EFFECT OF EVIDENCE BASED LIFESTYLE GUIDELINES ON SELF-EFFICACY AMONG HYPERTENSION PATIENTS

Document Type : Original Article

Authors

1 family and community health nursing

2 Assistant Professor of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said City

3 Assistant Professor of Community Health Nursing, Faculty of Nursing, Port Said University

4 Professor of Family and Community Health Nursing, faculty of nursing port-said University

Abstract

Background: Hypertension is a chronic disease affecting millions and causing millions of complications every year worldwide. People living with hypertension need to make several lifestyle adjustments, not only for treating hypertension but also for the prevention of other related chronic diseases. Aim: Evaluate the effect of evidence-based lifestyle guidelines on self-efficacy among hypertension patients in Port Said City. Subjects and method:  A quasi-experimental design was utilized for conducting this study. Setting: The study was carried out at primary health care centers located in Port Said City. subjects: A purposive sample of 341 patients with hypertension recruited from randomly chosen six primary health care centers. Tools: Data was collected using three tools, Tool I: Self-Administered Structured Questionnaire divided into three parts namely:   demographic data, patient' medical history, and knowledge assessment sheet, Tool II: Hypertension self-care activities scale and Tool III: Self-efficacy scale. Results: (4.4%) of the study group had satisfactory knowledge in the pre implementation phase while after implementation changed to (94.4%) of them had satisfactory knowledge. Nearly (4.4 %) of them had an adequate level of self-care activity while after implementation become (85.9%). About (2.6%) only had an adequate level of self-efficacy while after implementation become (97.9%). Conclusion: most of studied hypertensive patients had unsatisfactory knowledge, non-adherence to self-care activities and low self-efficacy toward their disease before implementation of evidence-based lifestyle guidelines, while the majority had satisfactory knowledge, adherence to self-care activities and high self-efficacy after implementation of guidelines with highly statistically significant difference. Recommendation: Apply evidence-based lifestyle guidelinesmore and more to cover all hypertensive patients to help them understanding the nature of their chronic disease and trying to cope without complications.
 

