Assessment of Knowledge, Attitude and Adherence to Treatment in Patients With Heart Disease in Iran

Document Type : Original Article

Authors

1 Department of Community Health Nursing, School of Nursing and Midwifery, Hamedan University of Medical Sciences, Hamedan, Iran

2 Department of Epidemiology, School of Public Health, Hamedan University of Medical Sciences, Hamedan, Iran

Abstract

Introduction: Adherence to treatment is essential in heart disease. This study was conducted to evaluate the nutritional awareness of hypertensive patients and their dietary intake in heart disease.
Methods: This is a descriptive-analytical study that was performed on hypertensive patients referred to Farshchian Cardiovascular Clinic in Iran, using the available random sampling method. Data collection tools included demographic information questionnaire and three questionnaires of nutritional awareness, illness perception, and dietary follow-up of patients with hypertension. Data were analyzed using SPSS software version 16 and descriptive statistics.
Results: The mean score of knowledge was 4.73±1.55. Fifty-eight percent of patients were unaware of high-fat diet, 56% of them did not eat red meat and 63% of them did not eat sweets. The mean score of perception was 29.58±3.94 of which 38% of the patients were uncontrollable and 43% strongly opposed their illnesses which could lead to premature death and 56% were against dietary restriction.
Conclusion: There is a need for interventions to improve the knowledge and attitude of patients with heart disease.

Keywords


  1. Mills KT, Bundy JD, Kelly TN, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016;134(6):441-450. doi:10.1161/circulationaha.115.018912.
  2. Hosseini F, Farshidi H, Aghamolaei T, Madani A, Ghanbarnejad A. The impact of an educational intervention based on PRECEDE-PROCEED model on lifestyle changes among hypertension patients. Iranian Journal of Health Education and Health Promotion. 2014;2(1):17-26. [Persian].
  3. Ndumele CD, Shaykevich S, Williams D, Hicks LS. Disparities in adherence to hypertensive care in urban ambulatory settings. J Health Care Poor Underserved. 2010;21(1):132-143. doi:10.1353/ hpu.0.0259.
  4. Sanne S, Muntner P, Kawasaki L, Hyre A, DeSalvo KB. Hypertension knowledge among patients from an urban clinic. Ethn Dis. 2008;18(1):42-47.
  5. Sheahan SL, Fields B. Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females. J Am Acad Nurse Pract. 2008;20(4):217-224. doi:10.1111/j.1745- 7599.2008.00307.x.
  6. Mohebi S, Azadbakhat L, Feyzi A, Hozoori M, Kamran A, Sharifirad G. Educational needs of women with metabolic syndrome on healthy nutrition in Isfahan: application of health promotion model. Journal of Health. 2013;4(2):165-179. [Persian].
  7. Linderholm M, Friedrichsen M. A desire to be seen: family caregivers’ experiences of their caring role in palliative home care. Cancer Nurs. 2010;33(1):28-36. doi:10.1097/ NCC.0b013e3181af4f61.
  8. Kamran A, Sharifirad G, Mohebi S, et al. Psychometric assessment of nutritional knowledge, illness perceptions and dietary adherence in hypertensive patients—Ardabil 2013. Health Systems Research. 2013;2014(3):1774-85. [Persian].
  9. Booth JN 3rd, Levitan EB, Brown TM, Farkouh ME, Safford MM, Muntner P. Effect of sustaining lifestyle modifications (nonsmoking, weight reduction, physical activity, and mediterranean diet) after healing of myocardial infarction, percutaneous intervention, or coronary bypass (from the REasons for Geographic and Racial Differences in Stroke Study). Am J Cardiol. 2014;113(12):1933- 1940. doi:10.1016/j.amjcard.2014.03.033.
  10. Babaei-Sis M, Ranjbaran S, Mahmoodi H, Babazadeh T, Moradi F, Mirzaeian K. The Effect of Educational Intervention of Life Style Modification on Blood Pressure Control in Patients with Hypertension. Journal of Education and Community Health. 2016;3(1):12-19. doi:10.21859/jech-03012. [Persian].
  11. Cheraghi F, Mortazavi S, Shamsaei F, Moghimbeigi A. Effect of education on management of blood glucose in children with diabetes. Journal of Nursing Education. 2014;3(1):1-11. [Persian].
  12. Rajpura JR, Nayak R. Role of illness perceptions and medication beliefs on medication compliance of elderly hypertensive cohorts. J Pharm Pract. 2014;27(1):19-24. doi:10.1177/0897190013493806.
  13. Kang CD, Tsang PP, Li WT, et al. Determinants of medication adherence and blood pressure control among hypertensive patients in Hong Kong: a cross-sectional study. Int J Cardiol. 2015;182:250-257. doi:10.1016/j.ijcard.2014.12.064.
  14. Saarti S, Hajj A, Karam L, et al. Association between adherence, treatment satisfaction and illness perception in hypertensive patients. J Hum Hypertens. 2016;30(5):341-345. doi:10.1038/ jhh.2015.86.
  15. Mohammadi MA, Dadkhah B, Sazavar H, Mozaffari N. The effect of follow up on blood pressure control in hypertensive patients. Journal of Ardabil University of Medical Sciences. 2006;6(2):156- 162. [Persian].
  16. Rahimi A, Ahmadi F, Gholyaf M. Effects of applying continuous care model on quality of life in hemodialysis patients. Razi Journal of Medical Sciences. 2006;13(52):123-34. [Persian].
  17. Hacihasanoğlu R, Gözüm S. The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. J Clin Nurs. 2011;20(5-6):692-705. doi:10.1111/j.1365-2702.2010.03534.x.
  18. Hashemi S, Tayebi A, Rahimi A, Einolahi B. Examining the effect of continuous care model on adherence to dietary regimen among patients receiving hemodialysis. Iran J Crit Care Nurs. 2015;7(4):215-20.