Hypertension-related Knowledge Research Articles

Knowledge Related to Hypertension Risk Factors, Diet, and Lifestyle Modification: A Comparative Study Between Hypertensive and Non-Hypertensive Individuals.

IntroductionThis study was conducted to explore the three-dimensioned knowledge level of hypertension risk factors (i.e. a three parts questionnaire in addition to the demographic section that discusses in each a dimension of hypertension-related knowledge which is hypertension high-risk factors dimension, diet modifications dimension, and lifestyle behavior modifications dimension to either prevent or control hypertension), the needed diet and lifestyle modifications to either cope with or prevent hypertension among the study participants. The study also examined the significance of the relationship between the two groups and their knowledge of hypertension three dimensions as well as their age, gender, family history, education, and participants’ occupation.MethodologyIn this cross-sectional study, a disproportionate stratified random sampling was used which stratified the sample into two groups i.e. hypertensive and non-hypertensive individuals between 30 and 50 years old from the community of the city of Abha, Saudi Arabia. A developed modified three-dimensioned self-administered online questionnaire was used which was tested afterward for reliability and validity. For this study, the sample size is 384 while the response rate achieved is 60.4% where the data was collected within a timeframe of two weeks.ResultsThe respondents had a high level of knowledge regarding the risk factors, diet modifications, and lifestyle modifications. Both groups have the same knowledge level that does not differ significantly. Gender is not a factor of significance for hypertension, but a family history of hypertension shows a significant relationship among the two groups. Age, education, and occupation do not relate significantly among both groups.ConclusionThe results might be contributed to the participants' high educational level as well as the fact that a lot of them have a family history of hypertension.

The Application Effect of Regional Family Doctor Contract Service Based on Internet Platform in the Management of Hypertensive Patients in Primary Hospital

Objective: To analyze the application effect of regional family doctor contract service based on Internet platform in the management of hypertension patients in community hospitals. Methods: Since June 2017, the Yetang Health Center has established a model of family doctors contracted chronic disease management based on the Internet platform under the guidance of the General Medical Department of the First People’s Hospital of Changshu City. The Internet platform for patient management was developed, and a regional data sharing center for hypertensive patients was established. The combination with the family doctor contract model enabled the effective management of hypertensive patients. In the 12 months before the model was implemented, 525 patients with hypertension were selected, and 2173 patients with hypertension after 12 months of implementation were included in the control group and the observation group. The differences in treatment compliance, selfmanagement rate and other indicators between the two groups were compared to analyze the application effect of the model. Results: Compliance, compliance rate, self-management rate and awareness rate of hypertensionrelated knowledge in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). The total management cost, unit management cost and standard management cost of hypertension patients in the observation group were lower than those in the control group. The satisfaction rate of hypertension management in the observation group was 96.87% (2105/2173), which was higher than 63.05% (331/525) in the control group (P < 0.05). The awareness rate of diagnostic criteria, risk factors, hazards and treatment methods of hypertension in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion: The regional family doctor contract service based on Internet platform can significantly improve the effectiveness and efficiency of community hospital management of hypertension patients, and it is also an effective way to reduce management costs and ensure patient satisfaction, which is worth further optimization and promotion.

Knowledge and Perception Regarding Hypertension among Hypertensive Patients at a Tertiary Hospital in Kathmandu, Nepal

Background: Hypertension has a great impact on cardiovascular disease and death all over the world. Low and middle-income countries including Nepal are facing higher disease burden because of complications arise from uncontrolled hypertension. Patient’s knowledge and perception play an important role for the proper management of hypertension. There are limited studies related to knowledge and perception of hypertension, therefore, this study aimed to assess the knowledge and perception of hypertension among hypertensive patients at a tertiary hospital in Nepal.
 Methods: This is a hospital based, mixed-method, cross-sectional study which was conducted among 400 hypertensive patients in the outpatient department of Sahid Gangalal National Heart Center, Kathmandu, Nepal. Patients who were diagnosed as hypertensive at least 6 months before were selected by simple random sampling technique and were interviewed using semi- structured questionnaire, and interview schedule from March to May 2019. Data were analyzed using descriptive and inferential statistics. 
 Results: The mean age of the respondents was 58.86 ±11.07 years and nearly half (47.8%) of them were in the age group of 60 years and above. More than half, (58%) were male, 77.8% were overweight, about half of them had a significant family history of hypertension with first degree relatives. Regarding the knowledge, the total mean score was 16.16±3.032 and had significant difference with age (p= 0.002), gender (p=.000), education (p=0.002), occupation (p=0.000), and duration of HTN diagnosis (p=0.000). Majority of them perceived hypertension as less serious illness and had significant difference with education level (p=0.001) and duration of HTN diagnosis (p=0.000).
 Conclusions: Majority of participants had inadequate knowledge of hypertension and they perceived hypertension as less severe illness which might hinder the adherence to treatment recommendations. Hence, mass awareness program strategies might be helpful to increase hypertension related knowledge and perception.

