Health  Vol.3 No.8 , August 2011
Life style of patient before and after diagnosis of hypertension in Kathmandu
ABSTRACT
Hypertension is an important public health-challenge in the developing and the developed world alike. However, hospital-based studies on cardiovascular diseases including hypertension in a developing country like Nepal have been limited. Objective: The objective of the present study was to determine the life of patients before and after diagnosis of hypertension. Methods: A total of 100 adult hypertensive patients over 30 years of age who were attending in medical out patients department within 6 month to 2 years after first diagnosis of hypertension in Shahid Gangalal National Heart Centre and Tribhuvan University Teaching Hospital, in Kathmandu, Nepal, in April 2009, using a descriptive research design. The data was collected by interview using a questionnaire consisting of a combination of structured and semistructured questions. The data was analyzed by using SPSS 11.5 version. Results: This study found the respondents’ knowledge regarding hypertension was poor. Regarding life of hypertensive patients, majorities (90%) of them were non-vegetarian before diagnosis but after diagnosis of hypertension the percentage of non-vegetarian was reduced by 10%. Similarly, the reduction in consumption of meat, eggs, ghee and oil (mustard, sunflower) by hypertensive patients was statistically significant difference (p = 0.000) after the diagnosis of hypertension. Regarding soyabean oil consumption, additional salty food and amount of salt intake there was no statistical significant difference before and after the diagnosis of hypertension. Likewise, physical exercise and stress reduction activities performed by hypertensive patients and change in drinking alcohol and smoking was found to be statistically significant difference (p = 0.000) after the diagnosis of hypertension. Conclusion: The adverse consequences of hypertension can be reduced by modifying the life . Therefore more focus should be given in increasing the awareness about hypertension by developing information, education and communication materials on hypertension and setting up hypertensive counseling clinic in each hospitals.

Cite this paper
nullAcharya, R. and Chalise, H. (2011) Life style of patient before and after diagnosis of hypertension in Kathmandu. Health, 3, 490-497. doi: 10.4236/health.2011.38081.
References
[1]   Eliot, H.L. and Esbensen, B.A (2003) Blood pressure, life style and treatment. Journal of Hypertension, 13, 1093-1099.

[2]   Gupta, R. and Singh, N. (2006) Meta-analysis of prevalence of hypertension in India. Indian Heart Journal, 10, 465-472.

[3]   Biel, K. (2008) Hypertension and stroke in Asia: Prevalence, control and strategies in developing countries. Journal of Human Hypertension, 22, 441-443.

[4]   Chalise, H.N., Saito, T. and Kai, I. (2010) Social support and its correlation with loneliness: A cross-cultural study of Nepalese older adults. International Journal of Aging and Human Development, 71, 115-137. doi:10.2190/AG.71.2.b

[5]   Chalise, H.N., Saito, T., Takahashi, M. and Kai, I. (2007) Relationship specialization amongst sources and recei- vers of social support and its correlations with loneliness and subjective well-being: A cross-sectional study of Nepalese older adults. Archives of Gerontology and Geriatrics, 44, 299-314. doi:10.1016/j.archger.2006.07.001

[6]   Sarraf-Zadegan, N., Boshtam, M., Mostafavi, S. and Rafiei, M. (1999) Prevalence of hypertension and associated risk factors in Isfahan, Islamic Republic of Iran. Eastern Mediterranean Health Journal, 5, 993-1001.

[7]   Gupta, R. and Sharma, A.R. (2007) Prevention of hypertension and subtypes in an Indian Rural population: Clinical and electrocardiographic correlates. Indian He- art Journal, 8, 823-829.

[8]   Familoni, B. (2005) Knowledge and awareness of hypertensionamong patients with systemic hypertension in Nigeria. Journal of Clinical Hypertension, 21, 450-462.

[9]   Sharma Dewakar, K.C., et al. (2006). Study of preva- lence, awareness, and control of hypertension in a suburban area of Kathmandu, Nepal. Indian Heart Journal, 58, 34-37.

[10]   Dong, G.H. and Sun, Z.Q. (2007) Awareness, treatment and control of hypertension in rural adults of China. Jou- rnal of Hypertension Residence, 30, 951-958. doi:10.1291/hypres.30.951

[11]   Lindhal, R.S. (2006) Vegetarian diet for hypertensive patient. New England Journal of Medicine, 330, 1530- 1533

[12]   Guba, E.G. and Lincoln, Y.S. (2008) Hypertension the role of diet and lifestyles. Journal of Human Hypertension, 15, 235-251.

[13]   MacGregor, D.E. (2003) How far should salt intake be reduced? Recommendation on dietary salt. American Journal of Medical Association, 28, 59-64.

[14]   Regmi, S. (2008) Detection of individuals prone to develop hypertension in the future life. Journal of Nepal Medical College, 10, 33-37.

[15]   World Health Organization (2006) Focus in priorities, WHO report, 2005. www.who.org

 
 
Top