HIV stigma and fear, were highlighted. Environmental barriers such as finances, distance, and quality of service also featured prominently. Conclusion: Linkage to hypertension care is a critical component to a successful hypertension care delivery program. However, successful execution is contingent upon addressing potential barriers at the cognitive, emotional, and environmental levels.

Hypertension Knowledge, Awareness, and Self-Management Behaviors Affect Hypertension Control: A Community-Based Study in Xuhui District, Shanghai, China

Objective: To investigate correlations between hypertensive patients' knowledge of hypertension, awareness of hypertension education, self-management behaviors, and hypertension control. Methods: Hypertensive patients from 5 community health centers in Xuhui District, Shanghai, China, were enrolled into this study. Data were collected via patient interviews and a questionnaire survey. Independent influence factors for hypertension control were identified by logistic regression analysis. Results: In total, 3,328 hypertensive patients, including 1,935 females and 1,390 males with a mean age 70.6 years, were studied. The mean systolic blood pressure was 133.1 mm Hg. The mean diastolic blood pressure was 80.5 mm Hg. Hypertension was controlled in 1,050 (36.1%) patients. Independent influence factors for failed hypertension control were comorbidities, including diabetes mellitus, coronary artery disease, and stroke. Patients who knew that ‘high blood pressure is related to salt intake' and were willing to receive regular health education were less likely to fail in hypertension control. Patients who visited clinics because of fear of complications and visited medical institutions other than community health centers for hypertension were more likely to fail in hypertension control. Conclusions: In Shanghai, failed hypertension control is significantly associated with chronic disease history. Limiting salt intake, receiving regular health education, and visiting community health centers for hypertension care may help control hypertension.

The Effect of Two Types of Informing Methods Over Medical Student’s Hypertension Knowledge Level

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021.

Refocusing the Agenda on Cardiovascular Guidelines

When he dedicated the new National Institutes of Health (NIH) Bethesda campus in October 1940, President Franklin D. Roosevelt declared, “We cannot be a strong nation unless we are a healthy nation. And so we must recruit knowledge and science in the service of national strength.”1 For more than 65 years, the National Heart, Lung, and Blood Institute’s (NHLBI’s) core mission has been, and continues to be, the generation and dissemination of knowledge and science with the goal of securing a healthy nation.2 Thirty-two years after Roosevelt’s NIH dedication, on July 26, 1972, Elliot Richardson, the Secretary of the US Department of Health, Education, and Welfare, announced the establishment of a “National Hypertension Program.”3 The program planned a 4-step approach to include agreement on standards and conditions for treatment, education of health workers, public dissemination of information, and research on the impact of the program on healthcare delivery. Richardson appointed 2 committees: one, the Hypertension Information and Education Advisory Committee, was to focus on the knowledge of hypertension and the communication of that knowledge, whereas the other, the Interagency Working Group, was to focus on exchange of information and coordination with the professional community. In 1977, the NHLBI issued the first of a number of clinical practice guidelines4 that would emerge from the National High Blood Pressure Education Program, as well as from other similar efforts such as the National Cholesterol Education Program. The NHLBI guidelines have covered a variety of topics, including, but not limited to, cholesterol, blood pressure, asthma, and von Willebrand disease.5 Over the years, these groundbreaking health education initiatives have successfully promoted marked increases in the public’s awareness of cardiovascular disease risk factors and contributed to the major reductions in coronary heart disease mortality observed during this period.6,7 …

Migration and Cognitive Representations of Hypertension in African Immigrant Women

The purpose of this study was to use the Self-Regulation Model on African immigrant women, to determine the association of migration and residence in the United States with cognitive representations and dietary behavior, and also to explore migration stress and blood pressure (BP) in them. Participants included a convenience sample of 91 Nigerian immigrant women (NIW) and 38 African American women (AAW). Data collection instruments were the Acculturative Stress Scale and the Women's and Men's Hypertension Experiences and Emerging Lifestyle Survey of 2008-2009. Descriptive t test and ANOVA statistics were used to analyze study variables comparing groups and NIW duration of residency in the United States. Knowledge of Hypertension and Cognitive Representation of Hypertension were significantly increased in the NIW by years of residency. Migration stress had no significant relationship with BP level. A longitudinal study initiated on immigrants' arrival in the United States is recommended to understand the trajectory of chronic illnesses such as hypertension.

