Volume 3, Issue 4 (Autumn 2022)                   J Vessel Circ 2022, 3(4): 185-192 | Back to browse issues page

Ethics code: IR.MUQ.REC.1400.009


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Shabani M A, Mirjani M S, Raayaee F, Taheri-Kharemeh Z. Adherence to Self-Care Behaviors in Hypertensive Patients During the COVID-19 Pandemic Using the Modified Version of the Hypertension Self-Care Activity Level Effects Questionnaire. J Vessel Circ 2022; 3 (4) :185-192
URL: http://jvessels.muq.ac.ir/article-1-254-en.html
1- Student Research Committee, Qom University of Medical Sciences, Qom, Iran., Mohammadamin39751378@gmail.com
2- Student Research Committee, Qom University of Medical Sciences, Qom, Iran., sinamirjani1379@gmail.com
3- Student Research Committee, Qom University of Medical Sciences, Qom, Iran., fateme.royaee@gmail.com
4- Spirituality Health Research Center, School of Health and Religion, Qom University of Medical Sciences, Qom, Iran., z.taherikharame@gmail.com
Abstract:   (500 Views)
Background and Aim: High blood pressure is an important global healthcare concern, and its prevalence is increasing worldwide. Self-care practice is a cost-effective method in controlling blood pressure. This study aims to assess the adherence to self-care behaviors among hypertensive patients during the COVID-19 pandemic in Qom, Iran.
Materials and Methods: This is a descriptive-analytical study with a cross-sectional design that was conducted in 2021 on 218 hypertensive patients in Qom City who were selected using a convenience sampling method. The data collection tool was a two-part questionnaire; the first part surveyed demographic characteristics, while the second part was the modified version of the Hypertension Self-Care Activity Level Effects (H-SCALE) questionnaire. Data analysis was performed in SPSS software using independent t-test, ANOVA, Pearson's correlation test, and chi-square test.
Results: The participants had a mean self-care score of 79.32. Among the self-care subscales, smoking exposure (90.1%), medication adherence (85.7%), healthy eating plan (42.8%), weight management (35.1%), and physical exercise (28.5%) showed the highest scores. Only patients with a university education demonstrated higher and more significant self-care scores.
Conclusion: The COVID-19 pandemic has had an impact on hypertensive patients’ adherence to self-care behaviors in Qom. Considering the results, particularly in weight management and physical activity with the lowest scores, it is important to implement educational programs to inform hypertensive patients about the seriousness of the complications of the disease and encourage them to adhere to self-care behaviors.
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Type of Study: Research | Subject: cardiovascular diseases
Received: 2023/04/8 | Accepted: 2023/05/22 | Published: 2022/12/1

References
1. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020; 16(4):223-37. [DOI:10.1038/s41581-019-0244-2] [PMID] [PMCID] [DOI:10.1038/s41581-019-0244-2]
2. Oori MJ, Mohammadi F, Norozi K, Fallahi-Khoshknab M, Ebadi A, Gheshlagh RG. Prevalence of HTN in Iran: Meta-analysis of published studies in 2004-2018. Curr Hypertens Rev. 2019; 15(2):113-22. [DOI:10.2174/1573402115666190118142818] [PMID] [PMCID] [DOI:10.2174/1573402115666190118142818]
