Attitude and self-care practice on hypertension among antihypertensive medication users in a tertiary care hospital Nepal

Abstract

Background: Hypertension a “silent killer” is a serious global health problem, whose prevalence is increasing in Nepal. Objective: This study aimed to determine the attitude and practice of hypertension among anti-hypertensive medication users in a tertiary care teaching hospital in western Nepal. Methodology: A hospital-based cross-sectional study design was used among 136 hypertensive patients under medication, aged ⩾ 30 years, and visiting medical outpatient department, medical ward, and geriatric ward, using a non-probability convenience sampling technique. Semi-structured questionnaires were used for data collection through interviews. Descriptive and inferential statistics were used, and a p value < 0.05 was considered statistically significant. Results: Most of the patients were male (56.6%), mean ± standard deviation age was 56.74 ± 12.58. Majority of them were Hindu (69.9%), upper caste people (29.4%), illiterate (22.1%), and house maker (27.2%). Half of the patients (50.7%) had a positive attitude and more than half (52.2%) had performed adequate self-care practice. Selected variables such as educational status and dietary pattern and attitude were significantly associated, whereas no association was found between sociodemographic variables and self-care practice. Attitude and self-care practices were found strongly associated with one another (p = 0.002). Conclusion: Our study found that half of the study population had positive attitude, and more than half of them had performed adequate self-care practice. Hence, educational interventions and awareness programs on dietary aspects should be focused for improving the attitude and practice of all the patient groups.

Hypertension Recommended Self-care Knowledge, Attitude, Practice and Its Predictors among Hypertensive Patients in Ethiopia: A Cross Sectional Study

“…4, 58.3]. This study nding was consistent when compared with a study conducted in Harar, Ethiopia (49.6%) [29], (52.2%) Nepal [39], Dessie town, Ethiopia (49%) [31], and Debre Tabor, Ethiopia 54.1% [40]. This study nding was lower when compared with a study conducted in Nekemte specialized hospital, Ethiopia 68.92% [34], and Gondar, Ethiopia 59.4% [41].…”

“…Those hypertensive patients who had a favorable attitude towards Self-care were was 3.093 times [AOR = 3.093, 95%CI (1.198,7.990), p = 0.020] more likely to have good practice than those hypertensive patients who had an unfavorable attitude towards Self-care. This was supported by the study done in Harar, Ethiopia [29], and Nepal [39].…”

Level of self-care practices and associated factors among hypertensive patients in Addis Ababa, Ethiopia

“…Thus, which is consistent with the current finding [ 30 ]. Moreover, a study from Nepal reported a comparable proportion (52.2%) of hypertensive patients having a consistent level of self-care practice [ 31 ].…”

HAMBATAN PADA PELAKSANAAN SELF CARE HIPERTENSI: Scoping Review

“…Kesadaran pasien hipertensi akan penyakit hipertensi dan komplikasiya memegang peran penting pada kemauan, kemampuan, dan sikap positif pada pasien hipertensi untuk melakukan selfcare hipertensi dengan benar. Ditemukan hubungan yang kuat antara tingkat pengetahuan pasien hipertensi mengenai penyakitnya dengan tingkat kesadaran yang tinggi pada pasien hipertensi dan meningkatnya penerapan perilaku selfcare yang benar (Shrestha et al, 2021). Sementara jika kesadaran pasien hipertensi akan penyakitnya yang rendah, maka terjadi penurunan minat untuk melakukan tindakan selfcare hipertensi hipertensi yang menyebabkan pasien tidak mau melakukan tindakan selfcare hipertensi.…”