Validación de un cuestionario de conocimientos sobre la hipertensión

IntroductionHypertension is a chronic disorder and is the main cause of cardiovascular disease. Educational interventions designed to increase knowledge may help hypertensive patients to change unhealthy lifestyles and optimize treatment adherence, thus facilitating better blood pressure control. Consequently, a reliable tool is required to evaluate the effectiveness of these interventions. ObjectiveTo validate a hypertension knowledge questionnaire in Spanish to assess patients’ knowledge and understanding of this disorder. Material and methods1) Adaptation of an existing questionnaire. 2) Focus groups to unify criteria and consultation with experts. 3) Pilot test to evaluate comprehension of the questionnaire. 4) Reliability through internal consistency (Cronbach's alpha) and sensitivity to change (McNemar test). ResultsA final questionnaire was developed in 9 blocks, which included knowledge of hypertension, associated risk factors, risks of hypertension, diet, exercise, and medication. Sixty patients participated: 30 were from primary care centers and the remaining 30 were from specialized centers. The mean age of the participants was 60 years, and 57% (n=34) were women. Cronbach's alpha was 0.799. ConclusionThe questionnaire developed in this study is a reliable and easily applied tool to assess knowledge about hypertension in hypertensive patients. This questionnaire is especially useful to evaluate the effectiveness of therapeutic patient education.

Knowledge of Hypertension Among Adults in Owerri Senatorial Zone of Imo State, Nigeria

The study was conducted to ascertain knowledge of hypertension among adults in Owerri senatorial zone of Imo state, Nigeria. Three specific objectives were formulated with three corresponding research questions. The only null-hypothesis was also postulated to guide the study. Descriptive survey research design was used and the sample consisted of 432 adults. Questionnaire was the instrument for data collection. Percentages and ANOVA were used to analyze the data. The results of the study showed that adults had high level of knowledge of the concept and risk factors of hypertension. There was significant difference in the level of knowledge of hypertension among adults according to level of education. The study therefore recommends that government and voluntary health agencies should sponsor intensive enlightenment campaign through print and electronic media in order to sustain the knowledge level of adults on hypertension. DOI: 10.5901/mjss.2013.v4n5p69

Pharmacist intervention in improving hypertension‐related knowledge, treatment medication adherence and health‐related quality of life: a non‐clinical randomized controlled trial

The study evaluated whether a pharmaceutical care intervention can result in better understanding about hypertension, increase medication adherence to antihypertensive therapy and improve overall health-related quality of life. A non-clinical randomized control trial was conducted whereby participants received an educational intervention through hospital pharmacists. Hypertension knowledge, medication adherence and health-related quality of life were measured by means of self-administered questionnaires. Descriptive statistics were used to describe the demographic and disease characteristics of the patients. Inferential statistics were used for inter- and intragroup comparisons. SPSS 17 was used for data analysis. Three hundred and eighty-five hypertensive patients were randomly assigned (192 in the control group and 193 in the intervention group) to the study. No significant differences were observed in either group for age, gender, income, locality, education, occupation or duration of disease. There was, however, a significant increase in the participants' levels of knowledge about hypertension and medication adherence among the interventional group after completing the intervention. Significantly lower systolic and diastolic blood pressure levels were also observed among the interventional group after completion of the intervention. The interventional group, however, reported decreased yet significant health-related quality of life at the end of the interventional programme. Pharmacist intervention can significantly increase disease-related knowledge, blood pressure control and medication adherence in patients with hypertension. However, further research is needed to address the decreased health-related quality of life after completion of the study.

