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    Title: KNOWLEDGE, ATTITUDES AND PRACTICES ON HYPERTENSION IN HYPERTENSIVE PATIENTS AT KAMUZU CENTRAL HOSPITAL IN MALAWI
    Keywords: 知識;態度;做法;意識;高血壓患者;高血壓;馬拉維;Knowledge;Attitudes;Practices;Awareness;Hypertensive Patients;Hypertension;Malawi
    Date: 2015-06-10
    Issue Date: 2018-10-05 14:53:06 (UTC+8)
    Abstract: 高血壓;是因為它的高患病率的全球性公共衛生挑戰。它被認為是對死亡率的主要危險因素。它攜帶的巨大顯著風險是心血管疾病(中風,缺血性心臟疾病和高血壓心臟疾病)和腎臟疾病的發展。高血壓是過早發病率和死亡率在世界上最重要的預防的原因之一。許多人患有高血壓無論是在發展中國家和發達國家有意識差,治療效果不佳及他們的血壓沒有足夠的控制。在控制高血壓和防止其長期並發症高血壓相關知識和患者實踐中發揮了重要作用。這項研究的目的是評估高血壓相關知識,態度和行為有關的高血壓patients.This收縮壓的認識是一個醫院為基礎的描述,涉及119歲的高血壓患者20年,橫斷面研究上述抗高血壓治療至少一年。這項研究是在卡穆祖中心醫院在利隆圭,馬拉維從七月進行至2014年12月通過問卷採訪中收集數據。有女性多於男性(63%比37%)。有更多的高血壓患者隨著年齡的增加(年齡更大的超過44歲vs.的年齡在25 35%,65%, - 43年)。高血壓患者中62%的人知道自己的收縮壓。高血壓患者的收縮壓的意識隨著年齡不足45歲被顯著相關,知道收縮壓心血管風險的重要性,知道高血壓不能治愈,堅持用藥和定期鍛煉。高血壓患者具有良好的知識和高血壓的態度方面的危險因素和並發症,即使它們對本收縮壓有限的知識和需要長期治療高血壓。高血壓患者與正規教育有更好的認識和實踐的分數比那些沒有正規學歷:高血壓患者在降壓藥物依從性,缺乏身體活動和飲食不平衡了條件不良的生活方式的做法。女性高血壓患者有更好的成績比男性高血壓患者生活方式的做法。總之,這項研究指明高血壓的教育,可能會被高血壓病人的知識來提高潛在領域。這也表明在可以改進以控制高血壓的生活方式行為的潛力的領域。因此,有必要對政策制定者改善高血壓的教育,使其提高了生活的做法,這將反過來改善血壓控制。

    Hypertension is a global health challenge because of its high prevalence. It is regarded as the leading risk factor for mortality. It carries a huge significant risk for the development of cardiovascular diseases (stroke, ischemic heart disease and hypertensive heart disease) and kidney diseases. Hypertension is one of the most important preventable causes of premature morbidity and mortality in the world. Many people with hypertension both in developing and developed countries have poor awareness, poor treatment and no adequate control of their blood pressure. Hypertension-related knowledge and practice of patients play an important role in controlling hypertension and in preventing its long-term complications. The objective of the study was to assess the hypertension-related knowledge, attitude and practice in relation to the awareness of the systolic blood pressure by the hypertensive patients.This was a hospital based descriptive cross-sectional study involving 119 hypertensive patients aged 20 years and above on antihypertensive therapy for at least one year. The study was conducted at the Kamuzu Central Hospital in Lilongwe, Malawi from July to December 2014. The data was collected using an interview administered questionnaire. There were more females than males (63% vs. 37%). There were more hypertensive patients with increasing age (65% aged greater than 44 years vs. 35% in age group 25 – 44 years). 62 % of the hypertensive patients were aware of their systolic blood pressure. The awareness of the hypertensive patients on the systolic blood pressure was significantly associated with age less than 45 years, knowing the importance of the systolic blood pressure to cardiovascular risk, knowing that hypertension cannot be cured, adherence to medications and regular exercise. The hypertensive patients had good knowledge and attitudes of hypertension with respect to the risk factors and complications even though they had limited knowledge on the systolic blood pressure and the need for long term treatment for hypertension. The hypertensive patients with formal education had better knowledge and practice scores than those without formal education.The hypertensive patients had poor lifestyle practices in terms of antihypertensive medication adherence, physical inactivity and imbalanced diets. The female hypertensive patients had better lifestyle practice score than the male hypertensive patients. In conclusion, this study specifies the potential areas of hypertension education that could be improved by patients’ knowledge of hypertension. It also shows the potential areas in the lifestyle practices that could be improved to control hypertension. Therefore, there is need for the policy makers to improve the hypertension education so that it improves the lifestyle practices that will in turn improve the blood pressure control.
    Description: 碩士
    指導教授-趙振瑞
    委員-黃惠宇
    委員-邱亞文
    Data Type: thesis
    Appears in Collections:[Master Program in Global Health and Development] Dissertations/Theses

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