Social Security Hospital Research Articles

Comparison of the general health level between the nurses working in the hospitals of Kurdistan University of Medical Sciences and Social Security Hospital in 2018-2019

Comparison of the general health level between the nurses working in the hospitals of Kurdistan University of Medical Sciences and Social Security Hospital in 2018-2019

Malnutrition-associated factors in patients hospitalized in an emergency surgical ward in a Peruvian social security hospital

Malnutrition-associated factors in patients hospitalized in an emergency surgical ward in a Peruvian social security hospital

Ethical predictability of patient safety in Iranian hospitals.

Receiving safe health care services is among the first rights of patients. Ethical predictability is influential to identify the patient safety concerns in hospitals. This study aimed to ascertain and compare ethical predictability of patient safety in selected hospitals in Mazandaran Province in Iran. A cross-sectional design was applied in the current study. By applying the multistage method for sampling, the statistical population consisted of clinical units of selected public, social security, and private hospitals. Out of the 18 public hospitals, five teaching hospitals, nine private and five social security hospitals, one hospital was randomly selected in Mazandaran Province from each cluster. In total, 938 patients participated in the study. Data entry and analysis was carried out by SPSS version 22 software. The results showed that ethical predictability in social security hospitals was higher than the results in private and public hospitals (p < 0.001). In addition, among the selected dimensions of ethical predictability of patient safety in the selected hospitals, blood management was the highest dimension. Safe drug management, error management, infection control, and safe clinical services were the middle priorities and management and leadership of patient safety had the lowest mean in the ethical predictability of patient safety in the selected hospitals in the province. Identifying the factors causing ethical predictability in order to improve patient safety and service quality, is of great help to managers and authorities in the field of health services. Such awareness helps managers to consider these factors in all decision making processes.

Use of ethical predictability in respect for human rights in Iranian hospitals with a 360-degree approach

PurposeRespect for human rights is one of the most important criteria for the delivery of medical care in hospitals. Ethical predictability is useful to identify human rights concerns in health-care organizations. The hospital environment and the flow of its processes make the topic of predictability much more sensitive and, at the same time, more difficult than other organizations. The purpose of this paper is to determine and compare the ethical predictive factors in selected hospitals in Mazandaran province.Design/methodology/approachThis cross-sectional survey using multilevel sampling (four hospitals, 938 patients, 186 staff) was conducted in the first half of 2017. The measurement instrument was a researcher-made questionnaire consisting of seven areas of service recipients’ rights, patient safety, patient satisfaction, human resources, governance, organizational and financial commitments. The analysis of the collected data was performed through SPSS V. 22 and one-way ANOVA and post hoc Tukey’s tests.FindingsEthical predictability was higher in social security hospitals compared to private and public hospitals, and patient safety and patient rights showed higher magnitudes compared to other dimensions. Financial domain, patient satisfaction, governance and organizational commitment formed the middle priorities in ethical predictability, and human resources had the least average in ethical predictability in the selected hospitals in the province.Originality/valueIdentifying the factors which influence ethical predictability, in addition to promoting service recipients’ rights and patient satisfaction, is of great help to the managers and health service authorities, so that they can have a better understanding of these factors and, consequently, make appropriate micro and macro-decisions to provide better services.

Mention the Treatment of Anger in Hospitalized Patients in the CCU department of Social Security Hospitals of Golestan Province

Background: Anger is one of the worst negative predictions in cardiac patients. Therefore, this study aimed to cure the anger of patients admitted to the Cardiac Care Unit. Method: This quasi-experimental study was performed on 60 cardiac patients admitted to the heart care unit in a non-randomized sampling method in two groups (n = 30) and control (n = 30). In the test group, four to five times a day, the patient whispered to Allah Akbar or the prayers of Hazrat Zahra. In the control group, routine care was performed. The instrument for collecting information was anger questionnaire which was completed by self-report method before and after the intervention by the patients. The results were analyzed by inferential statistics (T-test, T-test and Independent T-test). Result: Paired t-test showed a significant difference in the test group before and after the intervention (P &lt;0.01). But in the control group there was no significant difference (P = 0.92). Independent t-test before intervention in the control and experimental group did not show a significant difference (P = 0.22), but this test showed a significant difference after the intervention (P = 0.006) Conclusion: Considering the effectiveness of the therapeutic approach to reducing the rate of anger in heart patients, this non-therapeutic method can be used to reduce stress and psychological disturbances in patients and to increase the compatibility and relaxation of patients.