Effect of information behavior intervention on medication compliance of patients with hypertension in mountainous area

Objective To explore the value of information behavior intervention on improving medication compliance to hypertension group in the mountain area.Methods 200 patients with hypertension were randomly divided into intervention group and control group,100 cases in each group.The intervention group received routine health education and the information behavior intervention including sending the regular message about the hypertension knowledge through the mobilephone and the fixed-line telephone; the control group just received the routine health education.Results By information behavior interventions,in medication compliance,there was statistical significant difference between two groups (x 2=20.37,P ＜ 0.05),also in blood pressure control (P ＜ 0.05).Conclusion Information behavior interventions in patients with hypertension in mountainous areas is a kind of practical and effective measures,it has significant effect in improving patients' medication compliance and blood pressure control,which is worthy for the clinical promotion. Key words: Hypertension; Medication compliance; Information behavior intervention

Assessment of Quality of Life and Nurses' Knowledge among Hypertensive Elderly Patients at Sohag University Hospital

Hypertension has been a well-recognized condition in the elderly for a very long time and is prevalent in over 70% of the elderly population. It is estimated that the number of persons aged 65 years and older will increase to 72 million by the year 2030, which will in turn result in an increased rate of hypertension among the elderly. Aim: To assess the quality of life of elderly patients suffering from hypertension and nurses' knowledge regarding hypertension. Methods: A cross sectional descriptive research design was utilized in this study. This study was carried out at medical, dialysis, and neurological departments at Sohag University Hospital. Convenient sample consist of 178 elderly patients suffering from hypertension and 58 nurses. Data were collected at a period of six months starting from November 2011 to the end of April 2012, using two tools: First tool; is a structured interview sheet about Quality of life. Second tool: an interview questionnaire sheet to assess nurses' knowledge regarding hypertension. Results: 48.9% of patients had low QOL score, and there was a statistical significant difference between quality of life and sex & level of education P- value (.007&.070) respectively, and around one third of nurses (32.7%) had poor level of knowledge about hypertension. There was a statistical significant difference between knowledge and age & qualification of nurses p- value (.052&.090) respectively. Conclusion and Recommendations: Presence of gerontological nurses in outpatient clinics and hospital departments whom trained and have an active role in health promotion and disease prevention for that highly growing segment of population. People have to be educated through mass media on hypertension and its risk factors. People have to be educated on the importance of physical exercises and have to be encouraged to do them

The Knowledge and Awareness of Hypertension Among Patients With Hypertension in Central Poland

We assessed the differences in the knowledge and level of awareness of hypertension among patients with hypertension from Central Poland; 248 (57.6% females) patients diagnosed with hypertension completed a questionnaire. Most (79%) of the patients were unaware of the optimal blood pressure (BP) range. The elderly patients did not know the symptoms of hypertension (23.7%), were not willing to make lifestyle changes (57%-65%), and had a poor awareness of hypertension therapy in the absence of symptoms (28.7%). Poor BP control occurred mainly in rural residents (10.7%) and in people with higher education (39.3%). Untreated patients with hypertension did not know the symptoms of hypertension (29.2%), rarely measured BP (37.5%), but were more likely to engage in regular physical activity (70.8%). Efforts should be made to improve knowledge of hypertension, especially among the rural population, the elderly patients, those with a low-education level, and in young males who had the highest BP.

Knowledge of Hypertension and other Risk Factors for Heart Disease among Yoruba Rural Southwestern Nigerian Population

Knowledge of Hypertension and other Risk Factors for Heart Disease among Yoruba Rural Southwestern Nigerian Population

Health literacy in rural areas of China: hypertension knowledge survey.

We conducted this study to determine levels and correlates of hypertension knowledge among rural Chinese adults, and to assess the association between knowledge levels and salty food consumption among hypertensive and non-hypertensive populations. This face-to-face cross sectional survey included 665 hypertensive and 854 non-hypertensive respondents in the rural areas of Heilongjiang province, China. Hypertension knowledge was assessed through a 10-item test; respondents received 10 points for each correct answer. Among respondents, the average hypertension knowledge score was 26 out of a maximum of 100 points for hypertensive and 20 for non-hypertensive respondents. Hypertension knowledge was associated with marital status, education, health status, periodically reading books, newspapers or other materials, history of blood pressure measurement, and attending hypertension educational sessions. Hypertension knowledge is extremely low in rural areas of China. Hypertension education programs should focus on marginal populations, such as individuals who are not married or illiterate to enhance their knowledge levels. Focusing on educational and literacy levels in conjunction with health education is important given illiteracy is still a prominent issue for the Chinese rural population.

CPC-049 Evaluation of a Standardised Therapeutic Education Training Session For Hypertensive Stroke Patients

BackgroundA standardised therapeutic education (TE) intervention was developed in 2009 in the department of Neurology, for hypertensive stroke patients. This training session has been officially authorised (Agence Régionale de Santé)...

