A hospital based cross sectional study to evaluate awareness of lifestyle interventions among hypertensive patients in Sikkim (North-Eastern State of India)

  • Dr. Mona Dhakal Professor, Department of Medicine, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Gangtok Sikkim, India
  • Dr. O.P. Dhakal Professor, Department of Medicine, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Gangtok Sikkim, India
Keywords: Awareness of lifestyle, Hypertension, Sikkim, North-East

Abstract

Introduction: Hypertension (HTN) or high blood pressure (BP) is the most important cardiovascular risk factor worldwide, contributing to around one half of the coronary heart disease and two thirds of the cerebrovascular disease burdens. Effective prevention, detection, treatment, and control of BP continue to be an important goal for health care providers. A positive impact of life-style interventions is a well known fact. Awareness of HTN remains an important concern in this mountainous and predominantly rural population.

Objective: To evaluate the awareness of lifestyle interventions among patients of hypertension. Methods: A cross-sectional study was conducted in Sikkim Manipal Institute of Medical Sciences in general medicine OPD from Jan 1. 2017 to Jan 15, 2017. All the stable hypertensive patients, attending medicine OPD aged >18 years were recruited in the study. Patients were interviewed using a semi structured questionnaire regarding knowledge of life style interventions.

Results: Among all the hypertensive patients (n = 100), 60 patients had adequate knowledge (>50%) and 40 patients had inadequate (<50%) knowledge of these interventions. Significant association between educational background and knowledge on lifestyle interventions was present. Urban population was more aware as compared to rural population Blood pressure was significantly under control in the aware population.

Conclusion: Patients knowledge on lifestyle interventions for the management of blood pressure is important. The rural population and uneducated people have inadequate knowledge on lifestyle modifications of hypertension. Structured teaching programs are needed to improve awareness about the lifestyle changes.

Downloads

Download data is not yet available.

References

Raghupathy Anchala, Nanda K Kannuri, Hira Pant, Oscar H. Franco et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014 Jun; 32(6): 1170–1177. doi: https://dx.doi.org/10.1097%2FHJH.0000000000000146.

Gupta R. Meta-analysis of prevalence of hypertension in India. Indian Heart J. 1997 Jan-Feb;49(1):43-8.

Das SK, Sanyal K, Basu A. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country. Int J Med Sci 2005; 2:70–78. doi: https://dx.doi.org/10.7150%2Fijms.2.70.

Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005 Jan 15-21;365(9455):217-23.

P Devi, M Rao, A Sigamani, A Faruqui, M Jose, R Gupta, P Kerkar, R K Jain, R Joshi, N Chidambaram, D S Rao, S Thanikachalam, S S Iyengar,K Verghese, V Mohan, P Pais and D Xavie. Prevalence, risk factors awareness of hypertension in India: a systematic review. Journal of Human Hypertension 2013; 27(5): 281 and 287.DOI: https://doi.org/10.1038/jhh.2012.33.

Bharati DR, Nandi P, Yamuna TV, Lokeshmaran A, Agarwal L,Singh JB, Basu M, Das P,Pal. Prevalence and Covariates of Undiagnosed Hypertension in the Adult Population of Puducherry, South India. Nepal Journal of Epidemiology 2012; 2(2): 191-99.DOI: http://dx.doi.org/10.3126/nje.v2i2.6576.

Hypertension Study Group. Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India: a multicentre study. Bull World Health Organ. 2001;79(6):490-500.

Chobanian AV, Bakris GL, Black HR, et al. National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003 May 21;289(19):2560-72. Epub 2003 May 14.

Gascón JJ, Sánchez-Ortuño M, Llor B, Skidmore D, Saturno PJ; Treatment Compliance in Hypertension Study Group. Why hypertensive patients do not comply with the treatment: results from a qualitative study. Fam Pract. 2004 Apr;21(2):125-30.

Ramli1 A, Ahmad N, Paraidathathu T: Medication adherence among hypertensive patients of primary health clinics in Malaysia Patient Preference and Adherence 2012; 6: 613–622. doi: https://dx.doi.org/10.2147%2FPPA.S34704.

Afia F A Marfo, Frances T Owusu-Daaku, Mercy Opare Addo, Ibrahim I Saana. Ghanaian Hypertensive Patients Understanding of their Medicines and Life Style Modification for managing Hypertension. Int J Pharm Pharm Sci, Vol 6, Issue 4, 165-170.

George R, D Silva F, D Souza JL: Perceived Barriers and Effectiveness of Planned Teaching Programme on Life Style Modification Practices of Persons with Hypertension. A Study in Dakshina Kannada, Mangalore JKIMSU 2012 ; 1(2) :117-123.

Vooradi S, Mateti UV. A systemic review on lifestyle interventions to reduce blood pressure. J Health Res Rev. 2016;3(1):1-5. DOI: http://www.jhrr.org/text.asp?2016/3/1/1/173558.

Kearney P.M., Whelton M., Reynolds K., Whelton PK. and He J., Worldwide Prevalence of Hypertension: a Systematic Review. J. Hypertens. 2004; 22(1): pp11-9. PMID:15106785.

Connor M, Rheeder P, Bryer A, Meredith M, Beukes M, Dubb A, Fritz V. The South African stroke risk in general practice study. S Afr Med J. 2005 May;95(5):334-9.

