Hypertensive Clients Research Articles

Prevalence of Hypertension and Lifestyle Practices of Adults

Hypertension is a controllable sickness. It has been accounted for that focused decreases in individuals with hypertension are relied upon to create huge decreases in the weight of cardiovascular illness. As indicated by the seventh report of the Joint National Committee (JNC-7) on counteraction, identification, assessment and treatment of hypertension, appropriation of solid ways of life by all people is basic for the avoidance of hypertension. The aim of the study is to assess the knowledge of hypertension clients regarding lifestyle modification. The research design adopted for the study is a descriptive cross-sectional design. The setting of the study is selected in a rural area in Mapped. The sample size was consists of both Men 25 and Women 25 with the risk of hypertension and practices of hypertension. Non-probability sampling techniques will be used to collect the samples. Those who were having hypertension and practices of hypertension, rural area in Mapped. The tool was a structured questionnaire used to assess the knowledge of the prevalence of hypertension and lifestyle practices of adult. It was observed that the prevalence of hypertension among the rural adult population at mapped in Tamilnadu and was associated with age, gender, education, physical inactivity, alcohol consumption, and overweight and lifestyle practices.

Hubungan Tingkat Stres dengan Perilaku Pencegahan Stroke Pada Klien Hipertensi

This research aims to know the relation between stress level with the stroke prevention behaviour on hypertensive clients in East Denpasar I Primary Health Center, Denpasar City on 2018. The type of research used is non-experimental research with correlational type and cross-sectional approach by using non probability sampling with purposive sampling. The number of samples is 176 people. Data collection used DASS 42 questionnaires and the stroke prevention behaviour. The research result shows that the most stress level is normal (39,5%), the most stroke prevention behaviour is good (77,8%). Hypothesis test used spearman test with p value is equal to 0,000 (α is equal to 0,05) and r value is equal to -0,60. The conclusion: there is significant relation between stress level with stroke prevention behaviour on hypertension clients in East Denpasar I Primary Health Center.

Effectiveness of Figure of Eight walking on reduction of blood pressure among hypertensive clients

Hypertension is a crucial problem in developing countries where there is without treatment; it leads to serious and life-threatening causes. Hypertension is an "iceberg" disease. The current investigation intends to decide the adequacy of the figure of eight on the reduction of blood pressure among hypertensive clients. A Pre experimental one group pretest post-test design was used with (60) hypertensive client who falls into the inclusion criteria was selected by using purposive sampling technique which 30 in the experimental group and 30 in the control group. The demographic data and the structured questionnaires were collected in both the groups followed by that the pretest was conducted on 1st two days and after that, the intensity level of blood pressure in both the groups was assessed by using a sphygmomanometer (systole/diastole) Only in the experimental group the post-test (Level of Blood pressure) was evaluated on the 5th day. The investigation shows that in the pretest of the experimental group, 15(50%) had stage I hypertension, 14(46.67%) had stage II hypertension and 1(3.33%) had prehypertension. Whereas in the post-test, 21(70%) had prehypertension, 8(26.67%) had stage I hypertension and only 1(3.33%) had stage II hypertension. Thus, the study proves that figure of eight walking can be used as an effective nursing intervention for reducing the blood pressure among the hypertensive clients and it is an easily applicable technique and also causes effective method with no side effects.

Effectiveness of Daily intake of lemon juice along with walking decrease the level of Blood Pressure among Hypertensive Clients

Health is the level of functional or metabolic efficiency of a living organism. In humans, it is the ability of individuals or communities to adopt and self-managed, when facing physical mental or social changes. Hypertension is called as the "Silent Killer" because it is a disease that usually occurs without any symptoms. Lemon juice is also an excellent source of Arginine, the essential Amino acids that help lowering blood pressure. The present study aims to assess the effectiveness of Daily intake of lemon juice along with walking decrease the level of blood pressure among hypertensive clients between 40-70years. A quantitative quasi-experimental research design was conducted among 30 hypertensive clients who were selected by using non-probability convenience sampling technique. A structured interview was used to collect demographic data and hypertension was assessed by observational checklist. Pre-test was conducted before administering the lemon juice by observing the blood pressure level using Observed Checklist method among the hypertensive clients. The time for assessment varied from 15 - 20 minutes. The Lemon juice of 250ml was administered along with walking to the samples and immediately after 1 hour, post-test was conducted by observation checklist. The study finding clearly infers that there was a significant reduction in the level of hypertension in the post-test which clearly infers that intake of lemon juice along with walking proves to be effective in reducing the level of hypertension and improves the quality of life of the hypertensive clients.