Hypertension-Related Knowledge, Attitudes, and Behaviors among Community-Dwellers at Risk for High Blood Pressure in Shanghai, China.

This study aimed to investigate the hypertension-related knowledge, attitudes, behaviors (KAB), and socio-demographic determinants among community-dwellers who were at risk for hypertension in Shanghai, China. A cross-sectional survey was conducted in a district of Shanghai in 2017 using multi-stage cluster sampling, including 611 participants who were at risk for hypertension. Questionnaires were used to investigate KAB regarding hypertension prevention. Multivariable logistic regression was performed to examine the relationship between socio-demographic factors and hypertension-related KAB. The results indicated that more than 75% of the study population had accurate knowledge, but only 48.4% knew the Recommended Daily Intake of salt for adults; over 80% formed health beliefs, while less than 50% were keeping a healthy diet, maintaining regular physical activity and/or bodyweight control. Better knowledge was found in the below 60 age group (p < 0.01) and the 60–69 age group (p = 0.03) than in the ≥70 age group. The behaviors in females (p < 0.01) were better than in males and were better in those covered by the Urban Employee Basic Medical Insurance (p = 0.01) than in those with the New Rural Cooperative Medical Insurance. In conclusion, although the rates of accurate knowledge and belief of hypertension prevention were high in the study population, the rates of maintaining healthy behaviors were relatively low. Socio-demographic factors had important influences on hypertension-related KAB. Further health education and intervention of hypertension prevention was needed to improve their level of KAB and reduce their risk for hypertension among the target groups.

Description of Knowledge and Attitude of Prospective Hajj Pilgrims KBIH Mandiri 2019 in Malang City About Hypertension

&lt;p align="center"&gt;&lt;strong&gt;ABSTRACT&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;Hypertension is one of the diseases that can cause people’s death and it usually does not give any symptoms. Hypertension often occurs to the pilgrims. Knowledge and proper attitudes about hypertension of prospective pilgrims from Indonesia, especially in Malang city (East Java), are expected to reduce morbidity and mortality rates because they can manage their illness, properly. The purpose of this study is to describe the level of hypertension-related knowledge and attitudes of prospective pilgrims from KBHI 2019. The method used in this study is a descriptive cross-sectional study. 48 participants have participated in this study. They are the 2019 pilgrims from Indonesia. The results showed that 18 people (38%) had good knowledge about hypertension, 17 people (35%) are intermediately educated and 13 people (27 %) are lack of knowledge. Furthermore, this study has indicated that 25 people (52%) have positive attitudes and 23 people (48%) have negative attitudes about hypertension. This study concluded that in the majority, the 2019 prospective pilgrims from Malang have good knowledge and acceptable attitudes about hypertension.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords:&lt;/strong&gt; &lt;strong&gt;Hajj pilgrims, hypertension, knowledge, attitude&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt; &lt;/strong&gt;&lt;/p&gt;

Hypertension-related Knowledge and Its Relationship with Blood Pressure Control in Hypertensive Patients Visiting a Semi-private Tertiary-care Charity Hospital in Karachi, Pakistan.

