IMPACT OF CLINICAL PHARMACIST-LED EDUCATION ON HYPERTENSION KNOWLEDGE IN HYPERTENSIVE PATIENTS AT A TERTIARY CARE HOSPITAL, INDIA: A PROSPECTIVE OBSERVATIONAL STUDY

Main Article Content

Deeptipriya Nekkanti
Challi Hareesh Srusti
Sonoma Maria K.B
Dhanush R
Pradeep Shankrappa Mannikatti
Dharitri G. Joshi
Badrish Pratap Singh

Keywords

Awareness, Hypertension, Hypertension knowledge level scale, Knowledge, Patient Information Leaflet

Abstract

Background: The prevalence of hypertension in India has been increasing recently. In response, the Ministry of Health and Family Welfare Government of India has issued guidelines for the prevention of hypertension and its complications. It is known that reducing blood pressure in hypertensive patients and improving their knowledge about hypertension can decrease the rate of cardiovascular disease and stroke complications.


Methods: A prospective observational study was conducted over six months at a tertiary care hospital, enrolling 250 participants based on predefined selection criteria. The study aimed to determine the influence of leaflets and education provided by clinical pharmacists on hypertension knowledge. Participants' knowledge of hypertension was assessed using the Hypertension Knowledge Level Scale (HK-LS). Categorical data were analyzed by Chi-square test, while quantitative variables were analyzed using paired t-test.


Results: The study highlighted the positive impact of leaflets and educational interventions on hypertension knowledge, increasing from 25.2% to 77.2%. Participants with low knowledge decreased from 74.2% to 22.8% post-distribution of the Patient Information Leaflet (PIL), with the most significant improvement in the "complications" domain. Socio-demographic comparisons showed males had more knowledge than females, likely due to social and cultural factors such as employment status and a higher prevalence of hypertension among males. Education level was positively correlated with hypertension knowledge (P-value < 0.005).


Conclusion: Our study highlights the need for educational guidance in disease management. Clinical pharmacists can improve patient knowledge and adherence through counselling and medication reviews, thereby reducing hypertension-related complications.

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References

1. World Health Statistics 2023: Monitoring health for sustainable development goals. https://www.who.int/publication-detail-redirect/9789240074323
2. World Health Organization: Hypertension https://www.who.int/news-room/fact-sheets/detail/hypertension
3. Sheikh, Mohd, Saleem., Gurpreet, Singh., Ilham, Zaidi., Inaamul, Haq., Ijyaa, Singh., Sahifa, Anjum., Balendra, Pratap, Singh., Sonu, Goel. Geospatial epidemiology of hypertension and its risk factors in India: Findings from National Family Health Survey (2015–2016). Journal of family medicine and primary care, (2022). doi:10.4103/jfmpc.jfmpc_174_22
4. Prevalence and risk factors associated with undiagnosed hypertension among adults aged 15 – 49 in India: insights from NFHS-5 national survey. (2023). doi: 10.21203/rs.3.rs-2899509/v1
5. Singh S, Shankar R, Singh GP. Prevalence and associated risk factors of hypertension: a cross-sectional study in urban Varanasi. International journal of hypertension. 2017 Oct;2017.
6. 6.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 Mar;20(3):219-25.
7. Jankowska-Polańska B, Uchmanowicz I, Dudek K, Mazur G. Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient preference and adherence. 2016 Dec 7:2437-47.
8. Singh SM, Naskar C, Malik Y, et al. Assessment of Knowledge of Hypertension among Patients with Mental Illness Approaching a Community Psychiatry Service. J Postgrad Med Edu Res. 2020;54(1):8–11.
9. Erkoc SB, Isikli B, Metintas S, Kalyoncu C. Hypertension knowledge-level scale (HK-LS): A study on development, validity and reliability. Int J Environ Res. Public Health. 2012;9(3):1018–29.
10. Yennawar BS, Chavan YB, Giri PA. Socio-demographic determinants and awareness regarding hypertension among adult population in an urban slum of Mumbai, India. Int J Community Med Public Health. 2015 Oct;2:666-71.
11. Dita, Andrianto., RA, Oetari., Ika, Purwidyaningrum. Education Influence Using Leaflet Media on the Level of Knowledge, Compliance, and Therapy Outcomes in Prolanis Hypertension Patients at X Clinic Surakarta. (2024). doi: 10.55927/fjmr.v3i3.8342
12. Geldsetzer P, Manne-Goehler J, Theilmann M, Davies JI, Awasthi A, Vollmer S. Diabetes and hypertension in India: a nationally representative study of 1.3 million adults. JAMA Intern Med. 2018; 178 (3): 363–72.
13. Ajani K, Gowani A, Gul R, Petrucka P. Levels and predictors of self-care among patients with hypertension in Pakistan. International Journal of General Medicine. 2021 :1023-32.Doi: http://doi.org/10.2147/IJGM.S297770
14. Bashyal SP, Thapa N. Knowledge and perception regarding hypertension among hypertensive patients at a tertiary hospital in Kathmandu, Nepal. Journal of Advanced Academic Research. 2020 ;7(1):51-62.
15. Ernawati I, Fandinata SS, Permatasari SN. The effect of leaflet on hypertension knowledge in hypertensive patients in community health center in Surabaya City. Open Access Macedonian Journal of Medical Sciences. 2020 Oct 15;8(E):558-65.
16. Bakhsh LA, Adas AA, Murad MA, Nourah RM, Hanbazazah SA, Aljahdali AA, Alshareef RJ. Awareness and knowledge on hypertension and its self-care practices among hypertensive patients in Saudi Arabia. Ann Int Med Dent Res. 2017;2(5).
17. Suriyakala, P.., Mohathasim, Billah, A.., Rajamohamed, H.., Mohamed, Akram, Ali, S.., Sathya, A.., Vijayalakshmi, K. A descriptive cross-sectional observational study on assessment of patients knowledge, attitude and practice on hypertension at a tertiary care hospital. International journal of advanced research, (2023). doi: 10.21474/ijar01/16292
18. Eshah NF, Al-Daken LI. Assessing publics’ knowledge about hypertension in a community-dwelling sample. Journal of Cardiovascular Nursing. 2016 ;31(2):158-65.
19. Kilic M, Uzunçakmak T, Ede H. The effect of knowledge about hypertension on the control of high blood pressure. International Journal of the Cardiovascular Academy. 2016 ;2(1):27-32. Doi: http://dx.doi.org/10.1016/j.ijcac.2016.01.003