Annual Analysis (2018) of the Kidney Transplant Waiting List of a Social Security Hospital in Veracruz, Mexico

BackgroundIn Mexico during 2018, 15,072 patients were waiting for a deceased donor kidney transplant, and 969 deceased donor kidney transplants were performed. There is no annual data report of the waiting list activity in Mexico. Herein, we analyzed our kidney transplant waiting list activity in 2018. MethodsWe performed a waiting list analysis in our unit during 2018. Patient and status characteristics (active, deceased, inactive, or transplant) were registered. Differences between status were determined. A P < .05 was considered statistically significant. ResultsIn total, 467 patients were waiting, and 74 patients were included on the list (57.7% male, mean age 38.5 ± 11.3 years and mean BMI 24.9 ± 4.7 kg/m2); 92.8% were state residents. The most common end-stage renal disease diagnosis was unknown (40.9%). In total, 94.9% were on dialysis (mean time 5.1 ± 3.14 years), and for 90.9%, this was the first transplant. PRA class I and class II were 19.9% ± 30.6% and 12.9% ± 27.1%, respectively. Mean EPTS was 19.8% ± 9.4%. Mean waiting time was 2.88 ± 2.3 years. In total, 21 deceased donor patients (3.9%) were transplanted; 57 (10.5%) patients had an inactive status, and 3 (0.6%) received a living donor kidney transplant with a proven mortality of 1.8% (n = 10). Patients who underwent deceased donor transplant were younger and had more time on dialysis, lower PRA class I, and more time on the waiting list (P < .05 by analysis of variance). ConclusionThere are more patients included on the list than patients off the list. There are significant differences between patients who received a transplant and inactive and active patients that needs to be shortened.

Improving nurses' organizational commitment by participating in their performance appraisal process.

To promote the nurses' organizational commitment by their participation in the improvement of the performance appraisal process. Organizational commitment is one of the factors that secures safe and high-quality care of patients. It also enhances motivation among nurses, which affected by various factors such as performance appraisal. A participatory action research study was undertaken (March 2015 to February 2018) with 39 intensive critical care nurses and nurse managers in Social Security Hospital in Iran, using a complete enumeration sampling method. The data were collected using organizational commitment and job satisfaction questionnaires, focus groups, semi-structured interviews and Delphi technique. Three major themes emerged including inappropriate performance appraisal system, inefficient instruments and unskilled evaluators. There were significant differences between organizational commitment and job satisfaction with performance appraisal process before and after the change in appraisal process. Nurses' involvement in revising and improving the process of their performance appraisal leads to higher commitment. Maintaining a committed nursing workforce is vital for high-quality health care. Nurse Managers can improve the process of nurses' appraisal to make more motivation among them and prevent some problems such as job dissatisfaction.

Characteristics Of The Non-Urgent Demand In The Emergency Service Of A Social Security Hospital In Peru

Characteristics Of The Non-Urgent Demand In The Emergency Service Of A Social Security Hospital In Peru

Branchial Cysts in Quito, Ecuador.

Introduction Branchial cleft anomalies are the second most common congenital anomaly in children. However, some lesions may not develop clinically and are not diagnosed until adulthood. The recent literature of branchial cysts (BCs) in the adult population is really scanty. For this reason, we analyzed the clinical and surgical management of the adult population treated for a BC at a tertiary care general hospital. Methods A retrospective review of the clinical records of all the patients with histological diagnosis of BC who were surgically treated at the Social Security Hospital in Quito, Ecuador, was performed. Fifty-one patients (27 women) with congenital anomalies of the 2 nd (43 patients with cysts) and 3 rd (6 patients with cysts and 2 with fistula) branchial arches were diagnosed and treated. Diagnosis was made on clinical grounds and by computed tomography scan. Results The 43 patients with a 2 nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3 rd branchial cleft cyst underwent surgical resection through a lower-neck transverse incision, and the 2 patients with clinical fistula in the lower aspect of the neck were operated on via an elliptical incision around this external fistula opening. Postoperative evolution was uneventful in all patients. Conclusions Branchial cysts can occasionally be diagnosed in adult patients in the setting of a general hospital population. A correct clinical and imaging assessment was diagnostic in most patients. Complete surgical resection was curative in all our patients, and postoperative complications were exceptional.

