Self-care practices and role of family support in control of blood pressure among hypertensive patients visiting a tertiary care centre

Authors

  • Malangori Parande BJGMC and SOH, Pune.
  • Dastagir M. Jamadar BJGMC and SGH, Pune
  • Vishvamohini D. Bugade GMC, Miraj
  • Poonam V. Sancheti BJGMC and SGH, Pune
  • Pradip S. Borle BJGMC and SGH, Pune
  • Muralidhar P. Tambe BJGMC and SGH, Pune

DOI:

https://doi.org/10.37506/sjwk9f68

Keywords:

blood pressure control, self-care practices, family support, India.

Abstract

Background: Blood pressure (BP) control    depends on adherence to self-care practices and family support is important to achieve this self-care. But the research in this area are limited.

Aims: To study self-care practices and role of family support in control of blood pressure among hypertensive patients visiting a tertiary care centre and to study factors associated with control of blood pressure.

Settings and Design: A cross-sectional study was conducted among 300 hypertensive patients who attended the outpatient department

Methods and Material: Study participants are selected by systematic random sampling method using a structured questionnaire using an adapted Hypertension Self-Care Activity Level Effect (H SCALE) scale. Chi-square test, Logistic regression test was used.

Statistical analysis used: Data was be entered into MS-Excel and analysed with a statistical package for social sciences (SPSS) Version 20.

Results: Mean age of study participants was 58.6±11.1 years. Medication adherence, DASH adherence diet and adherence to physical activity was among 71.7 %, 6.3%, and 48.7% respectively.  16.3%, 90.7 and 85.7% were adherent to weight management practices, adherent to nonsmoking and alcohol abstinent, BP control was among 61.7% and strong family support was among 7.9%. Adherence to weight management practices and not living alone were associated with BP control, which was found statistically significant using multivariate logistic regression.

Conclusions: Weight management practices and DASH diet adherence were poor.

Author Biographies

  • Malangori Parande, BJGMC and SOH, Pune.

     Junior Resident,  Department of Community Medicine, BJGMC and SOH, Pune.

  • Dastagir M. Jamadar , BJGMC and SGH, Pune

    Junior Resident in MD in Community Medicine, Department of Community Medicine, BJGMC and SGH, Pune

  • Vishvamohini D. Bugade, GMC, Miraj

    Senior Resident, MD in Community Medicine,  Department of Community Medicine, GMC, Miraj

  • Poonam V. Sancheti, BJGMC and SGH, Pune

    Assistant Professor, MD in Community Medicine,  Department of Community Medicine, BJGMC and SGH, Pune

  • Pradip S. Borle, BJGMC and SGH, Pune

    Assistant Professor, Department of Community  Medicine, BJGMC and SGH, Pune

  • Muralidhar P. Tambe , BJGMC and SGH, Pune

    MD in Community Medicine,  Head of  Department, Department of Community Medicine, BJGMC and SGH, Pune.

References

World Health Organization. Hypertension [Internet]. Geneva: WHO; 2023 [cited 2023 Mar 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension

World Health Organization. Cardiovascular diseases [Internet]. Geneva: WHO; 2021 [cited 2023 Mar 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

Nugent R, Bertram MY, Jan S, Niessen LW, Sassi F, et al. Investing in non-communicable disease prevention and management to advance the Sustainable Development Goals. Lancet. 2018 May 19;391(10134):2029-35.

Thakre S, Anjankar A, Singh A, Kumar T. National Hypertension Guidelines: A Review of the India Hypertension Control Initiative (IHCI) and Future Prospects. Cureus. 2022 Aug 14;14(8):e27997.

Bagade V, Baravakar J, Dahire P. A cross-sectional study on prevalence of hypertension and its associated risk factors among bank employees in a city of Maharashtra. Medplus Int J Community Med. 2021 Oct 2;20(1):1-6.

Bharath K. Data: NFHS-5 reveals the growing risk of lifestyle diseases in India [Internet]. 2020 [cited 2023 Mar 20]. Available from: https://factly.in/data-nfhs-5-reveals-the-growing-risk-of-lifestyle-diseases-in-india

Chacko S, Jeemon P. Role of family support and self-care practices in blood pressure control in individuals with hypertension: results from a cross-sectional study in Kollam District, Kerala. Wellcome Open Res. 2020 Jul 28;5:180.

Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, et al; ESC Scientific Document Group. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018 Sep 1;39(33):3021-104.

Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, et al., editors. Harrison’s principles of internal medicine. 21st ed. New York: McGraw Hill; 2022. p. 1810-1814.

World Health Organization. Package of essential noncommunicable (PEN) disease interventions for primary health care in low resource settings [Internet]. Geneva: WHO; 2010 [cited 2023 Mar 21]. Available from: https://www.who.int/publications/i/item/9789241598996

Ajani K, Gowani A, Gul R, Petrucka P. Levels and predictors of self-care among patients with hypertension in Pakistan. Int J Gen Med. 2021 Mar 25;14:1023-32.

Sivakumar K, Ramasamy M, Thankayyan M, Seenivasan P. A study to assess the self-care practices among hypertensive patients in a tertiary care center, Chennai. Asian J Med Sci. 2023 Oct 2;14(10):109-15.

Appel LJ, Champagne CM, Harsha DW, Cooper LS, Obarzanek E, et al; Writing Group of the PREMIER Collaborative Research Group. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA. 2003 Apr 23-30;289(16):2083-93.

Gelaw S, Yenit MK, Nigatu SG. Self-care practice and associated factors among hypertensive patients in Debre Tabor Referral Hospital, Northwest Ethiopia, 2020. Int J Hypertens. 2021 Aug 11;2021:3570050.

Joseph N, Chiranjeevi M, Sen S, Singh P, Saini M, et al. Awareness on hypertension and its self-management practices among hypertensive patients attending outreach clinics of a medical college in South India. Kathmandu Univ Med J (KUMJ). 2016 Jul-Sep;14(55):202-9.

Morgado M, Rolo S, Macedo AF, Pereira L, Castelo-Branco M. Predictors of uncontrolled hypertension and antihypertensive medication nonadherence. J Cardiovasc Dis Res. 2010 Oct;1(4):196-202.

Dennis T, Meera NK, Binny K, Sekhar MS, Kishore G, et al. Medication adherence and associated barriers in hypertension management in India. CVD Prev Control. 2011 Jan;6(1):9-13.

Matsumura K, Arima H, Tominaga M, Ohtsubo T, Sasaguri T, et al.; COMFORT Investigators. Impact of antihypertensive medication adherence on blood pressure control in hypertension: the COMFORT study. QJM. 2013 Oct;106(10):909-14.

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Published

2025-03-11

How to Cite

Self-care practices and role of family support in control of blood pressure among hypertensive patients visiting a tertiary care centre. (2025). Indian Journal of Public Health Research & Development, 16(2), 81-89. https://doi.org/10.37506/sjwk9f68