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首页> 外文期刊>International Journal of Hypertension >Descriptive Cross-Sectional Study on Knowledge, Awareness, and Adherence to Medication among Hypertensive Patients at a Tertiary Care Centre in Colombo District, Sri Lanka
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Descriptive Cross-Sectional Study on Knowledge, Awareness, and Adherence to Medication among Hypertensive Patients at a Tertiary Care Centre in Colombo District, Sri Lanka

机译：斯里兰卡科伦坡区三级护理中心高血压患者的知识，意识和依从药物的描述性横断面研究

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Objective. This study was aimed to assess the patient’s knowledge and awareness about hypertension and adherence to antihypertensive medication among hypertensive patients. Methods. The descriptive cross-sectional study was conducted in three medical clinics of Colombo South Teaching hospital, Kalubowila, Sri Lanka, from April 2019 to September 2019. Total of 384 hypertensive patients were recruited by systematic randomized controlled sampling and interviewed with validated questionnaires to assess their knowledge about hypertension and adherence to antihypertensive medication. Data were analyzed using SPSS (version 21) analytical package, and the chi-squared test was performed. Results. The total sample consisted of 384 hypertensive patients with a mean age of 59.32 (±12.34SD). This included 180 (46.9%) males and 204 (53.1%) females. The male?:?female ratio was approximately 9?:?10. Most of patients were with primary and ordinary educational status (65.9%), normal body mass index (54.9%), mild elevation of LDL cholesterol (76.3%), and coexistent ischemic heart disease (39.6%). The knowledge about hypertension among majority of patients was reasonable. However, they were unaware about normal values of blood pressure (69%, 95% of CI 1.92–2.09) and diagnostic values of hypertension (90.1%, 95% of CI 2.26–2.40). Moreover, they were unaware of their blood pressure values at time of diagnosis (75.3%, 95% of CI 2.09–2.25), at recent clinic visit (71.3%, 95% of CI 2.0-2.17), and target level (81.8%, 95% of CI 2.25-2.41). Most patients had adequate knowledge about the risk factors and complications of hypertension and were aware of their target organ damage (70.3%). Most patients believed that medication alone is not sufficient to control blood pressure (41.7%, 95% of CI 1.40-1.51) and adequate control of their blood pressure reduces complications (68.2%, 95% of CI 1.37-1.51). Most of the patients (71.8%) had reasonable good drug compliance. The forgetfulness was commonly attributed for nonadherence (69%, 95% of CI 1.26-1.36). Conclusions. The knowledge about hypertension among majority of patients was reasonable. But, they were unaware about their disease status and their diagnosis, target, and recent blood pressure values. Most of patients had adequate knowledge about the risk factors and complications of hypertension. However, they were unaware about their target organ damage due to hypertension. The drug compliance was reasonable among them. The forgetfulness was common reason for nonadherence. Therefore, healthcare professionals should implement individualized educational programmes to increase the awareness of disease status, appropriate blood pressure levels, and adherence of treatment to improve the outcome of patients.
机译：客观的。本研究旨在评估患者的知识和对高血压患者抗高血压药物的知识和认识。方法。描述性横截面研究是在2019年4月至2019年4月至2019年4月的Colombo South Chinional医院的三个医学诊所进行了三个医学诊所。通过系统随机控制的采样招募了384名高血压患者，并采访了经过验证的问卷来评估其关于高血压和抗高血压药物的粘附知识。使用SPSS（版本21）分析包进行分析数据，并进行CHI平方测试。结果。总样品由384名高血压患者组成，平均年龄为59.32（±12.34SD）。这包括180（46.9％）男性和204名（53.1％）的女性。雄性？：？女性比率约为9？：？10。大多数患者具有初级和普通的教育状态（65.9％），正常体重指数（54.9％），LDL胆固醇的轻度升高（76.3％）和共存缺血性心脏病（39.6％）。关于大多数患者的高血压知识是合理的。然而，它们没有意识到血压正常值（69％，95％的CI 1.92-2.09）和高血压诊断值（90.1％，95％的CI 2.26-2.40）。此外，在诊断时不知道它们的血压值（75.3％，95％的CI 2.09-2.25），最近诊所访问（71.3％，95％的CI 2.0-2.17）和目标水平（81.8％） ，95％的CI 2.25-2.41）。大多数患者对高血压危险因素和并发症具有足够的知识，并意识到其目标器官损失（70.3％）。大多数患者认为，单独的药物不足以控制血压（41.7％，95％的CI 1.40-1.51）并充分控制其血压可降低并发症（68.2％，95％的CI 1.37-1.51）。大多数患者（71.8％）具有合理的良好药物依从性。遗忘通常归因于不正常（69％，95％的CI 1.26-1.36）。结论。关于大多数患者的高血压知识是合理的。但是，他们没有意识到他们的疾病状况及其诊断，目标和最近的血压值。大多数患者对高血压危险因素和并发症具有足够的知识。然而，由于高血压，它们没有意识到他们的目标器官损伤。这些药物合规是合理的。健忘是非正常的常见原因。因此，医疗保健专业人员应实施个性化教育方案，以提高疾病状况，适当的血压水平和治疗依从性的认识，以改善患者的结果。

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