IntroductionHypertension is one of the leading causes of mortality worldwide. Fifty-four percent of strokes and forty-seven percent of cardiovascular deaths are caused by suboptimal control of blood pressure. Economically developing countries like Pakistan are heavily burdened with an ever-rising epidemic of cardiovascular disease and stroke morbidity and mortality. Therefore, urgent steps are required to treat, as well as modify, risk factors for cardiovascular disease, including hypertension.PurposeThe objective of this study was to ascertain the knowledge of hypertension and other sociodemographic variables and their impact on controlling blood pressures in the hypertensive population belonging to the low socioeconomic strata.MethodsThis cross-sectional study was conducted in the general medicine and cardiology outpatient clinics of a tertiary care charity hospital. Three-hundred thirty-five hypertensive patients of age >24 years were selected and informed consent was obtained. Hypertension-related knowledge was assessed using the Modified "Hypertensive Knowledge-Level Scale (HK-LS)" via a 15-20 min interview. Secondary variables in the questionnaire included social demographics, medical history, and assessment of body mass index (BMI) and blood pressure average values, which were measured during the interview. Knowledge was recorded based on the 33-point modified HK-LS scale, whereas secondary variables were not counted toward the assessment of knowledge.ResultsThe frequencies of low, moderate, and high levels of hypertension-related knowledge were recorded as 2.1%, 79.4%, and 62%, respectively. Among 335 patients, (57.3%) were male, the mean age was 52.5 ± 11.5 years, and 63.6% were professionally active. Median systolic blood pressure (SBP) and diastolic blood pressure (DBP) in hypertensive patients were 140 and 86 mmHg, respectively. Sixty-nine percent of patients reported existing comorbidities, 54% had diabetes, 20.7% had cardiovascular disease, and 24% reported renal disease. No significant association was observed between the levels of knowledge of hypertension and gender, blood pressure (BP) status, professional activity, and age groups (p=0.877, p=0.863, p=0.125, and p=0.400, respectively).ConclusionThe majority had adequate knowledge of hypertension but only 64.8% had controlled BP status. This depicts not a lack of knowledge and awareness but rather a lack of prevention of risk factors related to hypertension. Thus, further studies are advised to look into the preventive strategies employed by patients to control their BP and assess their effectiveness.

Effects of a health education intervention on hypertension-related knowledge, prevention and self-care practices in Nigerian retirees: a quasi-experimental study

BackgroundEducation is vital to increasing knowledge, improving prevention and self-care practices for hypertension in older adults. This study aimed to determine the effectiveness of a health education intervention in improving hypertension (HT) knowledge, prevention and self-care practices among retirees in Enugu State, South-east, Nigeria.MethodsIn this quasi-experimental study, we enrolled 400 participants in Enugu and Nsukka cities in Enugu State, south-east Nigeria. Participants were assigned to the treatment and control groups. Participants in the intervention/treatment group (T-group) received the intervention provided by public health experts and nurses and participants in the control group (C-group) received health talk without the intervention. Data collected at baseline (before intervention), 16 weeks (4th month) and follow-up (5th month) included demographic variables, knowledge about hypertension, prevention and self-care practices. We used paired samples t-test, Chi-square test and one-way ANOVA repeated measures for data analyses.ResultsThe mean age of the participants was 65.9 (± 8.9) years, the mean SBP and DBP were 136.5 (± 13.3) and 87.9 (± 9.1) respectively. More than half of the participants were (50.3%) were males, and the mean BMI was 23.9 (± 5.1) kg/m2. The paired comparison analysis showed that the mean HT knowledge score significantly increased in the T-group between baseline and 1 month (4th month) post-intervention compared to those in the C-group (P < 0.0001). Also, PA (P = 0.007), sleep pattern and quality (P = 0.003), substance use abstinence (P = 0.000), healthy diet (P = 0.000), and medication adherence (P = 0.000) improved significantly in the T-group compared to the control between baseline and 1 month after intervention. The repeated measures analyses showed statistically significant effects (between-groups analysis) for all outcomes with small to large effect sizes. Similarly, the repeated measures ANOVA analyses showed significant time-by-group interaction effects (within-groups) for all the outcomes with small to large effect sizes.ConclusionCommunity-based health education intervention targeted at older adults can increase HT knowledge, improve prevention and self-care practices of hypertension at the population level.

Effects of Customized Long-Message Service and Phone-Based Health-Coaching on Elderly People with Hypertension

We aimed to develop long-message services (LMS) and phone-based health-coaching for community-dwelling seniors diagnosed with hypertension and assess the effects of the programs implemented both separately and together. These programs are easily applicable to seniors diagnosed with hypertension and will help control their blood pressure (BP) in a practical manner. We conducted a single-blinded, randomized, controlled pragmatic trial. Individuals aged 65 years or older with hypertension at two senior welfare centers in Seoul, South Korea, who were able to take phone calls and check text messages were enrolled. The study included 124 participants: 31 in the control group, 30 in the health-coaching group, 32 in the LMS group, and 31 in the health-coaching-with-LMS group. Phone-based health-coaching with LMS was effective in improving medication adherence, hypertension self-efficacy, and self-management behavior and decreasing systolic BP as compared to LMS only. There were also improvements in medication adherence, hypertension-related knowledge, hypertension self-efficacy, self-management behavior, and systolic BP in the LMS group as compared to the control group. Using phone-based health-coaching with LMS was effective for managing hypertension in community-dwelling seniors diagnosed with hypertension and could become a useful intervention method.

