Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community.
Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community.
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尼日利亚郊区社区高血压患者的高血压相关知识、态度和生活方式。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Sarah I. Iyalomhe
中科院分区：
文献类型：
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作者：
G. Iyalomhe;Sarah I. Iyalomhe
在尼日利亚奥奇，高血压是一项重要的公共卫生挑战。本定性现象学调查的目的是了解高血压患者的知识、认知、态度和生活方式，以优化其健康和治疗需求。我们对108名随机选择的高血压患者进行了问卷调查和详细的访谈。采用社会科学统计软件包（SPSS）进行分析，采用GraphPad Prism软件的卡方在0.05水平上进行显著性检验。男性60例（55.6%）多于女性48例（44.4%）。年龄35 ~ 80岁（平均59.05±9.06岁），模态年龄56 ~ 60岁（24.1%）。66名受访者（61%）知道这是高血压，22名（20%）认为这意味着过度思考和担忧，57名（53%）声称这是遗传的。43人（40%）认为是恶灵造成的，32人（30%）认为是食物变质或中毒造成的。少数人（18%）知道一些危险因素。htn的症状包括头痛、烦躁不安、心悸、颞浅动脉过度搏动和“内热”，但80例（74%）患者通过血压测量证实了其正确诊断。虽然98人（90.7%）认为疾病有严重的发病率，但只有36人（33.3%）坚持治疗，很少有人改变生活方式。32人（30%）至少知道自己在使用一种降压药。抑郁焦虑、成瘾恐惧、药物不良反应难以忍受等心理社会因素对患者的治疗态度产生负面影响。我们认为，奥齐患者对htn的认知程度较低，对治疗的态度消极。耐心教育、激励和公众启蒙是必不可少的。
Hypertension (htn) is an important public health challenge at Auchi, Nigeria. The purpose of this qualitative phenomenological survey was to determine hypertensive patients’ knowledge, perceptions, attitudes and life-style practices so as to optimize their health and treatment needs. We examined a cohort of 108 randomly selected hypertensive by means of a self-structured questionnaire and a detailed interview. Analysis was by statistical package for social sciences (SPSS) and chi-square of the GraphPad Prism software was used for significance tests at 0.05 level. More males 60 (55.6%) than females 48 (44.4%) were assessed. Their age range was 35 – 80 years (mean = 59.05 ± 9.06 years), the modal age group was 56 – 60 years (24.1%). Sixty-six respondents (61%) knew htn to be high blood pressure (BP), 22 (20%) thought it meant excessive thinking and worrying while 57 (53%) claimed it was hereditary. Forty-three (40%) felt it was caused by malevolent spirits, 32 (30%) believed it was caused by bad food or poisoning. A few (18%) knew some risk factors. Symptoms attributed to htn were headache, restlessness, palpitation, excessive pulsation of the superficial temporal artery and “internal heat”, but 80 (74%) attested to its correct diagnosis by BP measurement. Although 98 (90.7%) felt the disease indicated serious morbidity, only 36 (33.3%) were adherent with treatment and fewer practiced life-style modification. Thirty-two (30%) knew at least one antihypertensive drug they use. Psychosocial factors like depression and anxiety, fear of addiction and intolerable drug adverse effects impacted negatively on patients’ attitude to treatment. We conclude that patients’ knowledge of htn in Auchi is low and their attitudes to treatment negative. Patient education, motivation and public enlightenment are imperative.
Key words: Hypertension-related knowledge, perception, attitudes, life-style practices, hypertensive Nigerian patients.
影响因子：
12.7
作者：
Cooper, R;Rotimi, C;Wilks, R
通讯作者：
Wilks, R