Life style of patient before and after diagnosis of hypertension in Kathmandu

Abstract

Hypertension is an important public health-challenge in the developing and the developed world alike. However, hospital-based studies on cardiovascular diseases including hypertension in a developing country like Nepal have been limited. Objective: The objective of the present study was to determine the life style of patients before and after diagnosis of hypertension. Methods: A total of 100 adult hypertensive patients over 30 years of age who were attending in medical out patients department within 6 month to 2 years after first diagnosis of hypertension in Shahid Gangalal National Heart Centre and Tribhuvan University Teaching Hospital, in Kathmandu, Nepal, in April 2009, using a descriptive research design. The data was collected by interview using a questionnaire consisting of a combination of structured and semistructured questions. The data was analyzed by using SPSS 11.5 version. Results: This study found the respondents’ knowledge regarding hypertension was poor. Regarding life style of hypertensive patients, majorities (90%) of them were non-vegetarian before diagnosis but after diagnosis of hypertension the percentage of non-vegetarian was reduced by 10%. Similarly, the reduction in consumption of meat, eggs, ghee and oil (mustard, sunflower) by hypertensive patients was statistically significant difference (p = 0.000) after the diagnosis of hypertension. Regarding soyabean oil consumption, additional salty food and amount of salt intake there was no statistical significant difference before and after the diagnosis of hypertension. Likewise, physical exercise and stress reduction activities performed by hypertensive patients and change in drinking alcohol and smoking was found to be statistically significant difference (p = 0.000) after the diagnosis of hypertension. Conclusion: The adverse consequences of hypertension can be reduced by modifying the life style. Therefore more focus should be given in increasing the awareness about hypertension by developing information, education and communication materials on hypertension and setting up hypertensive counseling clinic in each hospitals

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

“…Several former studies identified that there was a significant lack of awareness about the reasons of hypertension and its complications among the hypertensive patients (Sofia et al 2018, Kongarasan and Shah 2018, Iyalomhe and Iyalomhe 2010 . A hospital based study conducted in Kathmandu found the respondents' knowledge regarding hypertension was poor (Acharya & Chalise, 2011). Another study had revealed that adequate knowledge of hypertension is related with better control of hypertension (Sharma, Bhuvan, Alrasheedy, Kaundinnyayana, & Khanal, 2014).…”

Lifestyle Modification after Diagnosis of Hypertension in Patients Visiting Lumbini Medical College Teaching Hospital

“…This finding is supported by the study done by Acharya R. et al in Kathmandu, which also showed 90% were non-vegetarian and only 10% were vegetarian before diagnosis but after diagnosis the vegetarian increased from 10% to 20%. 9 The consumption habit of non-vegetarian items such as mutton, buff, pork, chicken, fish and Table 4: distribution of respondents according to type of fats consumption before and after diagnosis of hypertension Table 5: Amount of salt taken before and after the diagnosis of hypertension eggs were taken into account while collecting the data in this study. This study showed that there was a reduction in the consumption of meat items after diagnosis of hypertension.…”

“…2 Finding of this study revealed that the number of respondents involved in smoking and drinking alcohol decreased significantly after diagnosis of hypertension which is consistent with other studies. 9,10 Physical workout has been taken as one of the associated factors for the hypertension. After the diagnosis of hypertension, the number of respondents doing physical exercise increased significantly from 14.3% to 46% which is supported by study done by WHO in 2006.…”

“…11 Similarly, salt restriction, regular exercise, stress reduction, unsaturated oil reduction, alcohol moderation strategies has been adopted to control blood pressure by different hypertensive patients in different counties. 9,11,12…”

“…DASH diet lowered SBP for hypertensive patients by an average of 11 mm Hg and DBP by an average of 5.5 mm Hg compared with the control group.8 Reduction of three g/d in salt intake would lower blood pressure by 2.5/1.4 mm Hg, which would reduce strokes by 12 to 14% and ischemic heart disease by nine percent to 10%.5 Regular aerobic physical activity has been demonstrated to be beneficial both for prevention and treatment of hypertension. 9 There are meager studies related to the change in pattern of lifestyle after diagnosis of hypertension in our part of world. Thereby, this study was carried out to explore whether lifestyle modifications were implemented after the diagnosis of hypertension and to find out the relationships, if existed, between them.…”