3. Hosseini M, Yaseri M, Asady H, Musa AE, Koohpayehzadeh J, Rafei A, et al. Prevalence of high blood pressure in Iranian adults based on the 2017 ACC/AHA guideline. Med J Islam Repub Iran. 2019; 33:26. [PMID] [PMCID] [DOI:10.47176/mjiri.33.26]
4. Ostchega Y, Fryar CD, Nwankwo T, Nguyen DT. Hypertension prevalence among adults aged 18 and over: United States, 2017-2018. NCHS data brief, no 364. Hyattsville, MD: National Center for Health Statistics; 2020. [Link]
5. Najafipour H, Nasri HR, Rostamzadeh F, Amirzadeh R, Shadkam M, Mirzazadeh A. Prevalence and incidence of pre-hypertension and hypertension (awareness/control) in Iran: Findings from Kerman coronary artery diseases risk factors study 2 (KERCADRS). J Hum Hypertens. 2022; 36(5):461-72. [DOI:10.1038/s41371-020-00392-5] [PMID] [DOI:10.1038/s41371-020-00392-5]
6. Flynn SJ, Ameling JM, Hill-Briggs F, Wolff JL, Bone LR, Levine DM, et al. Facilitators and barriers to hypertension self-management in urban African Americans: Perspectives of patients and family members. Patient Prefer Adherence. 2013; 741-9. [DOI:10.2147/ppa.s46517] [PMID] [PMCID] [DOI:10.2147/PPA.S46517]
7. Eck C, Biola H, Hayes T, Bulgin D, Whitney C, Raman R, et al. Efficacy of hypertension self-management classes among patients at a federally qualified health center. Prev Chronic Dis. 2021;18:E70. [DOI:10.5888/pcd18.200628] [PMID] [PMCID] [DOI:10.5888/pcd18.200628]
8. Arabshahi A, Gharlipour Z, Hosseinalipour SA, Mohebi S. [Assessment of adherence to self-care behaviors in hypertensive patients in Qom (Persian)]. Qom Univ Med Sci J. 2020; 14(2):55-66. [DOI:10.29252/qums.14.2.55] [DOI:10.29252/qums.14.2.55]
9. Wake AD, Bekele DM, Tuji TS. Knowledge and attitude of self-monitoring of blood pressure among adult hypertensive patients on follow-up at selected public hospitals in Arsi zone, Oromia regional state, Ethiopia: A cross-sectional study. Integr Blood Press Control. 2020; 13:1-13. [DOI:10.2147/ibpc.s242123] [PMID] [PMCID] [DOI:10.2147/IBPC.S242123]
10. Peters RM, Templin TN. Theory of planned behavior, self-care motivation, and blood pressure self-care. Res Theory Nurs Pract. 2010; 24(3):172-86. [DOI:10.1891/1541-6577.24.3.172] [PMID] [PMCID] [DOI:10.1891/1541-6577.24.3.172]
11. WHO. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Geneva: World Health Organization; 2013. [Link]
12. Hazrati Gonbad S, Zakerimoghadam M, Pashaeypoor S, Haghani S. The effects of home-based self-care education on blood pressure and self-care behaviors among middle-aged patients with primary hypertension in Iran: A randomized clinical controlled trial. Home Health Care Manag Pract. 2022; 34(1):9-16. [DOI:10.1177/10848223211012727] [DOI:10.1177/10848223211012727]
13. Blecker S, Jones SA, Petrilli CM, Admon AJ, Weerahandi H, Francois F, et al. Hospitalizations for chronic disease and acute conditions in the time of COVID-19. JAMA Intern Med. 2021; 181(2):269-71. [DOI:10.1001/jamainternmed.2020.3978] [PMID] [PMCID] [DOI:10.1001/jamainternmed.2020.3978]
14. Rezvan S, Besharati M, Khodadadpoor M, Matlabi M, Fathi A, Salimi A, et al. [Self-care assessment of patients with hypertension in Qom City in 2016 (Iran) (Persian)]. Qom Univ Med Sci J. 2018; 12(4):72-80. [DOI:10.29252/qums.12.4.72] [DOI:10.29252/qums.12.4.72]