Hypertension in Children with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary renal disease, affecting 1 in 1000 individuals. Previously termed "adult polycystic kidney disease", ADPKD is now known to have important clinical manifestations beginning early in life and even in utero. Hypertension is an important risk factor for progressive renal and cardiovascular disease in children with ADPKD and may signify irremediable organ injury. The purpose of this article is to review current knowledge and treatment strategies in hypertension associated with pediatric ADPKD.

Comparison of Dermatoglyphic Patterns Between Healthy and Hypertensive People

This research aims at examining the characteristics of dermatoglyphic patterns on the palm and the measuring of the symmetry or asymmetry degree, based on palmar dermatoglyphic findings, in patients suffering from high blood pressure with a history of inherited Hypertension. Hypertension or high blood pressure is a chronic medical condition of the heart in which the systolic arterial blood pressure is elevated. This condition is opposite to low blood pressure. Dietary and lifestyle changes and pre-knowledge of family history or of familial genetic diseases can help in the better controlling of blood pressure and in the reducing of the risk of associated health complications. Though drug treatment is necessary in HT patients for whom lifestyle changes prove ineffective or insufficient. Therefore, a prior knowledge of Hypertension is important to the patient and the doctor in controlling the said disease. Today, significant progress has been made in understanding the relationship between internal disorders and dermal ridges on the palm. Moreover, the application of palmar friction ridge analysis as an investigative diagnostic tool has been increasing in medicine and through this, important information has been obtained about the correlation between genetic disorders and ridge patterns. Further, as finger ridge lines create special patterns therefore. This research is an observational, analytical and practical study using a case-control observational approach with simple random sampling and without substitution carried out on two groups of healthy subjects and patients suffering from high blood pressure; people without any other specific genetic diseases which in turn affect dermatoglyphic readings. Palmar prints were taken, then vague and unreadable samples were omitted from the analysis and finally the patient's palmar dermatoglyphic patterns were examined. The experimental group was chosen from healthy people with no history of any kind of genetic diseases or blood disorders and no symptoms of high blood pressure among close relatives. Ridge lines were recorded using clear adhesive tape. This research done on a group of Iranians of Fars race showed that in patients suffering from high blood pressure, loops and arches are the most and the least common patterns, respectively. This research studies the relationship between dermatoglyphic patterns and inherited or familial hypertension and it proves that if genetic features are identified, susceptible people can be recognized before the onset of the disease by special environmental evaluation and then the necessary preventive measures can be undertaken.

Evaluation of a peer-led hypertension intervention for veterans: impact on peer leaders

Volunteer peer leaders (PLs) benefit from their involvement in health interventions but we know little about how they compare with other non-PL volunteers or with the intervention recipients themselves. We randomized 58 veterans' service organizations' posts (e.g. VFW) to peer- versus professionally led self-management support interventions. Our primary research questions were whether hypertensive PLs changed over the course of the project, whether they changed more than hypertensive volunteers who were not randomized to such a role [i.e. post representatives (PRs)] and whether they changed more than the intervention recipients with respect to health knowledge, health beliefs and health outcomes from baseline to 12 months. After the intervention, PLs provided open-ended feedback and participated in focus groups designed to explore intervention impact. Hypertensive PLs improved their systolic blood pressure and hypertension knowledge and increased their fruit/vegetable intake and pedometer use. We found no differences between PLs and PRs. PLs improved knowledge and increased fruit/vegetable intake more than intervention recipients did; they provided specific examples of personal health behavior change and knowledge acquisition. Individuals who volunteer to be peer health leaders are likely to receive important benefits even if they do not actually take on such a role.