Localization of the Picker's Patient-Centered Care Model in Isfahan's Social Security Hospitals

Introduction and Objectives: Nowadays, patient-centeredness is considered as a global issue, and according to American Medical Institute, it is one of the main components of the quality of health care. The purpose of this study was to localize Picker's patient-centered care model in Isfahan’s Social Security Hospitals. Study Design: The study design was descriptive, applied and cross-sectional since it was conducted at one point of time (May-August 2018) among 300 experts from Isfahan’s Social Security Hospitals. Methods: Initially, after studying different patient-centered models, the American Picker Institute model was selected. Then, using a questionnaire, expert judgment, descriptive and inferential tests, SPSS and AMOS software, a localized model was designed and implemented. Results: In this study, a model was developed with eight main domains and 59 components. Among the dimensions of the model, providing information and education to the patient (0.934) had the highest factor load, while the respect for the patient's choice (0.585) showed the minimum factor load. Among its components, the cleanliness of the WCs for patients (0.849), training of post-discharge services especially in emergency situations (0.829), and regular provision of nursing services to the patients (0.815) had the highest factor load. Conclusion: Presenting a native model can be a rational tool for assessing organizational performance. In addition to child-friendly hospitals, maternity-friendly hospitals and safety-friendly hospitals, patient-centered hospitals should also be considered. Also, by implementing a patient-centered nursing care method, one can provide the necessities of implementing it in hospitals.

Sindrom izgaranja na poslu kod terapeuta zaposlenih u bolnicama različitog tipa vlasništva u Iranu

As a complex and multidimensional problem, the occupational burnout causes absence, dissatisfaction, badtemper, physical and emotional exhaustion and displacement. This study aimed to investigate the levels of occupational burnout and its components in Mazandaran's hospitals by the kind of their ownership. This descriptive-analytical study was conducted as a cross-sectional research in 2018. The research population included all 2,850 therapeutic employees working in two teaching hospitals, one therapeutic hospital, one social security hospital and one private hospital, all located in Mazandaran province, Iran. In total, 569 questionnaires were completed; the research instrument was the Persianversion of Maslach Burnout Inventory (MBI). Data were analyzed in SPSS 22 by applying statistical approaches with p &lt; 0.05. The private hospital had the highest mean rate of emotional exhaustion (44.69 ± 8.50). The social security hospital had the highest mean rate of depersonalization (25.47 ± 4.59). Considering the reduced personal accomplishment, as a component, the private hospital had the highest rate (30.24 ± 7.16). The highest and lowest mean rates of occupational burnout were observed with the private hospital (95.48 ± 16.71) and teaching hospitals (85.25 ± 15.34). The difference was significant between the studied hospitals in this regard (p &lt; 0.001). As the private hospital had a higher rate of occupational burnout than therapeutic, teaching, and social security hospitals, the managers of the private hospital can focus on removing various tensions in the workplace and preventing heavy work length as well as compensating for a pay decrease.

Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial.

Background & Objective:Routine physiotherapy has been advocated was an effective treatment for internal shoulder impingement syndrome. However, there is lack of best exercise treatment and lots of studies are under consideration. The objective of the study was to compare the effects of Neuromobilization and routine physiotherapy on pain in patients having shoulder internal impingement syndrome.Methods:This is a single blinded randomized control clinical trial that was conducted at Social Security Hospital Gujranwala in which 80 patients with SIS were participated. The duration of study was from September 2016 to March 2018. Patients were recruited after giving an informed consent and were randomly assigned to either control or experimental group which was treated with routine physiotherapy and routine physiotherapy plus neuromobilization respectively; pain was assessed by Numeric Rating Scale at base line, 5th and 11th week.Results:The experimental group compared with control group at 11th week had lower mean pain score 2.15(1.66-2.64) vs 4.90(4.41-5.40); between group difference, 1.82; 95% (CI), -2.38 to -1.25; P < 0.001 and Partial Ŋ2=0.33. These results show that pain score is much improved in experimental group.Conclusion:Neuromobilization along with physical therapy is more effective as compared to physiotherapy alone.