15. Zinat Motlagh SF, Chaman R, Sadeghi E, Ali Eslami A. Self-care behaviors and related factors in hypertensive patients. Iran Red Crescent Med J. 2016; 18(6):e35805. [DOI:10.5812/ircmj.35805] [PMID] [PMCID] [DOI:10.5812/ircmj.35805]
16. Pirzadeh A, Peyman TS, Hassanzadeh A, Mostafavi F. Adherence to self-care behaviors among hypertensive patients. J Health Lit. 2019; 4(3):17-24. [DOI:10.22038/jhl.2019.41986.1069]
17. Fiske A, Schneider A, McLennan S, Karapetyan S, Buyx A. Impact of COVID-19 on patient health and self-care practices: A mixed-methods survey with German patients. BMJ Open. 2021; 11(9):e051167. [DOI:10.1136/bmjopen-2021-051167] [PMID] [PMCID] [DOI:10.1136/bmjopen-2021-051167]
18. Gotanda H, Liyanage-Don N, Moran AE, Krousel-Wood M, Green JB, Zhang Y, et al. Changes in blood pressure outcomes among hypertensive individuals during the COVID-19 pandemic: A time series analysis in three US healthcare organizations. Hypertension. 2022; 79(12):2733-42. [DOI:10.1161/hypertensionaha.122.19861] [PMID] [PMCID] [DOI:10.1161/HYPERTENSIONAHA.122.19861]
19. Warren-Findlow J, Reeve CL, Racine EF. Psychometric validation of a brief self-report measure of diet quality: The DASH-Q. J Nutr Educ Behav. 2017; 49(2):92-9. [DOI:10.1016/j.jneb.2016.09.004] [PMID] [DOI:10.1016/j.jneb.2016.09.004]
20. Warren-Findlow J, Coffman MJ, Karp CA. Translation and pilot testing of a measure to assess hypertension self-care activities among Hispanics. Ethn Health. 2018; 23(4):397-409. [DOI:10.1080/13557858.2017.1280132] [PMID] [DOI:10.1080/13557858.2017.1280132]
21. Burnier M, Polychronopoulou E, Wuerzner G. Hypertension and drug adherence in the elderly. Front Cardiovasc Med. 2020; 7:49. [DOI:10.3389/fcvm.2020.00049] [PMID] [PMCID] [DOI:10.3389/fcvm.2020.00049]
22. Worku Kassahun C, Asasahegn A, Hagos D, Ashenafi E, Tamene F, Addis G, et al. Knowledge on hypertension and self-care practice among adult hypertensive patients at university of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019. Int J Hypertens. 2020; 2020:5649165. [DOI:10.1155/2020/5649165] [PMID] [PMCID] [DOI:10.1155/2020/5649165]
23. Marseille BR, Commodore-Mensah Y, Davidson PM, Baker D, D'Aoust R, Baptiste D. Improving hypertension knowledge, medication adherence, and blood pressure control: A feasibility study. J Clin Nurs. 2021; 30(19-20):2960-7. [DOI:10.1111/jocn.15803] [PMID] [DOI:10.1111/jocn.15803]
24. Al-Makki A, DiPette D, Whelton PK, Murad MH, Mustafa RA, Acharya S, et al. Hypertension pharmacological treatment in adults: A World Health Organization guideline executive summary. Hypertension. 2022; 79(1):293-301. [DOI:10.1161/hypertensionaha.121.18192] [PMID] [PMCID] [DOI:10.1161/HYPERTENSIONAHA.121.18192]
25. Sisay Y, Abera H, Biratu TD, Legesse TG. Uncontrolled hypertension and behavioral risk factors among adult hypertensive patients at Saint Paul's Hospital, Millennium Medical College, Addis Ababa, Ethiopia. Adv Public Health. 2022; 2022:1-7. [DOI:10.1155/2022/7518860] [DOI:10.1155/2022/7518860]
26. Larson N, Alexander T, Slaughter-Acey JC, Berge J, Widome R, Neumark-Sztainer D. Barriers to accessing healthy food and food assistance during the COVID-19 pandemic and racial justice uprisings: A mixed-methods investigation of emerging adults' experiences. J Acad Nutr Diet. 2021; 121(9):1679-94. [DOI:10.1016/j.jand.2021.05.018] [PMID] [PMCID] [DOI:10.1016/j.jand.2021.05.018]
