A Study to Evaluate the Impact of Health Education on Awareness of Long-term Complications of Hypertension Among Hypertensive Patients in A Selected Hospital, Bengaluru

Year : 2024 | Volume :02 | Issue : 02 | Page : 31-63
By

Madhushree A.V.,

  1. Student, Department of Medical Surgical Nursing, Kempegowda Institute of Nursing, Karnataka, India

Abstract

The rising burden of non-communicable diseases, particularly hypertension, poses significant public health challenges, especially in developing nations. This study aimed to assess the effectiveness of a health education program focused on lifestyle modifications to prevent hypertension-related complications among patients at selected hospitals in Bengaluru. Employing a quasi-experimental design, we recruited 60 hypertensive patients through purposive sampling. Initial knowledge was evaluated using a structured questionnaire, followed by an educational intervention provided on the same day. A post-test was conducted eight days later using the same instrument. Results indicated a mean pre-test knowledge score of 13.0%, which increased to 42.65% post-intervention, reflecting a 29.65% gain and a 69.5% overall improvement in knowledge. Statistical analysis, including a paired t-test, demonstrated a t-value of 37.71 and a p-value less than 0.01, confirming the effectiveness of the health education program in enhancing knowledge about hypertension and its long-term complications. These findings reveal a significant knowledge gap among hypertensive patients prior to the intervention, highlighting the necessity for targeted educational efforts. The health education materials, developed by the WHO, effectively communicated critical information, leading to improved patient understanding and engagement in self-management strategies. In conclusion, the study emphasizes the importance of structured health education in empowering hypertensive patients to manage their condition more effectively, thereby reducing the risk of long-term complications associated with hypertension. This approach is essential in addressing the growing prevalence of non-communicable diseases in developing contexts.

Keywords: Hypertension; hypertensive patients; placard, knowledge, long-term complications

[This article belongs to International Journal of Evidence Based Nursing And Practices (ijebnp)]

How to cite this article:
Madhushree A.V.. A Study to Evaluate the Impact of Health Education on Awareness of Long-term Complications of Hypertension Among Hypertensive Patients in A Selected Hospital, Bengaluru. International Journal of Evidence Based Nursing And Practices. 2024; 02(02):31-63.
How to cite this URL:
Madhushree A.V.. A Study to Evaluate the Impact of Health Education on Awareness of Long-term Complications of Hypertension Among Hypertensive Patients in A Selected Hospital, Bengaluru. International Journal of Evidence Based Nursing And Practices. 2024; 02(02):31-63. Available from: https://journals.stmjournals.com/ijebnp/article=2024/view=176386

