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Abstract
ABSTRACT
BACKGROUND. High blood pressure is a worldwide public health problem, responsible for approximately 8 million deaths annually and a wide range of exacerbating complications. Escalating trends in hypertension incidence raise concern in the prevention and management of hypertension. This may denote insufficiencies in the education of hypertensive patients and sensitization of the general population. In this work, we assessed the educational needs of hypertensive patients in an African hospital setting.
METHODS. This is a survey type study. 35 participants were randomly selected in a population of patients who attended the diabetes and hypertension unit of the Buea Regional Hospital for medical follow-up. 15 health personnels involved in their management were also included. A structural questionnaire was used to collect information from both groups.
RESULTS. 22 hypertensive patients (62.9%) were aged sixty and above. All the patients accepted having received instructions on the management of hypertension during consultation and general meetings for hypertensive persons, although five patients had no knowledge about arterial hypertension. 11 patients (31.5%) were of the opinion that the measures prescribed for hypertension were too hard to follow. Also, we noticed knowledge gaps among the health personnel on knowledge concerning hypertension; five of the nurses surveyed were not aware of the link between hypertension and stress.
CONCLUSION. Although efforts are made in the Buea Regional Hospital to satisfy educational needs of hypertensive patients, there is much to be done towards providieng patients, medical and non-medical personnel with adequate knowledge concerning hypertension and encouraging the involvement of the patients in their own care.
RESUME
INTRODUCTION. L‘hypertension artérielle est un problème de santé publique d’envergure mondiale. On estime à un peu moins de huit million par an, le nombre de décès qui lui sont imputable. De plus, la morbidité liée à l’hypertension artérielle est alarmante. Ces données inquiètent et traduisent un problème de prise en charge incluant aussi bien l’éducation du grand public, que celle des patients souffrant d’hypertension artérielle. L’objectif de cette étude était d’identifier les besoins éducationnels des patients et des personnels de santé sur l’hypertension artérielle.
MÉTHODOLOGIE. Il s’agit d’une étude transversale descriptive. Un questionnaire structuré a été administré de manière aléatoire aux participants. Les patients hypertendus suivis dans l’unité de diabète et d’hypertension artérielle de l’Hôpital Régional de Buea (35 patients) et le personnel infirmier impliqué dans leur prise en charge (15 infirmiers) ont répondu à ce questionnaire. Le critère de jugement était les bonnes connaissances sur l’hypertension artérielle et sa prise en charge.
RÉSULTATS. 22 hypertendus (62,9%) étaient âgés de 60 ans et plus; la totalité des patients affirmait recevoir des instructions concernant la prise en charge de leur maladie en consultation médicale et lors des séances d’éducation collective; toutefois cinq patients n’avait aucune connaissance de la notion d’hypertension artérielle. Onze patients sur trente cinq trouvaient pénible le respect des mesures hygiéno-diététiques; le personnel infirmier présentait des lacunes concernant les connaissances sur l’hypertension artérielle, en particulier cinq infirmiers ne se représentaient pas qu’il puisse y avoir un lien entre l’hypertension et le stress.
CONCLUSION. Des efforts sont fournis pour assurer l’éducation des patients hypertendus suivis à l’Hôpital Régional de Buea. Toutefois beaucoup reste à faire, notamment pour améliorer l’implication des patients hypertendus dans leur prise en charge.
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References
- REFERENCES
- Chockalingam A, Campbell NR, Fodor JG. Worldwide epidemic of hypertension. Can J Cardiol, 2006. 22 (7): p. 553-555.
- Kearney PM , Whelton M, Reynolds K , Muntner P , Whelton PK , He J. Global burden of hypertension: analysis of worldwide data. Lancet, 2005. 365 (9455): p. 217-223.
- Fourcade L, Paule P, Mafart B. Hypertension artérielle en Afrique subsaharienne : actualité et perspectives. Médecine Tropicale., 2007. 67: p. 559-567.
- Lawes MM, Hoorn SV, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet, 2008 (371): p. 1513-1518.
- WHO. Global burden of disease: 2004 update, World Health Organisation: Geneva.
- Konin C, Adoh M, Coulibaly I, Kramoh E, Safou M, N’Guetta R, N’Djessan JJ, Koffi J. L’observance thérapeutique et ses facteurs chez l’hypertendu noir africain. Elsevier Masson, 2007. 100 (8): p. 630-634.
- Adoubi AK, Diby KF, Nguetta R, Yangni-Angate KH, Adoh AM. Facteurs de la mauvaise observance thérapeutique de l'hypertendu en côte d'ivoire. Rev. Int. Sc. Méd, 2006. 8 (2): p. 18-20.
- Rapport régional de progrès des objectifs du millénaire pour le développement; Région du sud-ouest, Cameroon, 2010: Institut National de la Statistique du Cameroun avec l’appui du PNUD.
- Stefan H. Buea. World Gazetteer, 2008.
- Conen D, Glynn RJ, Ridker PM, Buring JE, Albert MA. Socioeconomic Status, Blood Pressure Progression, and Incident Hypertension in a Prospective Cohort of Female Health Professionals. Eur Heart J, 2009. 30 (11): p. 1378-1384.
- Aubert L, Bovet P, Gervasoni JP, Rwebogora A, Waeber B, Paccaud F. Knowledge, attitudes, and practices on hypertension in a country in epidemiological transition. Hypertension, 1998. 31: p. 1136-1145.
