Assessment of Hypertension-related Knowledge, Attitudes and Life-style Practices among Hypertensive Patients at Primary Health Care Centers in Jeddah in 2015, KSA Público

Thabit, Razan Khalid (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/5x21tg00d?locale=pt-BR
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Abstract

Background Hypertension is one of the most common non-communicable diseases; it is a modifiable risk factor for stroke, ischemic heart diseases, peripheral vascular diseases and chronic kidney disease.

Objective To assesses hypertension-related knowledge, attitudes, and lifestyle practices among hypertensive patients attending primary health care centers in Jeddah, Saudi Arabia.

Subjects and Methods A cross-sectional study was conducted in 220 hypertensive patients randomly selected from five primary health care centers in Jeddah in July 2015. Participants were interviewed one-on-one in Arabic using an adapted structured questionnaire on hypertension-related knowledge, attitudes and lifestyle practices. Response rate was 100%.

Results Males constituted 53.2% of the sample and females 46.8%. The majority of the participants were married (81.4%) and aged above 40 years old (66.8%). More than half of the participants were diabetic (52.3%) or had a positive family history of hypertension (74.5%); 46.8% were overweight; and 44.1% were smokers. Of the respondent, 98% knew that hypertension was a disease, 90% knew high salt intake is a risk factor for hypertension and that 88.6% knew that exercise reduces blood pressure level. Almost all of the participants scored high on attitude level: 97.3% believed that adherence to hypertension medication was important. However, a low level of lifestyle practices was observed among participants; only 10% reported that they did a urine analysis or checked their lipid profile in the last month. Gender differences were observed in lifestyle practices with more men reporting having exercised in the last month than women (42% men, 33% women; P = 0.03).

Conclusion A high proportion of participants had a good level of knowledge and right attitudes related to hypertension; however, a small proportion had good lifestyle practices. These findings emphasize the need to develop national strategies with positive reinforcement to improve hypertension-related practices.

Keywords Hypertension, Knowledge, Attitudes, Practices, Saudi Arabia

Table of Contents

Abstract. 6

Acknowledgements. 8

Chapter 1. Introduction. 9

Overview on Hypertension. 9

Hypertension in Saudi Arabia. 11

Study Purpose. 12

Study Questions. 13

Study Significance. 14

Chapter 2. Literature Review. 15

Global Snapshot of Hypertension Prevalence and Control. 15

Hypertension-related Knowledge, Attitudes, and Lifestyle Practices in Developed Countries. 17

Hypertension-related Knowledge, Attitudes, and Lifestyle Practices in Developing Countries. 20

Hypertension-related Knowledge, Attitudes, and Lifestyle Practice in KSA. 23

The Effect of Patient Education in Hypertensive Patients. 25

Chapter 3. Manuscript. 27

Introduction. 27

Methods. 29

Study Area. 29

Study Design. 29

Sample Selection. 29

Data Collection Tool. 30

Study Variables. 31

Data Management and Statistical Analysis. 32

Ethical Considerations. 33

Results. 34

Demographic Characteristics and Health Status. 34

Table1. Demographic characteristics of hypertensive patients attending five primary health centers in Jeddah, Saudi Arabia, 2015. 34

Table 2. Clinical and anthropometric characteristics of hypertensive patients attending five primary health centers in Jeddah, Saudi Arabia, 2015. 35

Table 3. Knowledge parameters of hypertensive patients attending five primary health centers in Jeddah, Saudi Arabia, 2015. 36

Knowledge Parameters. 37

Table 4. Association* of hypertension-related knowledge with age and gender in hypertensive patients attending five primary health centers in Jeddah, 2015. 38

Table 5. Association* of hypertension-related knowledge with educational level and hypertension duration in hypertensive patients attending five primary health centers in Jeddah, 2015. 39

Table6. Attitude parameters of hypertensive patients attending five primary health centers in Jeddah, Saudi Arabia, 2015.. 41

Attitude Parameters. 42

Table 7. Association* of hypertension-related Attitude with age and gender in hypertensive patients attending five primary health centers in Jeddah, 2015.. 43

Table 8. Association* of hypertension-related attitude with educational level and hypertension duration in hypertensive patients attending five primary health centers in Jeddah, 2015.. 44

Table 9. Practice parameters of hypertensive patients attending five primary health centers in Jeddah, Saudi Arabia, 2015. 46

Lifestyle Practice Parameters. 47

Table10. Association of hypertension-related practice with age and gender in hypertensive patients attending five primary health centers in Jeddah, 2015). 48

Table11. Association of hypertension-related attitude with educational level and hypertension duration in hypertensive patients attending five primary health centers in Jeddah, 2015). 49

Discussion. 51

Chapter 4. Conclusion and Recommendations. 56

References. 58

Appendix. 62

Assessment of Hypertension- Related KAP among Hypertensive Patients' Questionnaire. 62

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