Correlation between waiting time and satisfaction among those attending outpatient departments of a tertiary care social security hospital, Faridabad, Haryana

Background: Patient satisfaction has been an area of interest among hospital administrators. One of the reasons of this perception quoted in the literature is waiting time and time spent with the service provider. Objective: The objective of this study is to calculate the self-reported waiting time and time spent for consultation and diagnostic procedure among those attending the outpatient departments (OPDs) at Employees State Insurance Corporation, Medical College and Hospital, Faridabad, and second whether this waiting time is a predictor of patient satisfaction. Methodology: A cross-sectional study was conducted in a tertiary level health center which caters to the insured population under the Employees State Insurance Scheme from June 2018 to August 2018. This study was conducted on 265 patients and attendants (age ≥18 years) attending the OPD from 10 a.m. to 01 p.m. The study population was stratified from three points (OPD, laboratory, and pharmacy). Multiple Linear Regression (MLR) model was run to identify whether waiting time was an independent predictor of satisfaction after accounting for confounders. Results: Median time taken by the study population from registration till visiting doctor was 50 min (interquartile range [IQR]: 60). The median time spent with doctor was 5 min (IQR: 5) at laboratory and pharmacy was 10 and 3 min, respectively. The total score for satisfaction ranged from 38 to 79 with a mean score of 61.256 (±2 standard deviation; 8.293). The MLR analysis revealed that the time taken from the laboratory or OPD to pharmacy for taking drugs and time spent in the laboratory had impact on satisfaction. (s = 0.273, P = 0.03 and s = 0.247, P = 0.03, respectively). Higher level of education was associated with lower satisfaction level in the current study. Conclusion: It is needed to focus upon the time spent with the patients by the doctors and the number of staff posted at a point of care who are actually working.

Access to paediatric cancer care treatment in Mexico: responding to health system challenges and opportunities.

In Mexico, paediatric cancer is the leading cause of death for children aged 0-18 years. This study analyses the main challenges for paediatric cancer care from the perspective of three key health systems functions: stewardship, financing and service delivery. The study used a mixed methods approach comprised of: (1) a scoping literature review, (2) an analysis of 2008-18 expenditures on paediatric cancer by the Fund for Protection against Catastrophic Expenditures (FPGC) of Seguro Popular and (3) a nation-wide survey of the supply capacity of 59 Ministry of Health (MoH) and 39 Mexican Institute of Social Security (IMSS) hospitals engaged in paediatric cancer care. The study found that while Mexico has made substantial progress towards universal health coverage (UHC) for paediatric cancer treatment, serious gaps persist. FPGC funds for paediatric cancer increased from 2008 to 2011 to reach US$36 million and then declined to US$13.6 million in 2018, along with the number of covered cases. The distribution of health professionals and paediatric oncology infrastructure is uneven between MoH and IMSS hospitals and across Mexican regions. Both institutions share common barriers for continuous and co-ordinated health care and lack monitoring activities that cripple their capacity to apply uniform standards for high-quality cancer care. In conclusion, achieving universal and effective coverage of paediatric cancer treatment is a critical component of UHC for Mexico. This requires periodic and ongoing assessment of health system performance specific to paediatric cancer to identify gaps and propose strategies for continued investment and improvement of access to care and health outcomes for this important cause of premature mortality.

