Main Article Content
Abstract
Hypertension is a silent killer, responsible for 9.4 million deaths out of the total 17 million attributed to cardiovascular diseases in 2016. It can be prevented or controlled through lifestyle modifications. In recognizing the importance of non-pharmacological approaches in managing hypertension, this study was conducted to assess the knowledge, attitude, and practice of non-pharmacological management of hypertension among hypertensive patients attending Kintampo Municipal Hospital. A hospital-based descriptive cross-sectional study design was employed, and a simple random sampling technique was used. A total of 183 participants were included in the study out of the 255 hypertensive patients on the register using Yamane’s formula with each respondent administered a closed-ended questionnaire. Data was analyzed using Stata version 15. There was a poor knowledge of hypertension and its non-pharmacological management among respondents. The attitude and practice toward non-pharmacological management of hypertension were negative among the respondents. A chi-square analysis showed a statistically significant association between respondents’ knowledge of non-pharmacological management of hypertension and their level of education (X2 [4, N=183] = 8.69, P=0.031, Փc=0.244). The attitude toward non-pharmacological management of hypertension and the age category of the respondents was significantly associated (X2 [3, N=183] = 11.54, P=0.048, Փc=0.498). There was a lack of knowledge regarding lifestyle management among patients with hypertension, which was linked to a low degree of formal education. Negative attitudes and poor practices for the lifestyle management of hypertension were also due to the lack of knowledge. To ensure adherence to lifestyle modifications, it is necessary to strengthen education on lifestyle management of hypertension at the hypertension clinic among hypertensive patients.
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References
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References
Abdul Rashid, A. . R., Khalid, Y., & Chia, Y. C. (2011). Management of hypertension. Malaysian Family Physician, 6(1), 125. https://doi.org/10.1136/bmj.2.6079.125
Akonobi, A., & Khan, J. (2019). A systematic review of Randomized Controlled Trials about some non- pharmacological interventions for treatment of hypertension : Physical exercise , sodium restriction , weight and alcohol use reduction. Journal of Health and Social Sciences. https://doi.org/10.19204/2019/syst4
Anowie, F., & Darkwa, S. (2016). 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. https://doi.org/10.9734/jsrr/2015/19891
Bakker, E. A., Sui, X., Brellenthin, A. G., Lee, D. C., Drake-holland, A. J., Noble, M. I. M., Sahoo, D., Gosai, H., Sahoo, U., Harsoda, J., Gambardella, J., Morelli, M. B., Wang, X. J., Santulli, G., Kofi Amegah, A., Brahuah, E., Stranges, S., Agyei-Baffour, P., Tetteh, G., … Zhang, X. H. (2017). Nonpharmacologic management of hypertension: A multidisciplinary approach. Current Opinion in Cardiology, 32(4), 381–388. https://doi.org/10.1097/HCO.0000000000000406
Bosu, W. K. (2010). Epidemic of hypertension in Ghana: a systematic review. BMC Public Health, 10(1), 418. https://doi.org/10.1186/1471-2458-10-418
Dosoo, D. K., Nyame, S., Enuameh, Y., Ayetey, H., Danwonno, H., Twumasi, M., Tabiri, C., Gyaase, S., Lip, G. Y. H., Owusu-agyei, S., & Asante, K. P. (2019). Prevalence of Hypertension in the Middle Belt of Ghana : A Community-Based Screening Study. 2019.
Ekoru, K., Doumatey, A., Bentley, A. R., Chen, G., Zhou, J., Shriner, D., Fasanmade, O., Okafor, G., Eghan, B., Agyenim-Boateng, K., Adeleye, J., Balogun, W., Amoah, A., Acheampong, J., Johnson, T., Oli, J., Adebamowo, C., Collins, F., Dunston, G., … Rotimi, C. (2019). Type 2 diabetes complications and comorbidity in Sub-Saharan Africans. EClinicalMedicine, 16, 30–41. https://doi.org/10.1016/j.eclinm.2019.09.001
El-hay, S. A. A., & Mezayen, S. E. El. (2015). Knowledge and Perceptions Related to Hypertension , Lifestyle Behavior Modifications and Challenges That Facing Hypertensive Patients Abstract : IOSR Journal of Nursing and Health Science (IOSR-JNHS), 4(6), 15–26. https://doi.org/10.9790/1959-04611526
GSS; GHS; ICF International. (2015). Ghana demographic health survey. Demographic and Health Survey 2014, 530. https://doi.org/10.15171/ijhpm.2016.42
Institute for Health Metrics and Evaluation. (2018). Global Burden of Disease Study 2017. In Lancet (Vol. 350, Issue 9071, pp. 141–145). https://doi.org/10.1016/S0140-6736(97)26028-9
Iyalomhe, G. B. S., & Iyalomhe, S. I. (2010). Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community. Journal of Public Health and Epidemiology, 2(4), 71–77. http://www.academicjournals.org/jphe
Kearney, P. M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P. K., & He, J. (2005). Global burden of hypertension: analysis of worldwide data. The Lancet, 365(9455), 217–223. https://doi.org/10.1016/s0140-6736(05)17741-1
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 1975. https://doi.org/10.1038/s41581-019-0244-2
Ministry of Health of Ghana. (2015). The Health Sector in Ghana: Facts and Figures 2015. Ministry of Health, Ghana, 1–50. https://doi.org/10.1596/978-0-8213-9599-8
MOH. (2012). National Policy for the Prevention and Control of Chronic Non-Communicable Diseases in Ghana. August, 1–27.
Ozemek, C., Phillips, S. A., Popovic, D., Laddu-Patel, D., Fancher, I. S., Arena, R., & Lavie, C. J. (2017). Nonpharmacologic management of hypertension: A multidisciplinary approach. Current Opinion in Cardiology, 32(4), 381–388. https://doi.org/10.1097/HCO.0000000000000406
Tesfaye, T., Sileshi, T., & Dabessa, G. (2015). Knowledge, Attitudes and Practice of Non Pharmacologic Therapy among Hypertensive Patients in Bishoftu, Ethiopia. Journal of Health, Medicine and Nursing, 19(i), 32–38.
Tuoyire, D. A., & Ayetey, H. (2019). Gender differences in the association between marital status and hypertension in Ghana. Journal of Biosocial Science, 51(3), 313–334. https://doi.org/10.1017/S0021932018000147
WHO. (2013). A global brief on Hyper tension World Health Day 2013.
WHO. (2016). Noncommunicable Disease. In Heart of Africa: Clinical Profile of an Evolving Burden of Heart Disease in Africa (pp. 155–157). https://doi.org/10.1002/9781119097136.part5
WHO. (2018). World Health Statistics: Monitoring Health for the SDGs.
World Health Organization. (2014a). Global Status Report On Noncommunicable Diseases 2014. World Health Organization, 176.
World Health Organization. (2014b). Global Status Report On Noncommunicable Diseases 2014.
Yamane, T. (1967). Statistics, An Introductory Analysis, Harper and Row, New York, NY, USA, 2nd edition.