الفهرس 
Health Education for Hypertensive PatientOnly 14 pages are availabe for public view
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Abstract
Hypertension is a common health problem in developed countries, and its prevalence is probably also increasing in nations of the developing world. Known as ”the silent killer”, it may exist for prolonged periods in the individual without symptoms and may manifest only after causing serious irreversible pathology and complications.
This is a cross sectional study aimed at Studying of knowledge, beliefs and practices of hypertensive patients attending Health Insurance out-patient clinic in Gamal Abd El-Nasser Hospital in Alexandria.
The sample was consisted of 400 Hypertensive patients randomly selected and a pilot study was carried out on 20 hypertensive patients and the required modifications on the study tools were carried out.
Patients of the study sample were subjected to an interview questionnaire. The researcher informed the patients that this survey would explore their knowledge, beliefs about risk factors of hypertension and its prevention of complications, their compliance behavior toward hypertension and the factors correlated with it and their satisfaction with utilization of health services in outpatient clinic of the hospital.
The results of the study were summarized as follow:
The study sample included 400 hypertensive patients; male represented 70% of them while female ones represent 30%.
52% of either male or female subjects are considered overweight according to their body mass index.
Most male patients (54.29%) developed hypertension through 1-5 years and most of them are not controlled (55.36%) while 45% of female sample developed hypertension within one year and the majority of them are controlled (70.83%). About 52% of male and 55% of female patients in the study sample had diabetes with hypertension.
The results revealed that smoking is more prevalent in male than female (63.9% and 5% consequently).
About 68.6% of male are nervous while 68.3 % of female ones are not nervous. Most of male and female study sample are not happy (786% &58.3% consequently). About 73.9% of male subjects are not irritable and 57.5% of female ones are irritable. Statistically there was significant difference.
The results revealed that 32% of total study sample (35% male & 25.83% female) had no idea about hypertension.
40% of the study sample has good knowledge regarding smoking cessation and 56.7% have poor knowledge regarding knowledge related to sport.
The results experienced that the friends and relatives are the main source of knowledge for the study sample (36.79 male & 37.5% female) followed by doctors (24.29%) then nurses (22.86%)
The results illustrated that 37.3% of the study sample have positive beliefs regarding food intake & 58.7% have negative beliefs regarding smoking cessation and 44.3% have neutral beliefs regarding check up.
The study revealed that 53.5% of the study sample (54.29% male & 51.67% female) have moderate compliance regarding food intake, 74.5% (71.8% male & 80.83% female) have poor compliance about sport, 44.3% ( 44.64% male & 43.33% female) have good compliance regarding checkup and 39.5 (37.86% male & 43.33% female) have moderate compliance regarding medication with no significant difference.
The results illustrated that the study subjects have mild compliance barriers regarding treatment of hypertension, smoking and sport (51.79% of male & 15.83% of female , 23.21% male & 8.33%female , 30.36% male & 18.33% female consequently). Statistically there is significance difference.
The results revealed that there is moderate degree of satisfaction of hypertensive patient related to the care provided, art of care dimension, Technical management dimension, accessibility Dimension and Structure Dimension.
Based on the finding of the present study the following recommendations were suggested:
• In-service health education program for health care provides in health insurance hospitals working with hypertensive patients.
• Improving communication skills of healthcare provider and they should be active listener and provide clear and direct health education messages.
• Simplified educational booklets, leaflets and posters about hypertension should be available in different outpatient health settings.
• Mass media can be effective to increase the level of awareness of the whole community about prevention of hypertension.
• Regular evaluation of hypertensive patient’ knowledge beliefs, adherence, barrier of adherence and patients satisfaction should be investigated in other health settings such as Ministry of Health ,University hospitals and Medical Care Organization