Knowledge, Attitudes and Practices of Hypertension among Hypertensive Patients at Buchi Clinic, Kitwe, Zambia

Ikasaya I., MBChB; Mwanakasale V. Ph.D; Kabelenga E. M.Sc.

Authors

Ikasaya, I., MBChB Micheal Chilufya Sata School of Medicine, Copperbelt University, P.O Box 71191, Ndola 10101, Zambia
Mwanakasale, V., Ph.D. Micheal Chilufya Sata School of Medicine, Copperbelt University, P.O Box 71191, Ndola 10101, Zambia
Kabelenga, E. M.Sc. Micheal Chilufya Sata School of Medicine, Copperbelt University, P.O Box 71191, Ndola 10101, Zambia

Keywords:

hypertension, knowledge, attitudes, practice, medication adherence, Buchi Kitwe Zambia

Abstract

Background: Hypertension is one of the most common health problems in the world and happens to be the leading risk factor for mortality. Knowledge, attitudes and life style modifications of patients play an important role in controlling hypertension and preventing the long-term complications. The aim of this study was to assess the level of knowledge, attitudes and practices and their compliance to medication among Hypertensive Patients at Buchi Clinic, Kitwe.

Methods: A cross-sectional study involving 90 randomly selected participants was conducted. Data was collected from June to August 2018 at Buchi Clinic, Kitwe, Zambia. A suitably designed questionnaire consisting of 30 questions was used to determine the KAP scores. The data was entered in SPSS Version 20 and analysed.

Results: A total of 90 patients participated and the majority (78.8%) were males. About half (52.2%) were aged between 45 to 64 years. About 32.2%, had received only primary education and nearly 3 out of 4 (77.8%) were unemployed. More than half (54.4%) had hypertension for 5 years or more. The knowledge and practice towards hypertension was found to be average, whereas the attitude was found to be good. Statistically significant association was found between knowledge and practice (p = 0.023).

Conclusions: The current knowledge, attitude and practice among hypertensive patients at Buchi Clinic, Kitwe Zambia is inadequate and should therefore be improved.

Downloads

Download data is not yet available.

Author Biography

Kabelenga, E. M.Sc., Micheal Chilufya Sata School of Medicine, Copperbelt University, P.O Box 71191, Ndola 10101, Zambia

Ndola College of Nursing and Midwifery, Private Agency, Ndola 10101, Zambia

References

Abd El-Hay, S.A. and El Mezayen, S.E. 2015. Knowledge and Perceptions Related to Hypertension, Lifestyle Behavior Modifications and Challenges That Facing Hypertensive Patients. IOSR Journal of Nursing and Health Science, 4(6): 1-12.

Ali, S., Sathiakumar, N. and Delzell, E. 2006. Prevalence and Socio-Demographic Factors Associated with Tobacco Smoking among Adult Males in Rural Sindh, Pakistan, Southeast Asian Journal of Tropical Medicine and Public Health, 37(5): 1054-60.

Al-Wehedy, A., Abd Elhameed S.H. and Abd El-Hameed D. 2014. Effect of Lifestyle Intervention Program on Controlling Hypertension among Older Adults. Journal of Education and Practice, 5(5): 61-71.

Anowie, F. and Darkwa, S. 2015. The Knowledge, Attitudes and Lifestyle Practices of Hypertensive Patients in the Cape Coast Metropolis-Ghana. Journal of Scientific Research and Reports, 8(7): 1-15.

Carretero, A.O. and Oparil, S. 2000. Essential Hypertension, Circulation, 101(3): 329 -35.

Demaio, A.R., Otgontuya, D., De Courten, M., Bygbjerg I.C., Enkhtuya P. and Meyrowitssch, D.W. 2013. Hypertension and Hypertension-related Disease in Mongolia; Findings of a National Knowledge, Attitudes and Practices Study. B.M.C. Public Health, (13): P194.

Dennison, C., Peer, N. and Lombard, C. 2007. Cardiovascular risk and comorbid conditions among black South Africans with hypertension in public and private primary care settings: The HiHi study. Ethnicity and Disease, 17: 477-83.