Evaluation of hypertension related knowledge, attitudes and practices at community level in Kabul

Evaluation of hypertension related knowledge, attitudes and practices at community level in Kabul

Knowledge about Hypertension among the Hypertensive and Normotensive Population

ABSTRACT Hypertension is a chronic lifestyle-related condition in which the blood vessels have persistently elevated pressure leading to fatal health complications such as cardiovascular deaths, heart failure, stroke, brain hemorrhage, and renal failure. The present study aims to assess the level of knowledge about hypertension in the total study sample as well as to compare the level of knowledge about hypertension among the hypertensive and normotensive participants. The level of knowledge about hypertension was also compared across four patient age-groups and between men and women. The Hypertension Knowledge Schedule, consisting of 16 hypertension related knowledge questions, was developed and validated. The study sample comprised of 96 hypertensive and 104 normotensive participants recruited from an outpatient primary care facility and a community-based setting in Hyderabad, India. The results of the study indicated that the hypertensive participants had a significantly higher level of knowledge about hypertension as compared to their normotensive counterparts. Participants in the older age-groups and women were found to have significantly better knowledge about hypertension as compared to their younger counterparts and men. Overall, the level of knowledge about hypertension, among the total study sample was found to be inadequate. Health education to increase awareness about hypertension should be imparted in schools, colleges, workplaces and primary care facilities to facilitate the early diagnosis and treatment of this health condition.

The Effect of Public Health Center-Based Hypertension School on Hypertension-related Knowledge, Self–efficacy, Anthropometric Value and Blood Pressure

This study is to identify the effects of hypertension management program at a community health center on the disease-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. This study is a quasi-experimental study using nonequivalence control group no-synchronized design in order to verify the effects of the hypertension management program at a community health center on the hypertension-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. The result indicated a significant difference between the experimental group and control group in the scores of hypertension-related knowledge (t=-4.25, p<.001), self-efficacy (t=-4.20, p<.001), systolic blood pressure (t=7.70, p<.001) and diastolic blood(t=5.91, p<.001), body weight(t=2.32, p=.026) and abdominal circumference(t=2.17, p=.036). The hypertensive patients' knowledge and self-efficacy were improved, and their weight and abdominal circumference as well as systolic blood pressure and diastolic blood pressure were reduced. Therefore, it was confirmed that multilateral approaches in terms of physical and psychosocial aspects only targeting hypertensive patients were required for managing hypertensive patients in local community.

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013⁻2016.

The rapid urbanization in China has brought with it some health benefits, but it also brought about a negative influence on the lifestyle of residents. We conducted this study to assess the change in hypertension-related knowledge and behavior from 2013 to 2016 among recently urbanized residents and determine their association with socioeconomic status (SES). This research used data from two cross-sectional studies conducted in Hezuo community in Chengdu, Sichuan province of China. A total of 2268 and 2601 individuals, respectively, participated and completed standard questionnaires. According to the results, the median (IQR) scores of health knowledge was 1 (0,3) and 3 (1,5), respectively, (p < 0.001) and the median (IQR) scores of health behavior was 6 (5,6) and 5 (5,6), respectively, (p < 0.001) in 2013 and 2016. The rate of sufficient knowledge increased from 8.8% to 18.1% (p < 0.001), while the rate of correct behavior decreased from 54.5% to 45.5% (p < 0.001) in three years. Logistic regression analysis showed that higher education was associated with sufficient hypertension-related knowledge (p < 0.05), and those with higher education, unemployment, and retirement were more likely to have sufficient behavior (p < 0.05). The impact of SES on knowledge was stable between 2013 and 2016. The behavior difference between the middle school educated and the illiterate increased from 2013 to 2016 (p < 0.05), and the behavior difference between the unemployed and manual workers decreased from 2013 to 2016 (p < 0.05). Our results revealed that hypertension-related knowledge improved with no corresponding improvement in self-reported behavior among recently urbanized residents from 2013 to 2016. Organizational strategy should be implemented to improve health education on knowledge, and what is more, translate knowledge into behavior. All these measures should be given more attention to the lower educated and manual workers among recently urbanized residents to eliminate the SES disparity.