A comparative study to assess the effectiveness of foot soak on decreasing blood pressure for hypertension clients with and without hypertensive medication

Hypertension is one of the primary source of death and incapacity among grown-ups. Hypertension is an inert issue in numerous individuals as it has a long asymptotic stage. The difficult itself has no clinical signs and indications until organ harm has occurred. Hypertension is the most well-known condition requiring deep-rooted medicate treatment in the western world. The National Heart, Lung and Blood Institute of USA has assessed that half of the individuals with hypertension are unconscious of the condition. The present study aims are to assess the effectiveness of foot soak on decreasing blood pressure for hypertension clients with and without hypertensive medication in a selected community area. The quasi-experimental design was used as a research design. Convenient sampling technique was used to select samples. A semi-structured interview was used to collect demographic data, and the BP chart was used to monitor the blood pressure of the patients. For the patients in the experimental group, foot soak was given. After 20 mins, BP was checked and noted in BP graph. The investigation results show that after the organization foot soak there was a noteworthy decrease in the post-test level of systolic BP and diastolic BP among hypertensive patients with and without hypertensive drug was highly significant at p<0.001 level. Foot soak is the simple and financially savvy approach to decrease pulse among hypertensive patients with and without hypertensive prescription.

The Effectiveness of Warm Water Soak Therapy on Feet and Classical Music Therapy on Blood Pressure of Hypertensive Clients at Puskesmas Ijen Bondowoso

Hypertension is one of the diseases that attack on the cardiovascular system. Management to overcome hypertension can use pharmacological therapy and nonpharmacological therapy. Non-pharmacological therapies for hypertension include soaking warm water on the feet and classical music therapy. This study aims to determine the effectiveness of warm water soak therapy in the feet and classical music therapy on hypertension client blood pressure. The research design used in this research is using Pre Post experimental design. Sampling techniques use simple ramdom sampling. The number of respondents in this study were 20 respondents for warm water bath therapy and 20 respondents for classical music therapy. The results of this study indicate that in systolic blood pressure there is a difference in the effectiveness of warm water soak therapy in the feet and classical music therapy with p value (0.036) α (0.05). Based on the mean value, it is known that warm water soak therapy on the foot has a mean systole value (150 mmhg) and mean diastole value (89.67 mmhg), while the mean value of sistole in classical music therapy (154.5 mmhg) and the mean diastole value of classical music therapy ( 92 mmhg) so that from the mean results the soak therapy in warm water on the feet is more effective in reducing blood pressure.

Family Coping Can Improve Interpersonal Nursing Interaction in Implementing Family Nursing with Hypertension

Family an important role for hypertension clients providing them with supports, care, and collaborates with nursing for home visit purposes. In fact, not all families have a adequate response when nurses carry out family nursing care. The purpose of this study is to analyze relationship between family coping and the nurse interpersonal interaction when delivering family nursing care for client with hypertension. This study use an observational analytic method. The samples are the nurses working at the Puskesmas of Surabaya District Health Office.The study uses multistage sampling, recruited 110 nurses in total. Variables include family coping and interpersonal interactions. It uses questionnaire for collecting information and the validity and reliability of the questionnaires have been tested. The result of statistical analysis of spearman rho showed that family coping can improve interpersonal nursing interaction (r score 0.382). Family is responsible for providing various facilities for client with hypertension. Families may acts as care givers and establishing good relationships with nurses and other health teams is crucial. Effective coping supports the success of family nursing care for client with hypertension. The Families are encouraged to maintain effective coping while maintained good communication and accepted hypertension clients in the family.