- WHO. Therapeutic Patient Education Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases, 1998.
- Bessette D, Bungener M, Costagliola D, Flori Y, Matheron S, Morin M et al. L’observance aux traitements contre le VIH/sida : Mesure, déterminants, évolution. Collection sciences sociales et sida, Paris, 2002.
- Weintraub NL, Collins SP, Pang PS, Levy PD, Anderson AS, Engoren CA et al. Acute Heart Failure Syndromes: Emergency Department Presentation, Treatment, and Disposition: Current Approaches and Future Aims: A Scientific Statement From the American Heart Association. Circulation, 2010. 122 (19): p. 1975-1996.
- Alhalaiqa F, Deane KHO., Nawafleh AH, Clark A and Gray R. Adherence therapy for medication non-compliant patients with hypertension: a randomised controlled trial. Journal of Human Hypertension, 2012. 26 (2): p. 117-126.
- Ross S, Walker A, MacLeod MJ. Patient compliance in hypertension: role of illness perceptions and treatment beliefs. Journal of Human Hypertension, 2004. 18: p. 607-613.
- Marin MJS, Santana FHS, Moracvick MYAD. The perception of hypertensive elderly patients regarding their health needs. Rev Esc Enferm, 2012. 46 (1): p. 100-106.
- He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials. Implications for public health. Journal of Human Hypertension, 2002. 16 (11): p. 761-770.
- Oliveria SA, Chen RS, McCarthy BD, Davis CC, Hill MN. Hypertension Knowledge, Awareness, and Attitudes in a Hypertensive Population. Journal of General Internal Medicine, 2005. 20 (3): p. 219-225.
References
REFERENCES
Chockalingam A, Campbell NR, Fodor JG. Worldwide epidemic of hypertension. Can J Cardiol, 2006. 22 (7): p. 553-555.
Kearney PM , Whelton M, Reynolds K , Muntner P , Whelton PK , He J. Global burden of hypertension: analysis of worldwide data. Lancet, 2005. 365 (9455): p. 217-223.
Fourcade L, Paule P, Mafart B. Hypertension artérielle en Afrique subsaharienne : actualité et perspectives. Médecine Tropicale., 2007. 67: p. 559-567.
Lawes MM, Hoorn SV, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet, 2008 (371): p. 1513-1518.
WHO. Global burden of disease: 2004 update, World Health Organisation: Geneva.
Konin C, Adoh M, Coulibaly I, Kramoh E, Safou M, N’Guetta R, N’Djessan JJ, Koffi J. L’observance thérapeutique et ses facteurs chez l’hypertendu noir africain. Elsevier Masson, 2007. 100 (8): p. 630-634.
Adoubi AK, Diby KF, Nguetta R, Yangni-Angate KH, Adoh AM. Facteurs de la mauvaise observance thérapeutique de l'hypertendu en côte d'ivoire. Rev. Int. Sc. Méd, 2006. 8 (2): p. 18-20.
Rapport régional de progrès des objectifs du millénaire pour le développement; Région du sud-ouest, Cameroon, 2010: Institut National de la Statistique du Cameroun avec l’appui du PNUD.
Stefan H. Buea. World Gazetteer, 2008.
Conen D, Glynn RJ, Ridker PM, Buring JE, Albert MA. Socioeconomic Status, Blood Pressure Progression, and Incident Hypertension in a Prospective Cohort of Female Health Professionals. Eur Heart J, 2009. 30 (11): p. 1378-1384.
Aubert L, Bovet P, Gervasoni JP, Rwebogora A, Waeber B, Paccaud F. Knowledge, attitudes, and practices on hypertension in a country in epidemiological transition. Hypertension, 1998. 31: p. 1136-1145.
WHO. Therapeutic Patient Education Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases, 1998.
Bessette D, Bungener M, Costagliola D, Flori Y, Matheron S, Morin M et al. L’observance aux traitements contre le VIH/sida : Mesure, déterminants, évolution. Collection sciences sociales et sida, Paris, 2002.
Weintraub NL, Collins SP, Pang PS, Levy PD, Anderson AS, Engoren CA et al. Acute Heart Failure Syndromes: Emergency Department Presentation, Treatment, and Disposition: Current Approaches and Future Aims: A Scientific Statement From the American Heart Association. Circulation, 2010. 122 (19): p. 1975-1996.
Alhalaiqa F, Deane KHO., Nawafleh AH, Clark A and Gray R. Adherence therapy for medication non-compliant patients with hypertension: a randomised controlled trial. Journal of Human Hypertension, 2012. 26 (2): p. 117-126.
Ross S, Walker A, MacLeod MJ. Patient compliance in hypertension: role of illness perceptions and treatment beliefs. Journal of Human Hypertension, 2004. 18: p. 607-613.
Marin MJS, Santana FHS, Moracvick MYAD. The perception of hypertensive elderly patients regarding their health needs. Rev Esc Enferm, 2012. 46 (1): p. 100-106.
He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials. Implications for public health. Journal of Human Hypertension, 2002. 16 (11): p. 761-770.
Oliveria SA, Chen RS, McCarthy BD, Davis CC, Hill MN. Hypertension Knowledge, Awareness, and Attitudes in a Hypertensive Population. Journal of General Internal Medicine, 2005. 20 (3): p. 219-225.