Awareness on Hypertension and its Self-Management Practices among Hypertensive Patients in Pokhara, western Nepal

Hypertension is a condition that affects most of the population throughout the world and is a leading cause of morbidity and mortality. Hypertension-related knowledge and practice such as life style modification, physical activity, nutrition etc. plays an important role in controlling and preventing its long-term complications of hypertension. Therefore the purpose of the study was to find out the awareness of hypertensive patients about their own disease and self care practices. A cross-sectional descriptive study was done in the Pokhara sub metropolitan-13 (10% of total toles). Data was collected with all the respondents who were taking anti-hypertensive medicine of that area, which included 67 respondents. Data was collected from July to August, 2015 with structured interview schedule and data analysis was done by using SPSS version 16. Eighty six percent of the respondents were aware about hypertension. Most of the respondents (64%) belonged to the age group of 60 and above with mean age of 65.21±11.92 years, 60% were male, 71.6% were literate and 38.8% were diagnosed as hypertension since 1 to 5 years. Fifty two percent of the respondents have positive family history of Hypertension. The awareness regarding hypertension seems good but less self care practices among the study population was revealed. Therefore, efforts should be made towards improving the lifestyle modification of hypertensive patients through the initiation of motivational strategies and interventions such as free health camps, mobilization of Community Health Volunteers to encourage the public towards self care practices. Janapriya Journal of Interdisciplinary Studies, Vol. 6 (December 2017), page: 110-120

Prevalence of Hypertension and Associate Risk Factors among Workers at Hawassa University, Ethiopia: An Institution Based Cross Sectional Study

Background: Hypertension is a serious public health concern which alone is estimated to cause 7.5 million (12.8% of all causes of death) deaths per year and it doubles the risk of many cardiovascular diseases. Objectives: To assess the prevalence of hypertension, the associated risk factors and knowledge plus practice related to hypertension. Materials and methods: The study was conducted in January-March 2014. Using simple random sampling technique 620 participants were selected. Data were collected by structured questionnaire. Data were analyzed using SPSS version 16 computer software. Result: The response rate of the study was 99.6%. Majority, 61.7% (376), of the respondents were male and 47.8% (272) were aged 25-34 years. Among respondents 122 (19.7%) were found to be hypertensive either by systolic or diastolic blood pressure out of which 54 (44%) were found hypertensive by both. Out of 122 hypertensive persons, 45 (36.9%) did not know their hypertension status. Some 192 (31%) of the respondents had a BMI score of 25 and above out of which 41 (21.4%) were obese. Respondents whose BMI measures ranged from 25-29.99 and those who were 30 years old and above were at increased risk of hypertension AOR=3.8 (95%CI 1.22-12) and AOR=3.90 (95%CI 1.10-14.01), respectively. Conclusion: Prevalence of hypertension among the study subjects was significantly high and most of them didn’t know their hypertension status. The level of hypertension related knowledge and practice of protective healthy life style were very low calling for urgent intervention.

Prevalence and risk factors associated with hypertension in the Chinese Qiang population

ABSTRACTOur aim is to investigate the prevalence and risk factors associated with hypertension among the Chinese Qiang population. From September 2012 to March 2013, a cross-sectional study was conducted in urban and rural communities of the Qiang population using multistage cluster sampling. A total of 2676 people aged above 20 years were enrolled in the analysis. Standardized mercury sphygmomanometer was used to measure the blood pressure twice after a 10-minute seated rest, and the average blood pressure was obtained. The hypertension prevalence among the population aged above 20 years was 13.9%, and age-standardized prevalence was 12.3%. Male and female prevalence of hypertension, as well as the prevalence in urban and rural areas, all increased with age. There were no significant differences between males and females and between urban and rural residents. Among hypertensive patients, 44.2% were aware of their hypertension, 38.0% were undergoing antihypertensive treatment, but only 10.5% achieved blood pressure control. Multivariate logistic regression analysis showed that the risk factors of hypertension included age, low income, overweight and obesity, family history of hypertension. The prevalence of hypertension in Chinese Qiang adults is significantly lower than the national level. Awareness, treatment, and control rates of hypertension were low in the Qiang population. Thus, hypertension-related health knowledge should be more aggressively delivered to improve public awareness and the capacity of community health services should be strengthened.

