Lay perspectives on causes and complications of hypertension; and barrier to access health care by known hypertensive patients: a qualitative study from a rural area of South India

Newtonraj, Ariarathinam; Sugumaran, Arun; Bazroy, Joy; Stephen, Tovia

doi:10.18203/2394-6040.ijcmph20170743

Cited by 8 publications

(4 citation statements)

References 7 publications

(7 reference statements)

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“…In the other hand, the timeline and treatment control dimensions had high mean score(8.03±1.512and 8.12±0.725) in comparison to other dimensions in this study which could be interpreted as HTN is lifelong illness but can be controlled by taking medicines therefore patients might be perceived HTN is less severe. The finding of this study is in line with other study which showed similar results (Newtonraj, Arun, Bazroy, & Tovia, 2017). In current study personal control had low mean score than the treatment control which may be due to less confident to follow prescribed behavior treatment and behavior modifications than taking prescribed medications.…”

Section: Discussionsupporting

confidence: 91%

Knowledge and Perception Regarding Hypertension among Hypertensive Patients at a Tertiary Hospital in Kathmandu, Nepal

Bashyal¹,

Thapa

2020

J. Adv. Acad. Res.

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Background: Hypertension has a great impact on cardiovascular disease and death all over the world. Low and middle-income countries including Nepal are facing higher disease burden because of complications arise from uncontrolled hypertension. Patient’s knowledge and perception play an important role for the proper management of hypertension. There are limited studies related to knowledge and perception of hypertension, therefore, this study aimed to assess the knowledge and perception of hypertension among hypertensive patients at a tertiary hospital in Nepal. Methods: This is a hospital based, mixed-method, cross-sectional study which was conducted among 400 hypertensive patients in the outpatient department of Sahid Gangalal National Heart Center, Kathmandu, Nepal. Patients who were diagnosed as hypertensive at least 6 months before were selected by simple random sampling technique and were interviewed using semi- structured questionnaire, and interview schedule from March to May 2019. Data were analyzed using descriptive and inferential statistics. Results: The mean age of the respondents was 58.86 ±11.07 years and nearly half (47.8%) of them were in the age group of 60 years and above. More than half, (58%) were male, 77.8% were overweight, about half of them had a significant family history of hypertension with first degree relatives. Regarding the knowledge, the total mean score was 16.16±3.032 and had significant difference with age (p= 0.002), gender (p=.000), education (p=0.002), occupation (p=0.000), and duration of HTN diagnosis (p=0.000). Majority of them perceived hypertension as less serious illness and had significant difference with education level (p=0.001) and duration of HTN diagnosis (p=0.000). Conclusions: Majority of participants had inadequate knowledge of hypertension and they perceived hypertension as less severe illness which might hinder the adherence to treatment recommendations. Hence, mass awareness program strategies might be helpful to increase hypertension related knowledge and perception.

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Section: Discussionsupporting

confidence: 91%

Knowledge and Perception Regarding Hypertension among Hypertensive Patients at a Tertiary Hospital in Kathmandu, Nepal

Bashyal¹,

Thapa

2020

J. Adv. Acad. Res.

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“…From these records, we retrieved 33 articles, and after going through the full text of these articles, 18 studies were included in the review (figure 1). 26–43…”

Section: Resultsmentioning

confidence: 99%

Patient and provider’s perspective on barriers and facilitators for medication adherence among adult patients with cardiovascular diseases and diabetes mellitus in India: a qualitative evidence synthesis

et al. 2022

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ObjectiveTo explore the various stakeholders’ perspectives on barriers and facilitators for medication adherence among patients with cardiovascular diseases (CVDs) and diabetes mellitus (DM)in India.DesignSystematic review of qualitative studies.Data sourcesA comprehensive systematic search was conducted in Medline, Cochrane Library, Science Direct and Google Scholar from January 2010 to July 2020. We included all qualitative peer-reviewed studies, reporting barriers and facilitators of medication adherence, from India, for our current review.Data extraction and synthesisData extraction was performed by two independent authors who also assessed the quality of included studies using the Critical Appraisal Skills Programme criteria. This qualitative evidence synthesis adhered to the enhancing transparency in reporting the synthesis of qualitative research checklistResultsIn total, 18 studies were included. Major barriers reported were lack of understanding about the disease, complications related to non-adherence, followed by forgetfulness, lack of family support and risk communication. Health system-related barriers such as accessibility, affordability and acceptability were also reported by majority of the studies. Creation of peer support groups, digital reminder systems, integration of native Indian systems of India, physiotherapy and geriatric clinics at the primary healthcare level and innovations in patient care were suggested to counter these barriers in medication adherence.ConclusionSuch patient-specific targeted interventions need to be developed to achieve better control among patients with CVD and DM.PROSPERO registration numberCRD42020199529.

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“…Details of CHIMS discussed elsewhere. 7 Study was conducted among randomly selected 41 eligible participants listed in CHIMS. All women who were at more than 27 weeks of pregnancy residing in the service area were included in the study.…”

Section: Methodsmentioning

confidence: 99%

Health care seeking behaviour of women during pregnancy in rural south India: a qualitative study

Vincent

Keerthana

Damotharan

et al. 2017

Int J Community Med Public Health

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Background: Antenatal care is an important indicator in any health system. Through our study we intended to assess the perception of pregnant women regarding health seeking behaviour and awareness about complications during pregnancy. Methods: A qualitative study was carried out in August 2016, among the 41 pregnant women over 27 weeks of gestation in a rural area of south India. Women were selected randomly from the routine surveillance system maintained by Pondicherry Institute of Medical Sciences – Rural Health Training Centre, Chunampet, Kancheepuram District. Interviews audio recorded. After verbatim, manual coding and analysis was done based on pre decided eight themes. Results: In general all the antenatal women aware of the importance of regular antenatal check up. Knowledge regarding complications and danger sign was not adequate. Most of the women in rural area seek care in government facility due to its availability, accessibility and affordability. Decision making in health care is mostly taken by their husbands. Transportation has been identified as a barrier in seeking health care. Conclusions: Although few of the antenatal mothers in the study population were aware about some complications of pregnancy, but in general knowledge among most of the women was inadequate. There is a need for creating awareness among the antenatal mothers about common complications in pregnancy. On the other hand, the notion of routine care seeking during the antenatal period seems to be well rooted among the study population which is a very good sign. It is a good opportunity and is foundational to all other interventions relating to betterment of antenatal care in the community.

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Lay perspectives on causes and complications of hypertension; and barrier to access health care by known hypertensive patients: a qualitative study from a rural area of South India

Cited by 8 publications

References 7 publications

Knowledge and Perception Regarding Hypertension among Hypertensive Patients at a Tertiary Hospital in Kathmandu, Nepal

Knowledge and Perception Regarding Hypertension among Hypertensive Patients at a Tertiary Hospital in Kathmandu, Nepal

Patient and provider’s perspective on barriers and facilitators for medication adherence among adult patients with cardiovascular diseases and diabetes mellitus in India: a qualitative evidence synthesis

Health care seeking behaviour of women during pregnancy in rural south India: a qualitative study

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