A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai
Background: Hypertension is one of the important chronic diseases. Blood pressure (BP) control depends on adherence to self-care practices. Hence, the factors associated with poor adherence can help the policymakers in formulating and directing interventions at specific groups. Aims and Objective...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2023-10-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/56237 |
| _version_ | 1797668196628561920 |
|---|---|
| author | Krithiga Sivakumar Megavi Ramasamy Mayadevi Thankayyan Seenivasan P |
| author_facet | Krithiga Sivakumar Megavi Ramasamy Mayadevi Thankayyan Seenivasan P |
| author_sort | Krithiga Sivakumar |
| collection | DOAJ |
| description | Background: Hypertension is one of the important chronic diseases. Blood pressure (BP) control depends on adherence to self-care practices. Hence, the factors associated with poor adherence can help the policymakers in formulating and directing interventions at specific groups.
Aims and Objectives: The current study was conducted to assess the self-care practices and to explore the factors associated with them.
Materials and Methods: A cross-sectional study was conducted among 119 hypertensive patients who attended the outpatient department between July 2022 and September 2022 using a semi-structured interview schedule containing information on sociodemographic characteristics, morbidity profile, and self-care practices. Data were entered in MS Excel and analyzed using SPSS16. Chi-square test and Fisher’ exact test were used wherever appropriate. P<0.05 was considered statistically significant.
Results: Among the study participants, 19.3% (23) had poor adherence to self-care practices and 80.7% (96) had good adherence to self-care practices (medication adherence=80.5%, regular monitoring of BP=89.1%, alcohol abstinence=94.1%, non-smoking=93.3%, diet modification=71.4%, and physical exercise=45.4%). Sociodemographic characteristics such as age, sex, occupation, education, family income, duration of hypertension, and place of purchase of medicine were found to be statistically significant to at least one of the recommended self-care practices.
Conclusion: Overall adherence to self-care practices was found to be good in the majority of the study participants. Among the self-care practices, adherence to medication, monitoring BP, alcohol abstinence, non-smoking, and diet modification were found satisfactory (>70%). However, engagement in physical exercise still needs improvement. Health education and other interventions to promote physical exercise, especially among high-risk groups are suggested. |
| first_indexed | 2024-03-11T20:25:08Z |
| format | Article |
| id | doaj.art-474636e6915146fd978afaa23ba25fd8 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-11T20:25:08Z |
| publishDate | 2023-10-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-474636e6915146fd978afaa23ba25fd82023-10-02T15:06:07ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-10-011410109115https://doi.org/10.3126/ajms.v14i10.56237A study to assess the self-care practices among hypertensive patients in a tertiary care center, ChennaiKrithiga Sivakumar 0https://orcid.org/0000-0002-1961-3144Megavi Ramasamy1https://orcid.org/0009-0004-5687-8004Mayadevi Thankayyan 2https://orcid.org/0009-0009-5314-4925Seenivasan P 3https://orcid.org/0000-0003-2993-1936Assistant Professor, Department of Community Medicine, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India Final Year MBBS, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India Final Year MBBS, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India Professor and Head, Department of Community Medicine, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India Background: Hypertension is one of the important chronic diseases. Blood pressure (BP) control depends on adherence to self-care practices. Hence, the factors associated with poor adherence can help the policymakers in formulating and directing interventions at specific groups. Aims and Objectives: The current study was conducted to assess the self-care practices and to explore the factors associated with them. Materials and Methods: A cross-sectional study was conducted among 119 hypertensive patients who attended the outpatient department between July 2022 and September 2022 using a semi-structured interview schedule containing information on sociodemographic characteristics, morbidity profile, and self-care practices. Data were entered in MS Excel and analyzed using SPSS16. Chi-square test and Fisher’ exact test were used wherever appropriate. P<0.05 was considered statistically significant. Results: Among the study participants, 19.3% (23) had poor adherence to self-care practices and 80.7% (96) had good adherence to self-care practices (medication adherence=80.5%, regular monitoring of BP=89.1%, alcohol abstinence=94.1%, non-smoking=93.3%, diet modification=71.4%, and physical exercise=45.4%). Sociodemographic characteristics such as age, sex, occupation, education, family income, duration of hypertension, and place of purchase of medicine were found to be statistically significant to at least one of the recommended self-care practices. Conclusion: Overall adherence to self-care practices was found to be good in the majority of the study participants. Among the self-care practices, adherence to medication, monitoring BP, alcohol abstinence, non-smoking, and diet modification were found satisfactory (>70%). However, engagement in physical exercise still needs improvement. Health education and other interventions to promote physical exercise, especially among high-risk groups are suggested.https://www.nepjol.info/index.php/AJMS/article/view/56237patient compliance; self-management; blood pressure control |
| spellingShingle | Krithiga Sivakumar Megavi Ramasamy Mayadevi Thankayyan Seenivasan P A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai Asian Journal of Medical Sciences patient compliance; self-management; blood pressure control |
| title | A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai |
| title_full | A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai |
| title_fullStr | A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai |
| title_full_unstemmed | A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai |
| title_short | A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai |
| title_sort | study to assess the self care practices among hypertensive patients in a tertiary care center chennai |
| topic | patient compliance; self-management; blood pressure control |
| url | https://www.nepjol.info/index.php/AJMS/article/view/56237 |
| work_keys_str_mv | AT krithigasivakumar astudytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT megaviramasamy astudytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT mayadevithankayyan astudytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT seenivasanp astudytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT krithigasivakumar studytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT megaviramasamy studytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT mayadevithankayyan studytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai AT seenivasanp studytoassesstheselfcarepracticesamonghypertensivepatientsinatertiarycarecenterchennai |