Factors influencing knowledge levels among hypertensive patients receiving treatment at the Komfo Anokye Teaching Hospital in Kumasi, Ghana: a cross-sectional study.
hpt_knowledge nyantakyi2020

Supplementary Files

HPT Knowledge_nyantakyi2020

Keywords

knowledge
hypertension
Adherence

How to Cite

Nyantakyi, R. A., Perditer Okyere, Edward Appiah Boateng, Isaac Okyere, Francis Adjei Osei, Samuel Frimpong Odoom, Frank Micah, & Joseph Attakorah. (2020). Factors influencing knowledge levels among hypertensive patients receiving treatment at the Komfo Anokye Teaching Hospital in Kumasi, Ghana: a cross-sectional study. African Journal of Current Medical Research, 4(1). https://doi.org/10.31191/afrijcmr.v4i1.52

Abstract

Background: Basic knowledge about hypertension and its treatment can have a positive impact on high blood pressure control reducing cardiovascular morbidity and mortality. This study aimed at assessing the knowledge levels and to determine the factors that influenced knowledge levels among hypertensive patients receiving treatment at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. Methods: A cross-sectional study was conducted at the outpatient hypertensive clinic of KATH between April and May 2019. Three hundred and ninety-seven (397) hypertensive patients aged 18 years and above who had been diagnosed with hypertension for at least six months and currently taking at least one antihypertensive drug completed a self-administered questionnaire. The questionnaire consisted of basic socio-demographic profile, patient-related information on hypertension and its treatment and knowledge on hypertension. The Hypertension Knowledge-Level Scale (HK-L) was used to determine the level of knowledge among patients receiving treatment at the Komfo Anokye Teaching Hospital (KATH), Kumasi. Results: Out of the 397 patients, 199 (50.1%) had high knowledge level on hypertension and its treatment. Binary logistic regression analysis was conducted for hypertension knowledge level. Respondents with a junior level of education, paid for their antihypertensive drugs by themselves, had asthma as a comorbidity and took non-prescribed drugs had a significant association with knowledge level on hypertension and its treatment. Conclusion: Knowledge about hypertension in hypertensive patients is moderate and therefore much effort should be made in educating and involving them in the condition to help them gain control over the disease and improve adherence rates.
https://doi.org/10.31191/afrijcmr.v4i1.52
hpt_knowledge nyantakyi2020

