Introduction Hypertension is a non communicable disease with increasingly important medical and public health implications.
Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. This article has been cited by other articles in PMC. Abstract Background Hypertension control is a challenge globally.
Barriers to optimal control exist at the patient, physician, and Health practice among hypertensives system levels. Patient-related barriers in our environment are not clear. The aim of this study was to identify patient-related barriers to control of hypertension among adults with hypertension in a semiurban community in South-East Nigeria.
Methods This Health practice among hypertensives a cross-sectional descriptive study of patients with a diagnosis of hypertension and on antihypertensive medication. Results A total of participants were included in the survey, and comprised males The mean age of the participants was Among these patients, Finally, knowledge and practice of the lifestyle modifications necessary for blood pressure control was inadequate among the participants.
Conclusion Poor knowledge regarding hypertension, unrealistic expectations of treatment, poor adherence with medication, unawareness of lifestyle modification, and failure to apply these were identified as patient-related barriers to blood pressure control in this study.
Blood pressure, medication adherence, knowledge of hypertension, proteinuria, diabetes mellitus, lifestyle modification Video abstract Click here to view. Patient-related barriers include poor knowledge concerning hypertension and its consequences, 21 — 23 the side effects of antihypertensive drugs, 23 poor adherence with drug therapy a major factor2425 erroneous health beliefs, 2627 inability to make lifestyle changes, unrealistic expectations of treatment for example, expecting a cure28 and demographic factors eg, socioeconomic status, educational level, age, sex.
Further, an inefficient health care system 34 and low socioeconomic status 35 may present a barrier to blood pressure control, given that the inaccessibility of hospitals and high costs of screening and treatment may hinder optimal control of hypertension in the low socioeconomic groups.
This is necessary to maximize the therapeutic effects of these drugs and to reduce the morbidity and mortality associated with hypertension. A few have assessed the knowledge base of patients 40 and their adherence to medication, 40 — 42 but assessed the latter using nonvalidated tools developed by the researchers themselves for their own research purposes.
We therefore set out to identify patient-related barriers to hypertension control in a representative adult population of hypertensives in a semiurban area of South-East Nigeria. The findings of this study will add to the existing body of knowledge and help initiate concerted efforts towards curbing the rising prevalence of uncontrolled hypertension in our region.
Materials and methods Study design and site This was a descriptive cross-sectional questionnaire-based study carried out in Olokoro, a semiurban community in the Umuahia South local government area of Abia State, South-East Nigeria. The community is about 8 kilometers from Umuahia township, the state capital.
The inhabitants are predominantly Christians and most are traders or artisans with a few civil servants and farmers. Study population The study population included all adults with a previous diagnosis of hypertension made by medical personnel and on antihypertensive medication at the time of the study.
They were identified during a medical screening exercise carried out in Olokoro, Umuahia South local government area of Abia State, South-East Nigeria, from August 15 to 18, Sample size and sampling The proportion of patients adhering to their antihypertensive medication in a hospital-based study in Umuahia was However, patients were included to allow for attrition.
Inclusion and exclusion criteria Consenting adults aged 18 years or older with a previous diagnosis of hypertension made by medical personnel and on antihypertensive medication were included.
Patients with a psychiatric illness, an appearance of being chronically ill, or known hypertensive emergency were excluded.
Recruitment and data collection The subjects were recruited consecutively. A structured, pretested researcher-administered questionnaire consisting of five sections was used for data collection. The first section canvassed baseline demographic characteristics, including age, sex, educational level, occupation, and duration since diagnosis of hypertension, and social characteristics, ie, alcohol consumption and smoking.
The fourth section assessed adherence to antihypertensive medication using a validated eight-item scale designed for use in an outpatient setting. The face and content validity of the questionnaire was evaluated by a community physician, a cardiologist, and two resident doctors.
The questionnaire, written in English, was translated into the local dialect by an expert in that dialect. The translated format was thereafter translated back to English by a second party. The two English versions were then cross-checked for accuracy and consistency in the questions.
The interview was conducted in English and the local dialect using interpreters where necessary. Blood pressure was measured in the nondominant arm using a mercury sphygmomanometer Accoson, Health Care Equipment, Egham, UK in the sitting position after resting for 3—5 minutes.
Weight was recorded using a digital bathroom weighing scale. The subjects were instructed on how to collect a midstream urine specimen. Menstruating females and those with febrile illness or clinical features suggestive of urinary tract infection were excluded from urinalysis.Request PDF on ResearchGate | Knowledge, Attitudes and Practices on Hypertension in patients attending Family Practice Clinics | Objectives: To assess and compare knowledge, attitudes and.
Objectives: To assess and compare knowledge, attitudes and practices on hypertension (HTN) in patients with or without HTN attending a Family Practice Clinic. Knowledge, perceptions and practices of lifestyle-modification measures among adult hypertensives in Nigeria.
Author links open overlay panel S.O. Ike a P.N. Aniebue b U.U. Aniebue c. Show more. perception and practice of various lifestyle-modification measures. Feb 18, · The prevalence of traditional herbal medicine use among hypertensives living in South African communities Health care providers should however be more aware of THM use and counsel patients regarding the combination of prescribed treatment regimen and herbal medicines and the potential of herb-drug interactions.
The practice. Hampstead Health Practice, London, United Kingdom. 77 likes · 1 talking about this · 10 were here. Welcome Hampstead Health Practice offering support for 5/5(1). To understand current medication utilization patterns among hypertensives, this study compared NHANES III (–) and NHANES – data to examine trends and patterns of antihypertensive medication use among US adults with hypertension.