Effectiveness of calisthenics excersice on physiological parameter among hypertensive clients attending the out-patient department (OPD) in urban primary health center, Sakthi Nagar, Porur

Hypertension is the one of the leading causes of cardiovascular disease. In India, hypertension has become a major health problem. The prevalence of hypertension was 59.9 and 69.9 per 1000 in males and females, respectively in the urban population and 35.5 and 35.9 per 1000 in males and females respectively in the rural population. Regular physical activity reduces the blood pressure of hypertensive clients. Calisthenics are a form of dynamic exercise which is proved to be effective in hypertensive patients. The main objective of this study was conducted to assess the effectiveness of calisthenic exercise among hypertensive clients in urban primary health center, Porur. Quasi experimental approach and one group pre and post-test research design were adopted. The sample size was 30 clients with hypertension selected by using purposive sampling technique from urban primary health center; Porur. Pre-test was conducted to assess the physiological parameters. After that demonstrate the calisthenic exercise and instructed the client to do it for 2 weeks. After 2 weeks post-test was conducted and assess the same physical parameters. The study finding revealed that after following the calisthenic exercise among hypertensive clients post-test mean score of hypertension was 127.5 with standard deviation 11.352 was higher than the pre-test mean score of hypertension was 148.7 with standard deviation 9.090 hence there was statistically significant difference between pre-test and post-test. The calculated paired t test value of t = 7.971was found to be statistically highly significant at (p< 0.05) association between post-test and socio demographic variables. This clearly infers there is significantly the blood pressure is reduced in the post-test among clients with hypertension.

Drug adherence among adult hypertensives attending medical out-patient clinic in a tertiary hospital in Ogun State, Nigeria

Objective: The research aimed to estimate the level of drug adherence, to determine the reasons for non-adherence, and identify risk factors associated with non -adherence among adult hypertensive clients attending an out-patient clinic in Ogun State, Nigeria. Methodology: A descriptive cross-sectional study of adults with hypertension at a medical outpatient clinic in a tertiary hospital. Four hundred and four (404) respondents were selected from November 2015 to April 2016, a validated questionnaire by Morisky Green was adapted and distributed by trained research assistants. The chi-square test was used to compare categorical variables like sex, marital status, and clinic attendance among the two groups of adherent and non-adherent hypertensive. Information was summarized using frequency tables and cross-tabulations. Binary logistic regression analysis was done. The level of significance was set at 5%. Results: Optimal adherence was observed in 281(69.0%) of the respondents. Being a female (OR: 1.833; 1.048 -7.205, p=0.034), being employed (OR: 2.099; 1.097-4.096, p=0.03) and regular clinic attendance (OR: 22.26; 12.647 – 39.107, p&lt;0.001) were significantly correlated with optimal adherence. Forgetfulness (23, 9.9%), use of traditional medicines (42, 18.1%), lack of funds (59, 25.4%), and feeling well (60, 25.9%) were some of the reasons for suboptimal adherence Conclusion: The level of drug adherence among the respondents was good, especially among those that attend clinics regularly, those that are employed, and female respondents. Suboptimal adherence among the few respondents was due to forgetfulness, the use of traditional medicine, lack of funds, and stopping the use of drugs when they felt better.

Applying Health Belief Model among High Risk Hypertensive Clients

Background: Worldwide, recent reports indicate that more than one billion adults (more than a quarter of the world’s population) had hypertension, Aim: evaluation the effect of application (HBM) amongst high risk hypertensive clients. Research design: qausi experimental design was used. Sample: included ten percent of total number 910 of clients who attended on out-patient clinic in the previous year (214-2015). Setting: the study was conducted at out patients' clinic of medicine affiliated to the Ain Shams University Hospital. Tools: three tools were used to collect data; the first tool: was a self-administered questionnaire for assessing socio-demographic characteristics of clients, and their knowledge about hypertension. Second tool: (HBM) related to hypertension. Third tool: physically assessment health status of clients measured (BP, pulse, weight, height). Results: study indicated that more than half of hypertensive clients had unsatisfactory knowledge related to hypertension and near three fifth of them with higher percentage in female. Post health belief model application, there was highly significant improvement in clients knowledge, attitude, and blood pressure. Conclusion: the study proved that used of HBM as framework that guide and help improvement in client's knowledge, attitude, and health status. Recommendations: the study recommended that design and implement different educational programs based on HBM for hypertensive client's and regarding to needs assessment for hypertension (e.g.: definition, classification, causes, signs/symptoms, diagnostic methods, complication, methods of early detection of client's at high risk, management) to improve the rate of compliance by improving client's consequences. Counseling hypertensive client's every time whenever they visit to physician to improve the compliance to antihypertensive drugs, therapeutic lifestyle modification, and other needed self-cares to control hypertension. Design and disseminate related booklets and brochures to raise client's knowledge regarding hypertension (detect, treating, controlling) as well the community social support network. Utilize different media channels such as T.V., to raise population awareness regarding hypertension, prevention and intervention.