Comparison of Diagnosed, Self-Reported, and Physically-Measured Hypertension in Canada

BackgroundHypertension is a substantial health concern because it poses significant risks for cardiovascular morbidity and mortality and is highly prevalent in the population. Tracking hypertension is important because it is a risk factor for other conditions, but prevalence estimates might vary depending on the data source used. MethodsThis report describes 3 national population-based data sources for estimating hypertension prevalence in Canada and discusses their strengths and weaknesses to aid in their use for policy and program planning. They are compared based on: sample coverage, case identification, and prevalence estimates. ResultsEach source produces a different measure of hypertension prevalence, as follows: (1) diagnosed hypertension from the Canadian Chronic Disease Surveillance System (CCDSS) (2007/2008); (2) self-reported diagnosed hypertension from the Canadian Community Health Survey (CCHS) (2007-2008); and, (3) physically-measured hypertension from the Canadian Health Measures Survey (CHMS) (2007-2009). Crude rates and counts of hypertension prevalence among individuals aged 20 to 79 years of age, excluding pregnant women, are compared, resulting in prevalence ranging from 18.2% in self-report data to 20.3% in diagnosed data. The data sources differ in terms of target population, case identification, and limitations, which affects the estimates. ConclusionsEach source has unique strengths and is best suited for addressing particular research questions. For example, diagnosed hypertension can be used to determine health care utilization patterns, self-reported to examine health determinants, and measured high blood pressure to improve awareness, treatment, and control. Combined, they can address multiple issues and increase our knowledge of hypertension in Canada.

HUBUNGAN PENGETAHUAN TENTANG HIPERTENSI DENGAN PENGENDALIAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI POLIKLINIK PENYAKIT DALAM RSUD DR.MOEWARDI SURAKARTA

Nowadays, hypertension becomes the main problem in the world. Uncontrolled hypertension remains the main health problem. One of the problems that cause uncontrolled blood pressure is the less knowledge of hypertension. Patient’s knowledge and awareness in hypertension is the important factor to control the blood pressure. The aim of this study is to know the relation between hypertension knowledge and blood pressure restraint to hypertension patient in the Internist Polyclinic RSUD dr.Moewardi Surakarta. This research used analytic survey method in cross sectional approach. It took 57 sample of hypertension patient. It used purposive sampling technique. This research used Chi Square statistic test. In forty two patients (73,7%) with well-knowledge, 31 patients hypertension (73,8%) have controlled-blood pressure and uncontrolled blood pressure is 11 patients (26,2%). Whereas, in 15 patients (26,3%) who has lack-knowledge found controlled-blood pressure in 6 patients (40%), and uncontrolled blood pressure in 9 patients (60%). There was not found less-knowledge patients. The Chi Square test found signifi cance probability (p)= 0,019. There is relation between hypertension knowledge and controlling blood pressure.Keywords: knowledge, hypertension, controlling blood pressure

General practitioners’ hypertension knowledge and training needs: a survey in Xuhui district, Shanghai

BackgroundHypertension prevalence is high in China, while patients’ levels of hypertension awareness, treatment and control are low. General practitioners’ knowledge and training relating to hypertension prevention may be an important related factor. We aimed to investigate general practitioners’ knowledge of hypertension prevention and potential training needs.MethodsA questionnaire survey was conducted among all general practitioners at five community health service centers selected by convenience sampling. A total of 160 questionnaires were distributed and 147 were returned (response rate 91.9%) The questionnaire included general information; 12 subjective questions on health promotion, education and training needs; and 19 objective questions in 5 domains (epidemiology, diagnosis, treatment, referral and community management) measuring knowledge of hypertension prevention and treatment.ResultsThe major difficulties in health education practice for general practitioners were poor patient compliance (77.6%) and lack of medical consultation time (49.0%). The average accuracy rate of hypertension prevention knowledge was 49.2%, ranging from 10.5% to 94.7%. The factors associated with accuracy rate were physician’s education level (medical university vs. professional school, β = 13.3, P = 0.003), and type of center (training base vs. community healthcare center, β = 12.3, P < 0.0001). Most physicians (87.8%) reported being willing to attend training courses regularly and the preferred frequency was once every 2 ~ 3 months (53.5%). The preferred course was medical treatment of hypertension (82.3%) and the most favored training approach was expert lectures (80.3%).ConclusionsThe knowledge level of hypertension prevention is low among general practitioners in urban settings. Physicians working in community clinics where they participate in a series of teaching, assessing and evaluating systems for hypertension prevention perform better than those in general healthcare centers who lack specific training. Continuing hypertension education is urgently needed to ensure that physicians in general practice are aware of and adhere to the national hypertension prevention guidelines.