References

  1. C.Smeltzer, Brenda.G.Bare, Janice.L.Hinkle, Kerry.H.Cheever, Brunner andsuddarth′s textbook of medical surgical nursing.11th ed.Wolters Kluwer(India) pvt.Ltd.,New Delhi bussiness2008;pp232,786,1020-1033.
  2. M.Black, Ester Matassarin-Jacobs, Medical Surgical Nursing clinical management for continuity of care. 5th ed.W.B.Saunsers company2005;pp237,1387-1404.
  3. K. Textbook of preventive and social medicine, 2009.IndiaM/s. Banarsidas Bhanot;20th Edition:13, 315.
  4. Silvana Figar, Carlos Galarza, Erica Petrlik, Lucila Hornstein, Gabriela Rodríguez Loria, Gabriel Waisman, Marcelo Rada, Enrique Roberto Soriano, Fernán González Bernaldo de Quirós, Effect of education on blood pressure control in elderly persons: A randomized controlled trial, American Journal of Hypertension, Volume 19, Issue 7, July 2006, Pages 737–743, https://doi.org/10.1016/j.amjhyper.2005.10.005.
  5. Shikha Singh, Ravi Shankar and Gyan Prakash Singh. Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Journal of Hypertension.2017;(5491838):10 Available from: https://doi.org/10.1155/2017/5491838.
  6. Steffi Veientlena, Prabu P. Prevalence of hypertension and determination of its risk factors inKorangrapady, Udupi district, coastal Karnataka, India. Asian J Pharm Clin Res. 2018;11(6):517-521. Available from: https://doi.org/10.1155/2017/5491838.
  7. Hemant Mahajan, Yasmeen Kazi, Bhuwan Sharma, GD Velhal. Assessment of KAP, Risk Factors and Associated Co-Morbidities in Hypertensive Patients. IOSR Journal of Dental and Medical Sciences (IOSRJDMS). 2012;1(2):06-14.
  8. Paulo Carl G. Mejia, Evelyn E. Feliciano, Alfredo Z. Feliciano, Jonaid M. Sadang, et al. The effectiveness of health education and lifestyle program in improving the Blood Pressure in hypertensive patients. International Journal of Advanced and Applied Sciences. 2019; 6(11):21-29. Available from: DOI:21833/ijaas.2019.11.004.
  9. Abdalla AA. Knowledge, attitude and practice towards therapeutic lifestyle changes in the management of hypertension in Khartoum State. Cardiovasc J Afr. 2021 Jul-Aug 23;32(4):198-203. doi: 10.5830/CVJA-2021-011. Epub 2021 Apr 15. PMID: 33950069; PMCID: PMC8756036.
  10. Jubran A. Shnaimer, Ibrahim M. Gosadi. Primary health care physicians’ knowledge and adherence regarding hypertension management guidelines in southwest of Saudi Arabia. Medicine: 2020; 99(17):19873. Available from: DOI do: 10.1097/MD.0000000000019873.
  11. Doreen Busingye, Simin Arabshahi, Roger G Evans, Michaela A Riddell, Velandai K Srikanth,et al. Knowledge of risk factors for hypertension in a rural Indian population. 2019 ;(11): e011136. Available from: DOI: 1136/heartasia-2018-011136.
  12. Mahmut Kilic A, Tuğba Uzunçakmak B, Huseyin Ede.C. The effect of knowledge about hypertension on the control of high Blood Pressure. International Journal of the CardiovascularAcademy.2016:2(1); 27–32. Available from: http://dx.doi.org/10.1016/j.ijcac.2016.01.003. Distribution of hypertensive patients
  13. Turana Y, Tengkawan J, Chia YC, Nathaniel M, Wang JG, Sukonthasarn A, Chen CH, Minh HV, Buranakitjaroen P, Shin J, Siddique S, Nailes JM, Park S, Teo BW, Sison J, Ann Soenarta A, Hoshide S, Tay JC, Prasad Sogunuru G, Zhang Y, Verma N, Wang TD, Kario K; HOPE Asia Network. Hypertension and stroke in Asia: A comprehensive review from HOPE Asia. J Clin Hypertens (Greenwich). 2021 Mar;23(3):513-521. doi: 10.1111/jch.14099. Epub 2020 Nov 15. PMID: 33190399; PMCID: PMC8029540.
  14. Shyamal Kumar Das, Kalyan Sanyal, Arindam Basu. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country; 2005; 2(2):70-78. Available from: doi:10.7150/ijms.2.70.
  15. Balasaheb Bansodea, MarbaniangaJang, BahadurPrasad. Risk factors of diabetes and hypertension among women in Karnataka,Elsevier; 2021:15(4),102139.
  16. Zachariah Geevar, Mangalath Narayanan Krishnan, Krishnannair Venugopal, Ganesh Sanjay, S. Harikrishnan, Padinhare Purayil Mohanan, et al. Prevalence, Awareness, Treatment, and Control of Hypertension in Young Adults (20–39 Years) in Kerala, South India Frontiers in Cardiovascular Medicine; 2022: Available from :https://doi.org/10.3389/fcvm.2022.765442
  17. Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, Prabhakaran D. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014 Jun;32(6):1170-7. doi: 10.1097/HJH.0000000000000146. PMID: 24621804; PMCID: PMC4011565.
  18. WHO Hypertension key facts. Available form:https://who.int/news-room/fact- sheets/detail/hypertension.