Keywords

Main Subjects


Abd El-Hay ,S., & El Mezayen ,S.( 2015).  Knowledge and Perceptions Related to       Hypertension, Lifestyle Behavior Modifications and Challenges That Facing Hypertensive Patients.IOSR Journal of Nursing and Health Science (4), PP 15-26.
Adebayo1, A., Rotkangmwa ,O., and Shalkur ,D. (2015).  Hypertension related practices and compliance to anti-hypertensive therapy among hypertensive patients in tertiary health care facilities in Jos, North-Central Nigeria, World Journal of Pharmaceutical Sciences, 3(6): 1151-1158.
Al-daken ,L., and Eshah ,N.( 2015). Assessing Publics’ Knowledge about Hypertension in a Community-Dwelling Sample. Journal of Cardiovascular Nursing; 33 (4): 1-8.
Alaa ,A., Abdelazim,G.A. , Emeash ,A.H. ,Hassan ,D.M and Mustafa, S.B.(2014). Hypertension in Egypt: A Systematic Review. Current Hypertension Reviews, 10, 134-141.
Alharbi, M., Gallagher, R., Kirkness, A., Sibbritt, D., & Tofler, G. (2014). Long-term outcomes from Healthy Eating and Exercise Lifestyle Program for overweight people with heart disease and diabetes. European Journal of Cardiovascular Nursing, 15(1), 91–99.
Ahmed, B. I., Taha, N. M., Ali, E. E. S., & Abd EL-Razi, B. G. (2017). Effect of an Educational Program on Knowledge and Self-Efficacy of Patients with Essential Hypertension toward Therapeutic Regimen. Zagazig Nursing Journal, 13(1), 102-116
Al-Jbour ,B., Abu Kamel, A., and Barhoom ,H. (2013). Knowledge about Hypertension and Anti-hypertensive Medication Compliance in a Jordanian Community Sample. Journal of Education and Practice; 2013, 4 (24):81-87.
Abdul Rahman A., Wang J.G., Yiu Kwong G.M., Morales A., Sritara P. and Sukmawan R. (2015). Perception of Hypertension Management by Patients and Doctors in Asia: Potential to Improve Blood Pressure Control, Asia Pacific Family Medicine, pp14:2.
. 2017; 16: 149-150.
Al Ali,A.A. , Elzubair ,A.G. (2016). Establishing rapport: Physicians' practice and attendees' satisfaction at a Primary Health Care Center, Dammam, Saudi Arabia. J Family Community Med.Jan-Apr; 23(1):12-7. doi: 10.4103/2230-8229.172224.
Behzad, Y., Bastani, F., & Haghani, H.(2016).  Effect of empowerment program with the telephone follow-up (tele-nursing) on self - efficacy in selfcare behaviors in hypertensive older adults]. J Urmia Nurs Midwifery Fac. 2016; 13(11): 1004-15.
Breckenridge, A., Aronson ,J.K., Blaschke, T.F., Hartman, D., Peck, C.C, &Vrijens, B. (2017). Poor medication adherence in clinical trials: consequences and solutions. Nat Rev Drug Discov
Bunker, J. (2014). Hypertension: Diagnosis assessment and management”. Nursing standard, 28(42):50-9. doi: 10.7748/ns.28.42.50.e8682.
Demaio, A. R., Otgontuya, D., de Courten, M., Bygbjerg, I. C., Enkhtuya, P., Oyunbileg, J., & Meyrowitsch, D. W. (2013). Hypertension and hypertension-related disease in Mongolia; findings of a national knowledge, attitudes and practices study .BMC Public Health, 13(1).
Eckel, R.H., Jakicic, J.M., Ard, J.D., Hubbard, V.S., de Jesus, J.M., Lee, I.M., Lichtenstein, A.H., Loria, C.M., Millen, B.E., Houston Miller, N., Nonas, C.A., Sacks, F.M., Smith, S.C.J., Svetkey, L.P., Wadden, T.W. & Yanovski, S.Z. (2013). AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology American/Heart Association.
Elaskary, E.  (2011). Impact of Health Promotion program on compliance with therapeutic regimen among hypertensive patients in Gaza Strip, Unpublished Doctoral Thesis. Faculty of Nursing, Cairo University.
Ez Elregal, F. (2013). Promoting Health behaviors of Clients with Hypertensive Kidney Disease By Using Health Promotion Model. Unpublished Doctoral Thesis. Faculty of Nursing, Ain Shams University.
Harris,  M.F., Lloyd, J., Krastev, Y., Fanaian, M., Gawaine, D., Zwar, N., & Siaw-Teng, L. (2014). Routine use of clinical management guidelines in Australian general practice. Australian Journal of Primary Health, 20(1), 41–46.
Hamed, L.A., Shrief,  S.E., Mahdy, A.Y., Arafat, M.A.  (2019). Measure Outcomes of Patients’ Instructions about Modifiable Risk Factors for Hypertensive Patients on Their Attitude and Lipid Profile. American Journal of Nursing Research, Vol. 7, No. 4, 445-452.
Hu, H., Li, G., &Arao, T.( 2013). Validation of a Chinese version of the self-efficacy for managing chronic disease 6-item scale in patients with hypertension in primary care. Hindawi Publishing Corporation ISRN Public Health. Vol., Article ID 298986, 6 Pp.
Hjornholm, U., Aamodt, M., Larstorp, A.C., Fadl Elmula, M., Hoieggen, A., Andersen, M.H. &Kjeldsen, S.E.(2018). Directly Observed Therapy in Hypertension (DOT-HTN). Cham, Switzerland: Springer International Publishing AG; 2018.
Ibrahim ,M.  (2013). Problem of Hypertension in Egypt, The Egyptian Heart Journal, 2013, 65(3) PP 233-234, Available at:http://www.egyptheartjournal.com/ article, Accessed on January, 6/2015.