References

1. Ike SO, Aniebue PN, Aniebue UU. Knowledge, perceptions and practices of lifestyle-modification measures among adult hypertensives in Nigeria. Trans R Soc Trop Med Hyg. 2010;104(1):55–60.
2. Brown VA, Bartholomew LK, Naik AD. Management of chronic hypertension in older men: an exploration of patient goal-setting. Patient Educ Couns. 2007;69(1–3):93–9.
3. Maher D, Harries AD, Zachariah R, Enarson D. A global framework for action to improve the primary care response to chronic non-communicable diseases: a solution to a neglected problem. BMC Public Health. 2009;9(1):355.
4. World Health Organization (WHO). 2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. J Hypertens. 2003;21(11):1983–92.
5. Damasceno A, Azevedo A, Silva-Matos C, Prista A, Diogo D, Lunet N. Hypertension prevalence, awareness, treatment, and control in mozambique: urban/rural gap during epidemiological transition. Hypertension. 2009;54(1):77–83.
6. Buabeng KO, Matowe L, Plange-Rhule J. Unaffordable drug prices: the major cause of non-compliance with hypertension medication in Ghana. J Pharm Pharm Sci. 2004;7(3):350–2.
7. Amoah AG. Hypertension in Ghana: a cross-sectional community prevalence study in greater Accra. Ethn Dis. 2003;13(3):310–5.
8. Addo J, Agyemang C, Smeeth L, Aikins ADG, Adusei AK, Ogedegbe O. A review of population-based studies on hypertension in Ghana. Ghana Med J. 2012;46(2):4–11.
9. Cappuccio FP, Micah FB, Emmett L, Kerry SM, Antwi S, Martin-Peprah R, et al. Prevalence, detection, management, and control of hypertension in Ashanti, West Africa. Hypertension. 2004;43(5):1017–22.
10. Gimenes HT, Zanetti ML, Haas VJ. Factors related to patient adherence to antidiabetic drug therapy. Rev Lat Am Enfermagem. 2009;17(1):46–51.
11. Jokisalo E, Kumpusalo E, Enlund H, Takala J. Patients’ perceived problems with hypertension and attitudes towards medical treatment. J Hum Hypertens. 2001;15(11):755.
12. Jolles EP, Clark AM, Braam B. Getting the message across: opportunities and obstacles in effective communication in hypertension care. J Hypertens. 2012;30(8):1500–10.
13. Okoro RN, Ngong CK. Assessment of patient’s antihypertensive medication adherence level in non-comorbid hypertension in a tertiary hospital in Nigeria. Int J Pharm Biomed Sci. 2012;3(2):47–54.
14. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175–83.
15. Farquhar JW, Maccoby N, Wood PD. Education and communication studies. Oxford Textb public Heal. 1985;3:207–21.
16. Jo P, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992;47:1102–14.
17. Busari OA, Olanrewaju TO, Desalu OO, Opadijo OG, Jimoh AK, Agboola SM, et al. Impact of PatientsAND# 8217; Knowledge, Attitude and Practices on Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting. TAF-Preventive Med Bull. 2010;9(2):87.
18. Borzecki AM, Glickman ME, Kader B, Berlowitz DR. The effect of age on hypertension control and management. Am J Hypertens. 2006;19(5):520–7.
19. Ard JD, Svetkey LP. Diet and blood pressure: applying the evidence to clinical practice. Am Heart J. 2005;149(5):804–12.
20. Shaikh RB, Mathew E, Sreedharan J, Muttappallymyalil J, Al Sharbatti S, Basha SA. Knowledge regarding risk factors of hypertension among entry year students of a medical university. J Fam community Med. 2011;18(3):124.
21. Oladapo OO, Salako L, Sadiq L, Soyinka K, Falase AO. Knowledge of hypertension and other risk factors for heart disease among Yoruba rural southwestern Nigerian population. J Adv Med Med Res. 2013;993–1003.
22. Yamane T. 2nd hidition.
23. Baliz Erkoc S, Isikli B, Metintas S, Kalyoncu C. Hypertension Knowledge-Level Scale (HK-LS): a study on development, validity and reliability. Int J Environ Res Public Health. 2012;9(3):1018–29.
24. Jankowska-Polańska B, Uchmanowicz I, Dudek K, Mazur G. Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient Prefer Adherence. 2016;10:2437.
25. Motlagh Z, Fazel S, Chaman R, Ghafari SR, Parisay Z, Golabi MR, et al. Knowledge, treatment, control, and risk factors for hypertension among adults in Southern Iran. Int J Hypertens. 2015;2015.
26. Aung MN, Lorga T, Srikrajang J, Promtingkran N, Kreuangchai S, Tonpanya W, et al. Assessing awareness and knowledge of hypertension in an at-risk population in the Karen ethnic rural community, Thasongyang, Thailand. Int J Gen Med. 2012;5:553.
27. Eshah NF. Ischemic heart diseases: the unrecognized killer in the Jordanian community. J Behav Heal. 2014;3(1):58Y64.
28. Sanne S, Muntner P, Kawasaki L, Hyre A, DeSalvo KB. Hypertension knowledge among patients from an urban clinic. Ethn Dis. 2008;18(1):42.
29. Zafar SN, Gowani SA, Irani FA, Ishaq M. Awareness of the risk factors, presenting features and complications of hypertension amongst hypertensives and normotensives. J Pak Med Assoc. 2008;58(12):711–5.
30. Nguyen PTK, Tran HT, Thai TTT, Foster K, Roberts CL, Marais BJ. Factors associated with breastfeeding intent among mothers of newborn babies in Da Nang, Viet Nam. Int Breastfeed J [Internet]. 2018 Dec 11 [cited 2018 Feb 19];13(1):2. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-017-0144-7
31. Morgado M, Rolo S, Macedo AF, Pereira L, Castelo-Branco M. Predictors of uncontrolled hypertension and antihypertensive medication nonadherence. J Cardiovasc Dis Res [Internet]. 2010 Oct [cited 2017 Dec 26];1(4):196–202. Available from: http://www.jcdronline.org/article/151
32. Hammami S, Mehri S, Hajem S, Koubaa N, Frih MA, Kammoun S, et al. Awareness, treatment and control of hypertension among the elderly living in their home in Tunisia. BMC Cardiovasc Disord. 2011;11(1):65.
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