Leadership effectiveness of hospital managers in Iran: a qualitative study

Purpose The purpose of this paper is to investigate the factors influencing the leadership effectiveness of hospital managers in Iran. Design/methodology/approach Top managers (15), middle managers (10) and operational managers (5) of public, private or social security hospitals in Tehran participated in a qualitative study using semi-structured in-depth interviews. Data were recorded, transcribed and then analyzed via MAXQDA 10 software. Findings The findings were categorized into two main themes of internal and external factors with eight sub-themes. The most important internal factors that had an influence on the leadership of the hospital managers were intra-organizational relations, manager’s personality traits, knowledge, attitude and skills of the manager. The most important external factors included extra-organizational relations, macro-level health policies, access to special financial resources, and social, economic and political factors. Research limitations/implications The results call for a need to understand and analyze the socioeconomic factors influencing managers’ leadership while adopting appropriate strategies. Practical implications The results of the current study can help design training programs for hospital managers, and suggest criteria for appointing hospital managers across the country and this can enhance the effectiveness of their leadership. Health sector policymakers and decision makers should reform the programs that target training and empowerment of hospital managers so that the right people with the right competencies will hold such positions. Social implications The results of this study showed that leadership effectiveness is also influenced by social and external factors. On the other hand, the effectiveness of management leadership can play a significant role in the quality of care provided to the community, patient satisfaction and in hospital social performance through the appropriate management of all hospital resources. Such factors should also be considered in training and appointing hospital managers. Originality/value Although there are several studies on hospital managers’ leadership worldwide, this study is the first to investigate the leadership effectiveness of hospital managers in Iran.

Impact of patients’ safety rights and medical errors on the patients’ security feeling: a cross-sectional study

Purpose The regulation defines patients’ rights as a reflection of fundamental human rights in the field of medicine and incorporates all elements of patients’ rights accepted in international texts. Hence, the purpose of this paper is to investigate the relationship between patients’ safety, medical errors and patients’ safety rights with patients’ security feeling in selected hospitals of Mazandaran Province, Iran. Design/methodology/approach This descriptive cross-sectional study was conducted in selected hospitals of Mazandaran Province in public, social and private hospitals in 2016. In total, 1,083 patients were randomly selected for the study. The developed tool (questionnaire) was used for data collection. Questionnaire validity was verified through experts and its reliability was confirmed by Cronbach’s α coefficient (95 percent). Data were analyzed through multiple regressions by SPSS software (version 21). Findings The findings of this paper showed that the mean (standard deviation) medical error, patient’s safety, patient’s rights and patient’s security feeling were 2.50±0.61, 2.22±0.67, 2.11±0.68 and 2.73±0.63, respectively. Correlation testing results showed that medical error, patient’s safety and patient’s rights simultaneously had a significant relation with patient’s security feeling in the selected hospitals (p&lt;0.05). Originality/value A simultaneous correlation between patient’s safety, patient’s rights and medical errors with patient’s security feeling in social security hospitals was higher than other hospitals. Hence, the authorities and officials of hospitals and healthcare centers were advised to make effective attempts to perceive the patient’s safety, medical errors and patient’s rights to improve the patient’s security feeling and calmness and also to make better decisions to promote the healthcare and therapeutic services.

Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment.&#x0D; Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln &amp; Guba’s criteria were used to secure data accuracy and stability.&#x0D; Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”.&#x0D; Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions.&#x0D; Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311

Urticaria aguda y tratamiento ambulatorio indicado en emergencia de dos hospitales de atención pediátrica

La urticaria aguda es una dermatosis frecuente, se calcula que ocurre en 20% de la población mundial. La tasa de prevalencia varía de acuerdo con la población de cada país entre 3.4 y 6.4%. En Honduras en el Instituto Hondureño de Seguridad Social (IHSS), la urticaria aguda es la cuarta causa más frecuente de dermatosis en consulta externa dermatológica pediátrica. Objetivo: Determinar las características clínicas-sociodemográficas y el manejo en salas de Emergencia del Hospital Nacional Mario Catarino Rivas (HNMCR) y IHSS ambos hospitales en SPS, en el período enero 2016–julio 2017. Pacientes y Métodos: El diseño de la investigación fue transversal observacional, con alcance descriptivo. Se incluyeron 83 pacientes en edad pediátrica con diagnóstico de urticaria aguda, evaluados en las emergencias del IHSS y HNMCR. Resultados: El grupo etario y raza afectados fueron los lactantes menores 68.67% (n=57) y raza mestiza 86.75% (n=72). No tenían antecedentes inmunoalérgicos 63.86% (n=53). El alimento relacionado con urticaria fue el huevo 9.64% (n=8) y entre los medicamentos; los antibióticos 23.08% (n=19). El tratamiento administrado con mayor frecuencia fue la doble terapia 65.21% (n=30) y se ingresaron 17 pacientes (20.48%). Conclusión: El manejo terapéutico y los criterios de ingreso utilizado en el servicio de emergencia no siguen los lineamientos de guías internacionales.&#x0D; Palabras claveUrticaria, Angioedema, Niño.