The differences in self-perceptions of aging, health-related quality of life and their association between urban and rural Chinese older hypertensive patients

BackgroundMost hypertensive clients are elderly, whose health-related quality of life (HRQL) may be associated with self-perceptions of aging (older individuals’ beliefs about their own aging). Meanwhile, culture and health disparities between rural and urban populations are substantial. Whether there are differences in self-perceptions of aging, HRQL, and their association among elderly hypertensive clients in urban and rural areas remains unknown. The objective of this study was to investigate and compare self-perceptions of aging and HRQL and their association among urban and rural older Chinese hypertensive clients.MethodsA cross-sectional investigation was conducted in 15 urban community clinics and 22 village clinics from Suzhou, China. Older hypertensive adults were invited to complete a self-administered questionnaire addressing socio-demographic and clinical information, HRQL and self-perceptions of aging.ResultsThere were 492 urban participants and 537 rural participants included in the analyses. The physical (40.0 ± 12.1 vs. 30.9 ± 8.9, P < 0.001) and mental (51.5 ± 8.3 vs. 46.0 ± 7.8, P < 0.001) HRQL scores of urban participants were all higher than those of rural ones. Urban participants’ scores on dimensions of “timeline cyclical”, “consequences negative”, and “control negative” of self-perceptions of aging questionnaire (APQ) were lower than those of rural participants (P < 0.001, respectively), while the scores on dimensions of “consequences positive” and “control positive” were higher (P < 0.001, respectively). Adjusted multivariate linear regression showed that participants who had worse self-perceptions of aging had poorer HRQL. Some APQ dimensions associated with urban or rural hypertensive elders’ HRQL were different.ConclusionsOlder hypertensive clients in rural areas have poorer self-perceptions of aging and HRQL than those in urban areas. Health care professionals should pay more attention to HRQL and self-perceptions of aging of older hypertensive clients in rural areas.

Health Behavior and Medication Adherence in Hypertensive Client

Hypertension as Non-Communicable Diseases (NCD) is the largest contributor to the causes of death in the world. Complications of hypertension account for the majority of deaths globally. Uncontrolled health behavior in patients with hypertension is closely related to an increase in morbidity rates due to complications from hypertension each year. Medication adherence is one of an effort to form positive health behaviors to prevent hypertension complications. This study aims to identify the relationship between health behavior with medication adherence in hypertensive clients in Cipayung District, East Jakarta. This study using cross sectional design, approach with 109 participants, who were selected by purposive sampling, are choosen primary hypertensive clients of middle adulthood. The results of the chi square test showed that there was a relationship between health behavior and medication adherence (p value: 0.024) 90% CI. The results of the study it can be concluded that the more positive the health behavior, the higher the adherence to taking medication in hypertensive clients. Community nurses have an important role in modifying the behavior of hypertensive patients with a variety of approaches both as individuals, families, and the public can maintain their health well-being.&#x0D; Keywords: hypertension; health behavior; medication adherence

A Study To Assess The Effectiveness Of Structured Teaching Programme On Knowledge Regarding Care of Hypertension Among Hypertensive Clients At Selected Urban Community of Davangere.

A Study To Assess The Effectiveness Of Structured Teaching Programme On Knowledge Regarding Care of Hypertension Among Hypertensive Clients At Selected Urban Community of Davangere.