Jarelnape, A. (2016). The Effect of Health Educational Program on Patients' Knowledge About Hypertension and Its' Management (In Sudan - White Nile State). Published Doctorate Thesis. Faculty of Graduate Studies and Scientific Research. The National Ribat University.
Khosravizade , A., Hassanzadeh, A ., and Mostafavi, F.( 2015). The Impact of Self-Efficacy Education on Self- Care Behaviors of Low Salt and Weight Setting Diets in Hypertensive Women Covered by Health-Care Centers of Dehaghan in 2013. J Pak Med Assoc; 65 (5): 506- 511.
Kim, Y., & Kong, K. A. (2015). Do Hypertensive Individuals Who Are Aware of Their Disease Follow Lifestyle Recommendations Better than Those Who Are Not Aware? PLOS ONE, 10(8), e0136858.
Kofi, J. o. (2011). Prevention and Management of Hypertension: A study on knowledge and attitudes of women of childbearing age. Unpublished Doctoral Thesis , Central Strobothnia University Of Applied Sciences.
Lauffenburger, J.C., Shrank, W.H., Bitton, A., Franklin, J.M., Glynn, R.J., Krumme, A.A., Matlin, O.S., Pezalla, E.J., Spettell, C.M., Brill, G.,&  Choudhry, N.K. (2017). Association between patient-centered medical homes and adherence to chronic disease medications: a cohort study. Ann Intern Med. 2017; 166: 81-88.
Lauffenburger, J.C, Landon, J.E., & Fischer, M.A. (2017) .Effect of combination therapy on adherence among US patients initiating therapy for hypertension: a cohort study. J Gen Intern Med. 2017; 32: 619-625.
           Mahajan, H., Kazi ,Y., Sharma ,B., Velhal ,G. (2012). Assessment of KAP, Risk Factors and Associated Co-Morbidities in Hypertensive Patients. J Dental Med Sci. 1(2):06-14.
Mersal, F., &  Mersal, N. ( 2015).  Effect of Evidence Based Lifestyle Guidelines on Self Efficacy of Patients with Hypertension, Int. J. Curr. Microbiol. App. Sci, , 4(3)Pp 244-263.
Mankan, T., Erci, B., Bahçecioğlu Turan, G., & Aktürk, Ü. (2017). Turkish validity and reliability of the Diabetes Self-Efficacy Scale. International Journal of Nursing Sciences, 4(3), 239–243. doi:10.1016/j.ijnss. 05.001.
Mularcik, K.( 2010). Self-Efficacy toward Health Behaviors to Improve Blood Pressure in Patients who Receive Care Network. Degree of Master of Science in the Graduate School of the Ohio State University, 6-62.
Sarki, A. M., Nduka, C. U., Stranges, S., Kandala, N.B., & Uthman, O. A. (2015). Prevalence of Hypertension in Low- and Middle-Income Countries. Medicine, 94(50), e1959. doi:10.1097/md.0000000000001959 
Sabouhi, F., Babaee, S. Naji, H. and Zadeh, A. (2011). Knowledge, awareness, attitudes and practice about hypertension in hypertensive patients referring to public health care centers in Khoor & Biabanak. Iran J Nurs Midwifery Res. Winter; 16(1).
Sanders, J.P., Loveday , A., Pearson ,N., Edwardson, C., Yates ,T., Biddle, S.J., &Esliger DW. (2016). Devices for Self-Monitoring Sedentary Time or Physical Activity: A Scoping Review J Med Internet Res;18(5):e90.
Schwarzer R & Jerusalem M. (1995). Generalized self-efficacy scale. Measures in health psychology user’s portfolio. Causal and control belief -NELSON; Windsor, England 1995: Pp .35-37.
Schiffrin, E.L., Campbell, N.R, Feldman, R.D., Kaczorowski, J., Lewanczuk, R., Padwal ,R. & Tobe, S.W.(2016) . Hypertension in Canada: past, present, and future. Ann Glob Health. 2016; 82: 288-299.
Somayeh, K., Mohsen ,S. & Maryam, E .(2016). Comparing the effects of two methods of self-monitoring and telenursing on the blood pressure of patients with hypertension International Journal of Medical Research & Health Sciences, 2016, 5, 7S: 213-222.
Stoutenberg, M., Stanzilis, K., & Falcon, A. (2014). Translation of Lifestyle Modification Programs Focused on Physical Activity and Dietary Habits Delivered in Community Settings. International Journal of Behavioral Medicine, 22(3), 312–327.
Subramanian M., Soudarssanane R, Jayalakshmy D, Thiruselvakumar D, Navasakthi, Ajit Sahai, and Saptharishi L.G.(2011). Non-pharmacological Interventions in Hypertension: A Community-based Cross-over Randomized Controlled Trial, Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research. 36(3).
Varaei, S., Salsali, M., Cheraghi, M., Tehrani, M., & Heshmat, R. (2013). Education and implementing evidence-based nursing practice for diabetic patients. Iranian Journal of Nursing & Midwifery Research, 18(3), 251–2
Warren-Findlow, J.,Seymour, R.B., & Brunner,-Huber, L.R. (2012). The association between self-efficacy and hypertension self-care activities among African American adults. Journal of Community Health, 37, 15-24. doi:10.1017/s10900-011-9410-6.
World Health Organization. (2015).  A global brief on hypertension Available at: http://www.who.int/ cardio-vascular_diseases/publications/global_brief_hypertension/en.
Zungu, L.,& Djumbe, F.R. (2013). Knowledge and lifestyle practices of hypertensive patients attending a primary health care clinic in Botswana. Published 2013:African Journal for Physical, Health Education, Recreation and Dance.