DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20191593

Knowledge, attitude and practice of hypertension among hypertensive patients in a tertiary care teaching hospital

Rajan J., Sakthibalan M., Gerard Marshall Raj, Mangaiarkkarasi A.

Abstract


Background: Hypertension is a chronic disease and an important risk factor for cardiovascular complications. The increase in prevalence of hypertension is attributed to age of population, urbanization, sedentary habits, lack of physical activity, obesity, alcohol consumption and exposure to continuous stress. Regular anti-hypertensive medications can reduce the long-term risk of cardiovascular morbidity and mortality. This study was done to assess the knowledge, attitude and practice regarding hypertension and to assess the drug compliance in hypertensive patients.

Methods: This study was a cross sectional questionnaire based, conducted among 200 hypertensive patients attending hypertension clinic (Department of Medicine) of Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, India from October to December 2018. A close-ended questionnaire was given to the patients, which comprised of 16 questions on knowledge (5), attitude (5) and practice (6). Data was analyzed and expressed in descriptive statistics.

Results: The commonly prescribed anti-hypertensive medications were calcium channel blockers (79%) and β blockers (26.5%). Knowledge regarding hypertension, normal BP, symptoms and complications was 74%, 54.5%, 41.5% and 37.5% respectively. Positive attitude regarding regular medications, role of drugs, diet control, salt restriction and physical activity was found in 94%, 40.5%, 74%, 76% and 67% respectively. Regular BP measurement, follow up, salt restriction and exercise were practiced by 77%, 77%, 72% and 9% of patients respectively.

Conclusions: Present study reflected a lack of knowledge among hypertensive patients regarding normal BP, symptoms and complications. A positive attitude and practice were observed among the patients except for practice of regular exercise. Hence, emphasize on awareness about symptoms, complications and importance of physical activity should be improved particularly among male patients.


Keywords


: Attitude, Calcium channel blockers, Hypertension, Knowledge, Practice

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References


Naveen B, Mahaboojan M, Padmanabha YR, Narayana G. Impact of clinical pharmacist mediated patient counselling on health-related quality of life in hypertensive patients. Ind J Pharm Prac. 2014;7(1):34-40.

Roopa KS, Rama Devi G. Impact of intervention programme on knowledge, attitude, practices in the management of hypertension among elderly. Studies Home Comm Sci. 2014;8(1):11-6.

Bollampally M, Chandershekhar P, Kumar K, Surakasula A, Srikanth S, Reddy T. Assessment of patient’s knowledge, attitude and practice regarding hypertension. Int J Res Med Sci. 2016;4(6):3299-04.

Durai V, Muthuthandavan AR. Knowledge and practice on lifestyle modifications among males with hypertension. Ind J Comm Heal. 2015;27(1):143-9.

Kumar SK, Singh AB, Asem P. Prevalence, awareness, treatment and control of hypertension in urban communities of Imphal, Manipur. IJIMS. 2015;2:61-70.

Rashidi Y, Manaflouyan H, Azar FP, Nikniaz Z, Nikniaz L, Ghaffari S. Knowledge, attitude and practice of Iranian hypertensive patients regarding hypertension. J Cardiovascul Thoracic Res. 2018;10(1):14.

Durai V, Muthuthandavan AR. Knowledge and practice on drug compliance among males with hypertension. Int J Comm Med Pub Heal. 2017;3(6):1424-30.

Shrestha S, Adhikari B, Poudel RS, Thapaliya K, Kharal T, Bastakoti M, et al. Knowledge, attitude and practice on hypertension among antihypertensive medication users. J Nepal Med Assoc. 2016;55(204):86.

Mahajan H, Kazi Y, Sharma B, Velhal GD. Assessment of KAP, risk factors and associated co-morbidities in hypertensive patients. IOSRJDMS. 2012;1(2):06-14.

Shaikh MA, Yakta D, Sadia K, Kumar R. Hypertension knowledge, attitude and practice in adult hypertensive patients at LUMHS. JLUMHS. 2012;11(02):113.

Bhattacharya S, Thakur JS, Singh A. Knowledge attitude, and practice regarding dietary salt intake among urban slum population of North India. J Fam Med Primary Care. 2018;7(3):526.

James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.

Bhatia S, Khanka BS, Singh D, Shankar P, Tutu S, Lakhani P. Study of knowledge, attitude and practice of general population of Lucknow towards hypertension. WIPPS. 2015;4:10.

Bhat B, Shenoy J, Dutt A, Kumar S, Kalpana B, Bhat S, et al. Influence of dietary habits on blood pressure in preadolescent boys of Coastal Karnataka. National J Physiol Pharm Pharmacol. 2013;3(1):9.

Sabouhi F, Babaee S, Naji H, Zadeh AH. Knowledge, awareness, attitudes and practice about hypertension in hypertensive patients referring to public health care centers in Khoor and Biabanak. Iran J Nursing Midwifery Res. 2011;16(1):34.

Bollu M, Nalluri KK, Prakash AS, Lohith MN, Venkataramarao N. Study of knowledge, attitude, and practice of general population of Guntur toward silent killer diseases: Hypertension and diabetes. Asian J Pharm Clin Res. 2015;8(4):74-8.

Datta S. Utilization study of antihypertensives in a South Indian tertiary care teaching hospital and adherence to standard treatment guidelines. J Basic Clin Pharm. 2016;8(1):33.

Shah AJ, Singh V, Patil SP, Gadkari MR, Ramchandani V, Doshi KJ. Factors affecting compliance to antihypertensive treatment among adults in a tertiary care hospital in Mumbai. Indian journal of community medicine: official publication of Ind Assoc Prev Social Med. 2018;43(1):53.

Ahmad S, Ahmad T. Assessment of knowledge, attitude and practice among hypertensive patients attending a health care facility in North India. Int J Res Med. 2015;4(2):122-7.