Practices of Adults in a Periurban Community of the Ho Municipality on Prevention of Hypertension.

Background Hypertension remains a rising health threat among developing countries and it is due to poor knowledge and lifestyles. Integrated knowledge and practices are central towards the control of hypertension, especially in the developing world. Objectives This study assessed the practices of adults in a periurban community in the Ho Municipality of the Volta region on the prevention of hypertension. Methodology. A cross-sectional descriptive research design was carried out in a periurban community in the Volta region. Adults were recruited using a systematic sampling technique in the Ahoe community. Pretested questionnaires were used to collect information on sociodemographic, knowledge, and lifestyle practices regarding hypertension prevention. The data were entered into Microsoft excel 2013 spreadsheet, cleaned, and transported to the Statistical Package for Social Sciences (SPSS) version 22 software for analyses. The data were analysed using simple descriptive statistics. Results In this study, 49.3% explained that hypertension means the increased force of blood through the blood vessels as 90.8% indicated that taking antihypertensive medications can control hypertension. In describing the associated effects of hypertension, adults in the Ahoe community described the effects of hypertension as stroke (89.8%), heart attack (84.0%), diabetes (56.5%), and heart failure (82.3%). Also, 54.1% described hypertension as a lifelong disease while 55.8% indicated hypertension can be cured. Also, 92.2% identified exercising as an important factor in controlling hypertension as 32.7% use herbal preparations to control hypertension. Only 3.7% of adults in the Ahoe community were smokers and 54.5% smoked less than a year. The majority (61.6%) of the respondents did not drink alcohol as 69.7% engage in active exercises. Conclusion Education on hypertension should be intensified, and emphasis should be laid on regular exercised and strict dietary restrictions that ensure reduction in hypertension risk. Healthcare authorities should engage hypertensive clients to desist from the intake of herbal medications whose actual composition has not been scientifically determined.

Assess the effectiveness of cocoa powder in reducing cholesterol level among the hypertensive clients at the rural area, Medavakkam, Chennai

Hypertension is the major emerging disease of the present era which is combined with Hyperlipidemia which requires home based management to prevent the further cardiac complications. This study focuses on effectiveness of cocoa powder in reducing cholesterol levels among the Hypertensive clients at the rural area , Medavakkam , Chennai. The Objectives of the study were to assess the pre test and post test cholesterol level of Hypertensive clients in experimental and control group, to identify the effectiveness of cocoa powder on Cholesterol levels in experimental group and to associate the findings with the selected demographic variables. For the study , true experimental design was adopted. 60 samples with Hypertension with Blood Pressure above 140/90 mm Hg and Cholesterol above 200 mg/dl ( 30 – control group and 30 – experimental group) were selected by simple random sampling method. Cholesterol level was checked for the clients and Cocoa powder was administered for 15 days for the experimental group and the control group didn’t get any intervention and data were collected using structured interview schedule and the collected data were analyzed using descriptive and inferential statistics. The clients in the experimental group had good reduction in cholesterol level of about 10 mg/dl on the whole after the administration of cocoa powder regularly for the period of 15 days continuously. Comprehensive Health Education Programme regarding home based management and nutritional measures should be implemented and the further studies can be done with the large samples and urban community people.

Effectiveness of Lemon juice on reduction of blood pressure among hypertensive clients in selected rural community, Mangaluru

Effectiveness of Lemon juice on reduction of blood pressure among hypertensive clients in selected rural community, Mangaluru

Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients

Background: Conclusions/Importance.Indicators of hypertension can be seen through the blood pressure (BP) and heart rate (HR). Several attempts continue to be made to control BP and HR, such as progressive muscle relaxation (PMR) and slow deep breathing(SDB).&#x0D; Objectives:The purpose of this study was to analyze the effect of PMR and SDB to control BP and HR on the hypertension clients.&#x0D; Methods: The research utilized a quasi-experimental design with pre-post test nonequivalent control group. Sample of 91 respondents were selected during May-July 2016 through convenience sampling techniques. The researcher used parametric statistical regression multiple linear regression to analyze the effect of PMR, SDB, and combination of PMR and SDB on BP and HR.&#x0D; Results: In the intervention group, PMR, SDB, and combined PMR-SDB are given twice a day for four days. The results showed the influence of PMR,SDB,combinedPMR-SDBtechniquestoBPandHR(p&lt;0.05).PMRandcombined techniques (PMR-SDB) simultaneously and partially have a significant influence on BP and HR (p&lt;0.05). SDB simultaneously only have a significant influence on diastolic BP and HR (p&lt;0.05), but partially have a significant influence on BP and HR (p&lt;0.05).&#x0D; Conclusions: The research concluded that there is significant influence of PMR, SDB, and combined PMR and SDB on BP and HR. PMR and SDB programs need to be developed as independent nursing interventions on the nursing care of patients with hypertension.&#x0D;

Efektivitas Terapi Hinosis Lima Jari Terhadap Ansietas Klien Hipertensi Di Puskesmas Rawasari Kota Jambi Tahun 2017

Five-finger hypnosis is a movement that tightens and relaxes the muscles in one part of the body at one time which can present a relaxed condition physically and psychologically, by thinking of a pleasant experience (Keliat, 2011). Useful for giving inner peace to individuals. reduce anxiety, worry and anxiety, reduce tension and reduce blood pressure, lower heart rate and sleep soundly. This study aims to determine the effectiveness of five-finger hypnosis therapy against anxiety hypertension clients at Putri Ayu Health Center, Jambi City. Quasi experimental design pre-post test with without control. The sample was 33 people with a total sampling technique. The results showed that there was an effect of five-finger hypnosis therapy on anxiety in hypertensive clients (p value &lt;0.05). There was a decrease in anxiety after five finger hypnosis therapy was carried out. Five finger hypnosis therapy is recommended to be applied as nursing therapy in treating hypertensive clients with anxiety.

Lifestyle patterns on prevention of coronary artery disease among hypertensive clients, attending a tertiary hospital, Kathmandu

Background: Hypertension is one of the major risk factors for cardiovascular disease, especially for coronary artery disease. Healthy lifestyles will delay the progression of coronary artery disease.Objectives: To find out the life style pattern on prevention of coronary artery disease among hypertensive clients.Methodology: This is a descriptive; cross sectional research design based on quantitative approach. Non probability purposive sampling was used to select 202 respondents attending Outpatient Department at Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu. Data was collected by interview technique using semi-structured questionnaire by researcher herself. Descriptive and inferential statistics were used to analyze the data.Results: Findings of the study showed that 7.90% of hypertensive clients consumed ≥ 5 servings of fruits and vegetables per day, whereas 97.52% were engaged in vigorous intensity work and current tobacco and alcohol consumers were 28.57% and 33.80% respectively. Adherence to all four healthy lifestyle pattern (Diet, Physical Activity, Tobacco Use and Alcohol Consumption) was 32.7%, whereas more than half (58.9%) of the clients adhered to three lifestyle pattern. There was significant association between dietary pattern and economic status (p = 0.018) and ethnicity (p = &lt;0.001); and tobacco use and sex (p = &lt;0.001).Conclusion: Adherence to healthy lifestyle pattern of hypertensive clients was inadequate. Thus, health education and other interventions to promote healthy lifestyle pattern are suggested.

Assessing the Knowledge and Perception of Risk Factors to Heart Disease in Hypertensive Clients in Pune City

This study was undertaken to assess the knowledge and perception of susceptibility to heart disease in hypertensive clients in selected areas of Pune city (Maharashtra). Sample comprised of 150 subjects with hypertension. Non-probability convenient sampling technique was used for sample selection. The data collection tool consisted of three parts: demographic variables, questionnaire on heart disease and perception of heart disease scale. The result showed that only 25 percent participants had good knowledge and 43 percent had poor knowledge regarding heart disease. Mean perception score was 28.3 (SD 5.38). Score range from 16 to 42. Only 18 participants showed higher perception for susceptibility to heart disease in future. The study concludes that though all the participants are known case of hypertension, they do not have adequate knowledge about heart disease and they do not perceive the susceptibility to heart disease. There is a need to impart knowledge and improve risk perception among hypertensive clients.