04:12 PM Abstract No. 61 Medical malpractice related to inferior vena cava filter placement: how commonly are interventional radiologists named in cases?

Inferior Vena Cava (IVC) filters are commonly placed in patients who are unable to be anticoagulated. Though relatively safe, such procedures are not without risks. Complications may occur and patients may seek legal redress. There remains only a paucity of data understanding IVC filter litigation. The aim of this study was to analyze malpractice trends regarding IVC filter placement across the USA. Westlaw Next, an online legal research dataset with publicly available records throughout the USA was queried. Using the terms medical malpractice and IVC filter complications, we searched all jury verdicts and settlements focusing on IVC filter complications including: filter migration, filter fracture, embedded filter hook, and filter malposition. Social security disability claims and hospital employment contract disputes were excluded from the analysis. Factorial data collection included: patient demographics, physician specialty, alleged reason for the malpractice claim, outcome(s) of trial and awarded payment, procedural characteristics, indication for placement of IVC filter, state demographics and type of IVC filter placed. The search criteria yielded 36 case briefs for initial review; 14 cases were included after application of exclusion criteria. The most common alleged reason for malpractice litigation was damage to surrounding structures (62%). Overall 86% of cases were decided in favor of the defendant. Plain jury verdict and settlement sum was reported for one case, as a plaintiff victory of $3.64 million. Interventional radiologists were involved in only 17% cases, with both cases decided in favor of the defendant. Surgery as a combined group were involved in 50% of cases. The filter manufacturer was sued in 21% of cases, with physicians sued in 36% of cases. IVC filter medical malpractice litigations require a more in-depth analysis in light of recent media attention. Public awareness of complications related to IVC filter placement has increased secondary to recent advertising and marketing by plaintiff attorneys. Most cases were decided in favor of the defendant, with interventional radiologists playing a minor role in lawsuits.Tabled 1SpecialityNumber of LitigationsInterventional radiology2Bariatric surgeon1Cardiovascular surgeon1 (plaintiff awarded)General surgeon1Trauma surgeon1Diagnostic radiology2Internal medicine2Thoracic surgery1Vascular surgery1 Open table in a new tab

HYPERTENSION;

Background and Objectives:Asymptomatic nature of hypertension (HTN) has made it a silent killer. The better understanding of the underlying causes or factors can be beneficial in reducing the mortality and morbidity rate. Thus, the present study aims to determine the risk factors associated with HTN among adults and elderly patients visiting outpatient departments (OPDs) and the knowledge of patients about their health status. Study Design: Cross-sectional study. Setting: Outpatient departments (OPDs) of four tertiary care hospitals (Nishtar hospital, Khawaja Farid Social Security hospital, Railway hospital and Bakhtawar Amin Memorial hospital) of Multan, Pakistan. Period:1st May 2017 and 31st October 2017. Patients and Methods:364 patients (≥18 years−≥60 years of age) in OPDs of four tertiary care hospitals of Multan, Pakistan. Data regarding demographic details, medical history and blood pressure measurements were collected on a structured questionnaire. Data were analyzed by using Statistical Packages for Social Sciences (IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.) and Microsoft Excel (MS Office 2010).Result: Overall 38.7% of the participants were suffering from HTN. Most of them were 40-59 years of age and had body mass index (BMI) &gt;23 kg/m2. Bivariate analysis (p-value &lt;0.005) showed a significant association of age, marital status, gender, weight, and physical activity with HTN. Conclusion: The major determinants of HTN include increase in age, obesity, sedentary lifestyle, genetics, diabetes mellitus (DM) and lack of health concerns. Although patients are knowledgeable of their poor health status but make little or no efforts in controlling and preventing HTN.