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 style 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 style 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 style. 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.