Ibekwe, R. 2015. Modifiable risk factors for hypertension and Social-demographic Profile in Oghara, Delta State; Prevalence and Correlates. Annals of Medical and Health Sciences Research, 5: 71-77.

James, P.A., Oparil, S., Carter, B.L., et al., 2014. Evidence-based guideline for the management of high blood pressure in adults. Report from panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA, 311(5): 507- 20.

Jin, J., Sklar, G.E., Oh, V.M.S. and Li, S.C. 2008. Factors affecting therapeutic compliance: A review from the patient’s perspective. Therapeutics and Clinical Risk Management, 4(1): 269-86.

Longo, D.L., Kasper, D.L., Jameson, J.L., Anthony, D., Hauser, S.L. and Loscalzo, J. 2012. Harrison's Principles of Internal Medicine. 18th Edition, USA: McGraw-Hill.

Nyirenda, S. 2003. Top ten causes of mortality and morbidity in the department of medicine at University Teaching Hospital, Lusaka, Zambia (Thesis).

Okwuonu, C.G., Ojimadu, N.E., Okaka, E.I. and Akemokwe, F.M. 2014. Patient-Related Barriers to Hypertension Control in a Nigerian Population. International Journal of General Medicine, 7: 345–353.

Parmar, P., Rathod, G.B., Rathod, S., Goyal, R., Agawam S. and Parikh A. 2014. Study of Knowledge, Attitude and Practice of General Population of Gandhinagar towards Hypertension. International Journal of Current Microbiology and Applied Sciences, 3(8): 680-685.

Reshma, N. and Kenada, T. 2015. Non-communicable diseases in Africa. Youth are Key to curbing the epidemic and achieving sustainable development. Population Reference Bureau: Washington DC, USA.

Sa’adeh, H.H., Darwazeh, R.N., Khalil, A.A. and Zyoud, S.H. 2018. Knowledge, Attitudes and Practices of hypertension towards prevention and early detection of chronic kidney disease: A cross sectional study from Palestine. Clinical Hypertension, 24(6): 1-13.

Shaikh, M.A., Dur-e-Yakta, Sadia and Kumar, R. 2012. Hypertension Knowledge, Attitude and Practice in Adult Hypertensive Patients at LUMHS. JLUMHS, 11: 113-6.

Shaikh, R.B., Mathew E., Sreedharan J., Muttappallymyalil, J., Sharbatti S. and Basha, S. 2011. Knowledge Regarding Risk Factors of Hypertension among Entry Year Students of a Medical University, Journal of Family and Community Medicine, 18(3): 124–129.

Siziya, S., Rudatsikia, E., Babaniyi, O., Songolo, P. and Mulenga, D. 2012. Prevalence and correlates of Hypertension among Adults Aged 25 years Older in a Mining Town of Kitwe, Zambia. Journal of Hypertension 1(3): 1-5. 105.

Statistics South Africa, 2018. Mid-year Population Estimates.

Stefanov, T., Vekova, A., Bonova, I., et al., 2013. Effects of supervised vs non-supervised combined aerobic and resistance exercise programme on cardiometabolic risk factors. Central European Journal of Public Health, 21(1): 8-16.

Tam, C.F., Nguyen, L., Pea, S., Hajyan, K., Kevork, S., Davis, R., Poon, G. and Lew, P. 2014. 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, 25(1): 31-43.

Welte, J.W. and Russel, M. 1993. Influence of Socially Desirable Responding in a Study of Stress and Substance Abuse. Alcoholism Clinical and Experimental Research, 17: 758 –761.

WHO. 2014 .Raised Blood Pressure. Accessed at www.who.int/gho/ncd/riskfactors/blood_pressure_prevalence_text/ on 24 Jan 2018.

Wright, J.D., Hughes, J.B., Ostchega, Y., Yoon, S.S. and Nwankwo, T. 2011. Mean Systolic and Diastolic Blood Pressure in Adults Aged 18 and Over in the United States, National Health Statistics Reports, 35: 1-23.