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亚的斯亚贝巴圣保罗医院接受随访的高血压患者对高血压控制的知识、态度及自我护理实践

Knowledge, Attitude and Self-Care Practice towards Control of Hypertension among Hypertensive Patients on Follow-up at St. Paul's Hospital, Addis Ababa.

作者信息

Bacha Dawit, Abera Hailu

机构信息

Cardiology Unit, St. Paul's Hospital Millennium Medical College.

出版信息

Ethiop J Health Sci. 2019 Jul;29(4):421-430. doi: 10.4314/ejhs.v29i4.2.

Abstract

BACKGROUND

Hypertension is the number one cardiovascular risk factor and the leading cause of mortality worldwide. It's the driver of the cardiovascular disease epidemic in Africa where it is a major, independent risk factor for heart failure, stroke and renal failure. There is no study to assess the level of knowledge of hypertension among hypertensive patients in our setup. The objective of this study was to assess knowledge, attitude and selfcare practice towards control of hypertension among hypertensive patients on follow up at our hospital.

METHODS

A total of 385 hypertensive patients who were on follow up at our hospital were randomly selected for interview. The Sociodemographic and relevant clinical data were extracted using a structured questionnaire. Operational definitions and Likert scale was used to compare the variables.

RESULTS

Only 48.6% of hypertensive patients participated in this study have good basic knowledge of hypertension, 47.8% of them have good attitude and only 39.5% of the study participants have good practice towards control of hypertension. Male sex, formal education and being urban resident are associated with better knowledge, attitude and self-care practice of hypertensive patients at our hospital.

CONCLUSION

The result states that there is an inadequate knowledge about hypertension; as well attitude and self-care practice towards control of hypertension among our hypertensive patients is generally poor. Responsible bodies should focus on addressing such limitations of hypertensive patients. Attention should be given to hypertensive patients who are females, low educational level and those coming from rural.

摘要

背景

高血压是全球首要的心血管危险因素和主要死因。它是非洲心血管疾病流行的驱动因素,在非洲,高血压是心力衰竭、中风和肾衰竭的主要独立危险因素。在我们的医疗机构中,尚无研究评估高血压患者对高血压的认知水平。本研究的目的是评估我院接受随访的高血压患者对高血压控制的知识、态度和自我护理实践情况。

方法

随机选取我院385例接受随访的高血压患者进行访谈。使用结构化问卷提取社会人口学和相关临床数据。采用操作定义和李克特量表对变量进行比较。

结果

本研究中,仅有48.6%的高血压患者对高血压有良好的基本知识,47.8%的患者态度良好,只有39.5%的研究参与者对高血压控制有良好的实践。在我院,男性、接受正规教育和城市居民与高血压患者更好的知识、态度和自我护理实践相关。

结论

结果表明,高血压患者对高血压的知识不足,对高血压控制的态度和自我护理实践普遍较差。相关责任机构应专注于解决高血压患者的此类局限性。应关注女性、低学历和农村高血压患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c419/6689705/495296e6da51/EJHS2904-0421Fig1.jpg

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