  19. Vinod K. Ramani1, Suresh K.P.2, Prevalence of hypertension and diabetes morbidity among adults in a few urban slums of Bangalore city, determinants of its risk factors and opportunities for control. Journal of Family Medicine and Primary Care; Published by Wolters Kluwer.2020;(24):10.4103/jfmpc.jfmpc_234_20.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7567266/pdf/JFMPC-9- 3264.pdf.
  20. Iftekhar Quasem, Mrunal S.Shetye, Shiney C. Alex, Anjan Kumar Nag, P.S. Sarma, K.R. Thankappan et al. Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India, a multicentre study; World Health Organization. 2001; 79 (6): 490–500.
  21. Cupples ME, McKnight A. Randomised controlled trial of health promotion in general practice for patients at high cardiovascular risk. BMJ. 1994 Oct 15;309(6960):993-6. doi: 10.1136/bmj.309.6960.993. PMID: 7950723; PMCID: PMC2541257.
  22. Kate Bramham, Bethany Parnell, Catherine Nelson-Piercy, Paul T Seed, Lucilla Poston Lucy C Chappell, Chronic hypertension and pregnancy outcomes: systematic review and meta-analysis; 2014; 348: g2301. Available from: doi: 10.1136/bmj.g2301.
  23. T. Hardy, Swati Sakhuja, Byron C. Jaeger, Elaine M. Urbina, MD, MS3; Shakira F. Suglia, ScD4; Daniel I. Feig, MD, PhD5,et al; Trends in Blood Pressure and Hypertension Among US Children and Adolescents 1999-2018. JAMA Netw Open.2021;4(4):e213917. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2778082
  24. Nancy H. Miller, Kathy Berra, Janet Long. Hypertension Awareness, Understanding, and Treatment of Previously Diagnosed Hypertension in Baby Boomers and Seniors: A Survey Conducted by Harris Interactive on Behalf of the Preventive Cardiovascular Nurses Association. The journal of clinical hypertension.2010:5;(12): 328–334. Available from: DOI: 1111/j.1751-7176.2010.00267.x
  25. Hongjun Ba1, Huimin Peng, Lingling Xu, Youzhen Qin, Huisheng Wang: Clinical Characteristics of Hospitalized Pediatric Patients with Hypertensive Crisis, The journal Frontiers in Cardiovascular Medicine. 2022:5;(9). Available from: doi: 10.3389/fcvm.2022.891804.
  26. Cecilia Amponsem-Boateng, Weidong Zhang, Timothy Bonney Oppong, Godfrey Opolot, Emmanuel Kumi Duodu Kyere. A cross-sectional study of risk factors and hypertension among adolescent SeniorHigh School students. Dove Press journal: 2019:12 1173–1180.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662518.
  27. Suzanne Oparil, Maria Czarina Acelajado, George L. Bakris, Dan R. Berlowitz, Renata Cífková, Anna F. Dominiczak. HHS Public Access: 2019: 4: 18014. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477925.
  28. A Chockalingam. World Hypertension Day and global awareness. Can J Cardiol 2008;24(6):441-444.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2643187.
  29. Surinder Kaur1, A. RightKumari Devi, Rashmi Panchal. Hypertension, World Hypertension Day andglobal awareness. Can J Cardiol 2008;24(6):441-444. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2643187.
  30. Jafar Sadegh Tabrizi , Homayoun Sadeghi-Bazargani , Mostafa Farahbakhsh , Leila Nikniaz , Zeinab Prevalence and Associated Factors of Prehypertension and Hypertension in Iranian Population:The Lifestyle Promotion Project (LPP): 2016 Oct 26;11(10): e0165264. Available from: https://pubmed.ncbi.nlm.nih.gov/27783691.
  31. Oladipupo Olafiranye, Ferdinand Zizi,Perry Brimah, Girardin Jean-louis, Amgad N. Makaryus, et al. Management of Hypertension among Patients with Coronary Heart Disease: International Journal ofHypertension : 2011; 653903.Available from: doi:10.4061/2011/653903.
  32. Nancy R Cook 1, Jeffrey A Cutler, Eva Obarzanek, Julie E Buring, Kathryn M Rexrode, Shiriki K Kumanyika, Lawrence J Appel, Paul K Whelton. Long term effects of dietary sodium reduction on cardiovascular disease outcomes: observational follow-up of the trials of hypertension prevention (TOHP); BMJ. Epub. 2007(20);334(7599):885-8. Available from: doi: 10.1136/bmj.39147.604896.55.
  33. Vivek Bhat, Thanmayi Gs, Arvind Kasthuri. Stroke Awareness among Elderly Hypertensives in a Rural Area of Bangalore District, India. Pubmed. 2020(15);30(1):105467. Available from: doi: 10.1016/j.jstrokecerebrovasdis.
  34. Jeyaraj D Pandian, Ashish Jaison, Sukhbinder S Deepak, Guneet Kalra, Shivali Shamsher, et al. Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India.AHAjournal; 2005;36:644–648.Available from: https://doi.org/10.1161/01.STR.0000154876.08468.a0.