27. Saltzman LY, Hansel TC, Bordnick PS. Loneliness, isolation, and social support factors in post-COVID-19 mental health. Psychol Trauma. 2020; 12(S1):S55-7. [DOI:10.1037/tra0000703] [PMID] [DOI:10.1037/tra0000703]
28. Konttinen H. Emotional eating and obesity in adults: The role of depression, sleep and genes. Proc Nutr Soc. 2020; 79(3):283-9. [DOI:10.1017/s0029665120000166] [PMID] [DOI:10.1017/S0029665120000166]
29. Yoshikawa A, Smith ML, Lee S, Towne SD, Ory MG. The role of improved social support for healthy eating in a lifestyle intervention: Texercise Select. Public Health Nutr. 2021; 24(1):146-56. [DOI:10.1017/s1368980020002700] [PMID] [PMCID] [DOI:10.1017/S1368980020002700]
30. Niriayo YL, Ibrahim S, Kassa TD, Asgedom SW, Atey TM, Gidey K, et al. Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia. PLoS One. 2019; 14(6):e0218947. [DOI:10.1371/journal.pone.0218947] [PMID] [PMCID] [DOI:10.1371/journal.pone.0218947]
31. Abdisa L, Balis B, Shiferaw K, Debella A, Bekele H, Girma S, et al. Self-care practices and associated factors among hypertension patients in public hospitals in Harari regional state and Dire Dawa City administration, Eastern Ethiopia: A multi-center cross-sectional study. Front Public Health. 2022; 10:911593. [DOI:10.3389/fpubh.2022.911593] [PMID] [PMCID] [DOI:10.3389/fpubh.2022.911593]
32. Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: Results of the ECLB-COVID19 international online survey. Nutrients. 2020; 12(6):1583. [DOI:10.3390/nu12061583] [PMID] [PMCID] [DOI:10.3390/nu12061583]
33. Dor-Haim H, Katzburg S, Revach P, Levine H, Barak S. The impact of COVID-19 lockdown on physical activity and weight gain among active adult population in Israel: A cross-sectional study. BMC Public Health. 2021; 21(1):1521. [DOI:10.1186/s12889-021-11523-z] [PMID] [PMCID] [DOI:10.1186/s12889-021-11523-z]
34. Ademe S, Aga F, Gela D. Hypertension self-care practice and associated factors among patients in public health facilities of Dessie Town, Ethiopia. BMC Health Serv Res. 2019; 19(1):51. [DOI:10.1186/s12913-019-3880-0] [PMID] [PMCID] [DOI:10.1186/s12913-019-3880-0]
35. Chang AK, Lee EJ. Factors affecting self-care in elderly patients with hypertension in Korea. Int J Nurs Pract. 2015; 21(5):584-91. [DOI:10.1111/ijn.12271] [PMID] [DOI:10.1111/ijn.12271]
36. Warren-Findlow J, Krinner LM, Vinoski Thomas E, Coffman MJ, Gordon B, Howden R. Relative and cumulative effects of hypertension self-care behaviors on blood pressure. West J Nurs Res. 2020; 42(3):157-64. [DOI:10.1177/0193945919851111] [PMID] [DOI:10.1177/0193945919851111]
37. Ajani K, Gowani A, Gul R, Petrucka P. Levels and predictors of self-care among patients with hypertension in Pakistan. Int J Gen Med. 2021; 14:1023-32. [DOI:10.2147/IJGM.S297770] [PMID] [PMCID] [DOI:10.2147/IJGM.S297770]
38. Khairy S, Aslan A, Samara AM, Mousa I, Alkaiyat AS, Zyoud SH. Factors associated with self-efficacy in patients with hypertension: A cross-sectional study from Palestine. J Health Popul Nutr. 2021; 40(1):1. [DOI:10.1186/s41043-021-00225-2] [PMID] [PMCID] [DOI:10.1186/s41043-021-00225-2]
39. Hu HH, Li G, Arao T. The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community. J Hum Hypertens. 2015; 29(3):198-203. [DOI:10.1038/jhh.2014.58] [PMID] [DOI:10.1038/jhh.2014.58]

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