Khatib O M and El-Guindy M S. Clinical Guidelines for Management of Hypertension, World Health Organization Regional Office for the Eastern Mediterranean, Metropole, Cairo. 2005; pp 48, 49.

Tam C.F, Nguyen L, Pea S, Hajyan K, Kevork S, Davis R, Poon G, Lew P. The Effects of Age, Gender, Obesity, Health Habits, and Vegetable Consumption Frequency on Hypertension in Elderly Chinese, Americans Nutrition Research; Journal of Education and Practice, 2014; 5(5): pp25: 31-43.

Wright J.D, Hughes J.B, Ostchega Y, Yoon S S, Nwankwo T. Mean Systolic and Diastolic Blood Pressure in Adults Aged 18 and Over in the United States, National Health Statistics Reports, 2011; 35: pp1-22,24. PMID:21485611.

Al Wehedy A, Abd Elhameed SH, and Abd El Hameed D. Effect of Lifestyle Intervention Program on Controlling Hypertension among Older Adults, Journal of Education and Practice, 2014; 5(5): p 61.

Pires Cláudia Geovana da Silva, Mussi Fernanda Carneiro. Health beliefs regarding diet: a perspective of hypertensive black individuals. Rev. esc. enferm. USP [Internet]. 2012 June; 46( 3 ): 580-589. doi: http://dx.doi.org/10.1590/S0080-62342012000300008.

Awotidebe T.O., Adedoyin R.A., Rasaq W.A., Adeyeye V.O., Mbada C.E., Akinola O.T. and Otwombe K.N, Knowledge, Attitude and Practice of Exercise for Blood Pressure Control: A cross-sectional Survey, Journal of Exercise Science and Physiotherapy, 2014; (10) 1: pp 1-10.

Seham A. Abd El-Hay, Samira E, El Mezayen. Knowledge and Perceptions Related to Hypertension, Lifestyle Behavior Modifications and Challenges That Facing Hypertensive Patients IOSR Journal of Nursing and Health Science (IOSR-JNHS) Volume 4, Issue 6 Ver. I (Nov. - Dec. 2015), PP 15-26 doi: 10.9790/1959-04611526.

Okwuonu C.G., Emmanuel C.I. and Ojimadu N.E., Perception and Practice of Lifestyle Modification in the Management of Hypertension among Hypertensive in South-East Nigeria, International Journal of Medicine and Biomedical Research, 2014; 3 (2): p 121-131.

Demaio AR, Dugee O, de Courten M, Bygbjerg IC, Enkhtuya P, Meyrowitsch DW. Exploring knowledge, attitudes, and practices related to alcohol in Mongolia: a national population-based survey. BMC Public Health. 2013 Feb 27;13:178. doi: https://doi.org/10.1186/1471-2458-13-178.

Shaikh RB, Mathew E, Sreedharan J, Muttappallymyalil J, Sharbatti SA, Basha SA. Knowledge regarding risk factors of hypertension among entry year students of a medical university. J Family Community Med. 2011 Sep;18(3):124-9. doi: https://dx.doi.org/10.4103%2F2230-8229.90011.

Ali S., Sathiakumar N. and Delzell E., Prevalence and Socio-Demographic Dactors Associated with Tobacco Smoking among Adult Males in Rural Sindh, Pakistan, Southeast Asian J. Trop. Med. Public Health, 2006; (37): pp1054-60.

Jolles EP, Padwal, R.S. Clark, A.M.Braam. A Qualitative Study of Patient Perspectives about Hypertension. http://www.hindawi.com/isrn/hypertension/2013/671691/cta/

Chiazor IE, Oparah C A. Assessment of Hypertension Carein a Nigerian Hospital. Tropical Journal of Pharmaceutical Research 2012; 11 (1): 137-145.doi: http://dx.doi.org/10.4314/tjpr.v11i1.18.

Kalra S, Kalra B, Agrawal N. Combination therapy in hypertension: An update. Diabetol Metab Syndr. 2010 Jun 24;2(1):44. doi: https://doi.org/10.1186/1758-5996-2-66.

Ni H, Nauman D, Burgess D, Wise K, Crispell K, Hershberger R. Factors Influencing Knowledge of and Adherence to Self Care among Patients With Heart Failure. Arch. Intern. Med. 1999 ;159 (14)pp:1613-1619. PMID:10421285.

Li X, Ning N, Hao Y, Sun H, Gao L, Jiao M, Wu Q, Quan H. Health literacy in rural areas of China: hypertension knowledge survey. Int J Environ Res Public Health. 2013 Mar 18;10(3):1125-38. doi: https://doi.org/10.3390/ijerph10031125.

Azubuike S.O. and Kurmi R., Awareness, Practices, and Prevalence of Hypertension among Rural Nigerian Women, the Official Journal of Yenepoya University, 2014; (2) 1: pp 23-28. DOI: http://www.amhsjournal.org/text.asp?2014/2/1/23/133791.

A hospital based cross sectional study to evaluate awareness of lifestyle interventions among hypertensive patients in Sikkim (North-Eastern State of India)
CITATION
DOI: 10.17511/ijmrr.2017.i04.08
Published: 2017-04-30
How to Cite
1.
Dhakal M, Dhakal O. A hospital based cross sectional study to evaluate awareness of lifestyle interventions among hypertensive patients in Sikkim (North-Eastern State of India). Int J Med Res Rev [Internet]. 2017Apr.30 [cited 2024Nov.23];5(4):421-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/860
Section
Original Article