지역사회 노인 고혈압 환자의 건강정보이해능력이 고혈압 자가관리행위에 미치는 영향

Objectives: This study thus set out to examine the health literacy and self-care behaviors of community-dwelling elderly patients with hypertension and investigate their relations and influential factors, thus providing basic data to develop a nursing intervention program to promote self-care behaviors among hypertension patients. Methods: The subjects include 180 hypertension patients using community health centers, public senior centers, and welfare centers in Jeju. Results: The subjects scored a mean of 49.8 (<TEX>${\pm}12.4$</TEX>) points on health literacy and 55.8 (<TEX>${\pm}6.7$</TEX>) points on self-care behaviors. In the results of hierarchical regression analysis, health literacy independently predicted self-care behaviors (<TEX>${\beta}=.12$</TEX>, p=.050) after controlling for general characteristics, hypertension-related knowledge and self-efficacy. Conclusions: These results suggest that interventions for improving health literacy are important to enhance elder's ability of self-care behaviors. It is necessary to understand the health literacy of elderly patients with hypertension before providing them with educational intervention and information and to develop appropriate educational materials and intervention programs.

Empirical research of the relationship between related knowledge, attitude and behavior of hypertension patients based on the structural equation model

To analyze the relationship among hypertension-relevant knowledge, attitude and behavior and to provide evidence for prevention of hypertension. Methods: A total of 5 861 employees with hypertension from 10 provinces were selected, and their data were collected by uniform questionnaires. The structural equation model was established by using LISREL version 8.7. Knowledge, attitude and behavior was set as latent variables, and the observed variables corresponding to latent variables served as explicit variables. The parametric estimation of the structural equation model is based on polyserial correlation coefficients and asymptotical covariance matrix. Results: Knowledge directly affected attitude, and the impact coefficient was 0.84; attitude directly affect behavior, and the impact coefficient was 0.38; knowledge showed indirect effect on behavior; the structural equation model fitted the data well. Conclusion: Hypertension-related knowledge significantly affect attitude, while knowledge and attitude showed slight effect on behavior. There were other factors that affected the patient's behavior. It was suggested that we should fully consider the factors for behavior in health education, and adopt more appropriate measures in hypertension control.

보건소 고혈압 건강교실 프로그램이 고혈압 환자의 고혈압관련 지식, 자가간호행위, 삶의 질 및 생리적 지수에 미치는 영향

보건소 고혈압 건강교실 프로그램이 고혈압 환자의 고혈압관련 지식, 자가간호행위, 삶의 질 및 생리적 지수에 미치는 영향

Men's Educational Group Appointments in Rural Nicaragua.

Men’s preventive health and wellness is largely neglected in rural Nicaragua, where a machismo culture prevents men from seeking health care. To address this issue, a men’s educational group appointment model was initiated at a rural health post to increase awareness about hypertension, and to train community health leaders to measure blood pressure. Men’s hypertension workshops were conducted with patient knowledge pretesting, didactic teaching, and posttesting. Pretesting and posttesting performances were recorded, blood pressures were screened, and community leaders were trained to perform sphygmomanometry. An increase in hypertension-related knowledge was observed after every workshop and community health leaders demonstrated proficiency in sphygmomanometry. In addition, several at-risk patients were identified and follow-up care arranged. Men’s educational group appointments, shown to be effective in the United States in increasing patient knowledge and satisfaction, appear to function similarly in a resource-constrained environment and may be an effective mechanism for reaching underserved men in Nicaragua.

고혈압 건강교실 프로그램이 고혈압 환자의 질병 관련 지식, 자기효능감, 자가간호행위 및 생리적 지수에 미치는 효과

Purpose: The purpose of this study was to examine the effects of hypertension health school program performed in a public health center located in Y-si. Most interesting were the effects on hypertension-related knowledge, self-efficacy, self-care behavior and physiological parameters for hypertensive patients. Methods: Nonequivalent control group pretest-posttest design was employed. 45 patients with hypertension living in Y-si were assigned into an experimental group (n=23) or a control group (n=22). Experimental group was provided with the 8-weeks hypertension health school program from April 7 to May 20 in 2014. Data were analyzed with SPSS/WIN 21.0 using descriptive statistics, x 2 -test, Fisher's exact test and t-test. Results: The result indicated a significant difference between the experimental group and control group in the scores of hypertension-related knowledge (t=-10.97, p<.001), self-efficacy (t=-4.56, p<.001), self-care behavior (t=-407, p<.001), physiological parameters including systolic blood pressure (t=2.18, p=.032) and diastolic blood pressure (t=2.74, p=.008) and cholesterol levels (t=5.04, p<.001). Conclusion: The conclusion of this study is that the hypertension self-help group program has a significant effect on the change of hypertension-related knowledge, self-efficacy and self-care behavior for hypertensive patients.