  35. Xiaochuan Liu, Huiwen Gui , Sichen Yao, Zhongcheng Li, Jing Zhao. Age-Related Disparities in Stroke Knowledge Among Community Older Adults.The journal Frontiers in Neurology; 2021: 12:717472. Available from: doi: 10.3389/fneur.2021.717472.
  36. Netsanet Bayu, Tesfamichael G. Mariam. Hypertensive Patients’ Knowledge of Risk Factors and Warning Signs of Stroke at Felege Hiwot Referral Hospital, Northwest Ethiopia: A Cross-Sectional Study; 2019: 8570428.Available from: https://doi.org/10.1155/2019/8570428.
  37. Salla, Surya Prakasa Rao, Dr. Salla Sweta Ramani, Dr. Pudi Venkat Sai Kiran, Dr. Siddanati Kiran Prasad. A descriptive study on the hypertensive crisis in Visakhapatnam, Andhra Pradesh, India; International Journal of Medical Research and Review; 2020: 231783269. Available from: DOI:10.17511/ijmrr.2020.i06.02.
  38. Ove K Andersson, Torbjörn Almgren, Bengt Persson, Ola Samuelsson, Thomas Hedner, Lars BMJ. 1998 Jul 18; 317(7152): 167–171. Available from: doi: 10.1136/bmj.317.7152.167
  39. Taye KebedeID, Zaid Taddese, Abiot Girma. Knowledge, attitude and practices of lifestyle modification and associated factors among hypertensive patients on- treatment follow up at Yekatit 12 General Hospital in the largest city of East Africa. PLoS ONE;2022; 17(1): e0262780. Available from: https://doi.org/ 10.1371/journal.pone.0262780.
  40. Pantelis A Sarafidis 1, Suying Li, Shu-Cheng Chen, Allan J Collins, Wendy W Brown, Michael J Klag,Hypertension awareness, treatment, and control in chronic kidney disease. Pubmed; 2008;121(4): 332-40. Available from: doi: 10.1016/j.amjmed.2007.11.025.
  41. Ying Zheng 1, Guang-Yan Cai, Xiang-Mei Chen, Ping Fu, Jiang-Hua Chen, Xiao- Qiang Ding, et al. Prevalence, awareness, treatment, and control of hypertension in the non-dialysis chronic kidney disease patients.NIH; 2013 Jun;126(12):2276- 80. Available from: doi: 10.3760/cma.j.issn.0366-6999.20130835.
  42. Surinder Kaur, A. Kumari Devi, Rashmi Panchal. A Study to Evaluate the Effectiveness of Health Education program on Management of Hypertension for Hypertensive Clients in Terms of Knowledge, Compliance and Life Style in Khan Ahmedpur Village of District Ambala, Haryana; International Journal of Science and Research:2015:4(2). Available from: https://www.ijsr.net/archive/v4i2/SUB151368.pdf.
  43. Prakasa Rao S, Sweta Ramani S, Sai Kiran P, Kiran Prasad S. A descriptive study on the hypertensive crisis in Visakhapatnam, Andhra Pradesh, India.2020;8(6):387-391.
  44. O K Andersson1, T Almgren, B Persson, O Samuelsson, T Hedner, L Wilhelmsen. Survival in treated hypertension: follow up study after two decades. BMJ.1998 Jul 18;317(7152):167-71. Available from: doi: 10.1136/bmj.317.7152.167.
  45. Jafar Sadegh Tabrizi , Homayoun Sadeghi-Bazargani , Mostafa Farahbakhsh , Leila Nikniaz , Zeinab On Prevalence and Associated Factors of Pre- hypertension and Hypertension in Iranian Population, The Lifestyle Promotion Project. 2016;11(10):e0165264. Available from: doi: 10.1371/journal.pone.0165264.
  46. Taye Kebede , Zaid Taddese , Abiot Girma. A prospective cross-sectional study on Knowledge, attitude and practices of lifestyle modification and associated factors among hypertensive patients on-treatment follow up at Yekatit 12 General Hospital in the largest city of East Africa. 2022 Jan 27;17(1):e0262780. Available from: doi: 10.1371/journal.pone.0262780.
  47. Paul Muntner, Amanda Anderson, Jeanne Charleston, Zhen Chen, Virginia Ford, Gail Makos, Andrew O’Connor, Kalyani Perumal, Mahboob Rahman, Susan Steigerwalt, Valerie Teal, Raymond Townsend, Matthew Weir, Jackson T Wright. Hypertension Awareness, Treatment, and Control in Adults With CKD: Results From the Chronic Renal Insufficiency Cohort (CRIC) Study. Am J Kidney Dis. 2010 Mar; 55(3): 441–451. Available from: doi: 10.1053/j.ajkd.2009.09.014
  48. Guangyan Cai, Ying Zheng, Xuefeng Sun, Xiangmei Chen , Survey of Prevalence, Awareness, and Treatment Rates in Chronic Kidney Disease Patients with Hypertension in China Collaborative Group on Prevalence, awareness, treatment, and control of hypertension in elderly adults with chronic kidney disease: results from the survey of Prevalence, Awareness, and Treatment Rates in Chronic Kidney Disease Patients with Hypertension in China 2013 Dec;61(12):2160-2167. Available from doi: 10.1111/jgs.12551.

Regular Issue Subscription Original Research
Volume 02
Issue 02
Received 08/08/2024
Accepted 21/09/2024
Published 24/09/2024

Check Our other Platform for Workshops in the field of AI, Biotechnology & Nanotechnology.
Check Out Platform for Webinars in the field of AI, Biotech. & Nanotech.