electronic-Perak Medical Journal. August 2019; Volume 1, Special Issue 2
Journal homepage: http://gids.mohe.gov.my/index.php/pmj
9
CONFERENCE PROCEEDINGS
This abstract was submitted to Perak Research Conference 2019 20 August 2019
KNOWLEDGE, ATTITUDE AND PRACTICE AMONG HAEMODIALYSIS PATIENTS ON ROLE OF BLOOD PRESSURE CONTROL IN REDUCING CARDIOVASCULAR EVENTS
Kogila Supramanian1, Nor Faziela Awang2, Nur Nadhirah Awang Kechik3, Haymalatha Rajangam4
1Universiti Kuala Lumpur Royal College of Medicine Perak, MALAYSIA
2Prihatin Tengku Besar Haemodialysis Centre, Terengganu, MALAYSIA
3Mawar Medical Centre, Negeri Sembilan, MALAYSIA
4Allied Health Sciences College Sultan Azlan Shah, Perak, Ministry of Health MALAYSIA
ABSTRACT
INTRODUCTION AND OBJECTIVES
The prevalence of Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) are increasing worldwide. The US National Kidney Foundation (NKF) reported 26 million American adults suffer from CKD. More than 700,000 Americans have been estimated to have ESRD. In Malaysia, with the rising prevalence of hypertension, it is not surprised to see many Malaysian being diagnosed with CKD. Many of these individuals subsequently had to be on dialysis. Patients play a vital role in reducing the risk of these complications. Patients should be engaged and empowered in self-management method in monitoring and management of blood pressure (BP) and other risk factors for cardiovascular disease (CVD). This study aimed to determine the knowledge, attitude and practice of haemodialysis (HD) patient on BP control in reducing cardiovascular event as a long-term complication.
METHODOLOGY
We conducted a cross-sectional study in a single dialysis unit in one government hospital in Perak from June to July 2018.
Universal sampling method was applied. We included all HD patients above 18 years old. Patients with any chronic illnesses such as chronic anaemia, CVD and mental illness were excluded. Written informed consents were obtained from the respondents. Data were collected using a self-developed tool based on similar format to that of R. Peters’ original BP Knowledge Scale in combination with NKF guidelines (2005) for BP control in HD which identified specific self-care behaviours that are needed for BP control in HD patient. A pre-test was done with Cronbach alpha of 0.705. The score was categorised as Poor (0-2), Fair (3) and Good (4) marks.
RESULTS
A total of 37 patients were included. Most of them were above 50 years old (24, 64.9%). 56.8% (21) were female. Half of the respondents have secondary level of education (21, 56.8%). Many of them were not working (28, 75.7%). Twenty-four (64.9%) had been on HD treatment for 1-5 years. The result showed that 27 (73.0%) of the patients’ knowledge score were within the poor category, 21 (56.8%) of the attitude score were within the fair level and 33 (89.2%) of the practice score were in the poor category. There was a significant association between age group and knowledge with question No. 3 that is (Limit the salt in cooking can keep my BP within range) with p=0.019. Those who were more than 50 years have better knowledge for this question. Gender showed significant association with practice of patient on question No. 3 (Do you record your BP in a note book?) with p=0.028. Male showed better record keeping than female for this question. There was also a significant association between years of HD treatment and practice question No. 2 (Do you use an appropriate sized cuff?) with p=0.037. Those who were on HD treatment for more than 10 years have better practice on this question.
CONCLUSION
Overall, the respondent’s knowledge, attitude and practice on BP control were fair to poor. Therefore, a strong management approach is needed to guide the patient in these aspects to further improve their role on self-management of BP control.
electronic-Perak Medical Journal. August 2019; Volume 1, Special Issue 2
Journal homepage: http://gids.mohe.gov.my/index.php/pmj
10
CONFERENCE PROCEEDINGS
This abstract was submitted to Perak Research Conference 2019 20 August 2019
Keywords
Knowledge, attitude and practice, blood pressure control, haemodialysis patient, cardiovascular event NMRR ID-18-1109-41437
Correspondence to:
Kogila Supramanian [email protected] Back to Content Page
