ASSESSMENT OF KNOWLEDGE OF PATIENTS REGARDING HYPERTENSION MANAGEMENT IN MEDICARE HOSPITAL, MULTAN
Um-e-Arifaa, Mehwish Yasina, Bushra Sattarb, Sanyia khanc, Nuzhat Sherd
- aPost RN BSN Final Year Medicare College of Nursing Multan
- bPost RN BSN Final Year, Medicare College of Nursing Multan
- cLecturer Medicare College of Nursing Multan
- dPrincipal Medicare College of Nursing, Multan
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Abstract
Background: Hypertension is a leading cause of global morbidity and mortality, with Pakistan experiencing a significant burden of uncontrolled blood pressure and its complications. Patient knowledge regarding hypertension management is a critical determinant of treatment adherence and clinical outcomes. This study aims to assess the level of knowledge regarding hypertension management among patients attending the Medicare Hospital in Multan, Pakistan. Objective: To evaluate the knowledge of patients regarding hypertension management, including its definition, causes, complications, lifestyle modifications, and medication adherence, and to identify demographic factors associated with knowledge levels. Methods: A descriptive cross-sectional study was conducted at Medicare Hospital, Multan, over a period of six months. A sample of 200 hypertensive patients was recruited using a consecutive sampling technique. Data were collected through face-to-face interviews using a structured questionnaire comprising demographic characteristics and the validated Hypertension Knowledge-Level Scale (HKLS) (Erkoc et al., 2012). The HKLS assesses knowledge across six dimensions: definition, medical treatment, medication compliance, lifestyle, nutrition, and complications. Data were analyzed using SPSS version 26, employing descriptive statistics and chi-square tests to determine associations between knowledge levels and demographic variables. Results: The mean age of participants was 47.2 ± 11.8 years, with 53% females and 47% males. The majority (58%) had education up to primary level or less. The overall mean knowledge score was 13.8 ± 3.9 out of 22, indicating moderate knowledge. Only 32.5% of participants demonstrated good knowledge (score ≥16), while 67.5% had poor to moderate knowledge. Significant knowledge gaps were identified: 43% incorrectly believed medication is required only during symptomatic episodes, 61% thought hypertension in older adults does not require treatment, and 72% considered frying a healthy cooking method. Awareness of complications varied, with 68.5% recognizing heart attack risk but only 44% identifying stroke risk. A significant association was found between knowledge level and education (p < 0.001), age (p = 0.008), and family history of hypertension (p = 0.012). Conclusion: The study reveals significant knowledge gaps and misconceptions regarding hypertension management among patients at Medicare Hospital, Multan. Findings underscore the urgent need for targeted educational interventions, particularly for older adults and those with lower educational attainment, to improve hypertension literacy, treatment adherence, and ultimately clinical outcomes.
TL;DRSignificant knowledge gaps were identified: 43% incorrectly believed medication is required only during symptomatic episodes, 61% thought hypertension in older adults does not require treatment, and 72% considered frying a healthy cooking method to be a healthy cooking method.