Correlation of Hypertension Self-Care Activity Level Effects Factors with Perceived Stress in Uncontrolled Hypertensive Patients
DOI:
https://doi.org/10.3889/oamjms.2022.7218Keywords:
Medication, Weight management, Adherence, Perceived stress, HypertensionAbstract
BACKGROUND: Stress is associated with hypertension self-care behavior activity. Low self-care can cause hypertension and make hypertension uncontrolled. Patients with uncontrolled hypertension are very susceptible to experiencing stress through self-care activities that they must do.
AIM: This study aims to identify the role of perceived stress on the self-care behavior of patients with uncontrolled hypertension. This study aims to assess the correlation of hypertension self-care activity level effect factors with perceived stress in patients with uncontrolled hypertension.
METHODS: This quantitative study with a cross-sectional design recruited 383 patients with uncontrolled hypertension at a community health center. The sampling technique is consecutive sampling. Perceived stress was assessed using Perceived Stress Sclae (PSS) and hypertension self-care activities were assessed using Hypertension Self-Care Activity Level Effect (H-SCALE). Data were analyzed using chi-square and multivariate test.
RESULTS: All respondents experienced stress, where 55.6% severed perceived stress and 44.4% moderate perceived stress. Severe stress occurs 60% in middle age, 54.2% in the elderly, 56.6% of male respondents, and 55.1% of female respondents. About 71.9% of respondents do not go to school, 69.2% are highly educated, and 56.6% of respondents do not work. Medication non-adherence (p = 0.000; OR = 0.941; 95% CI = 0.911–0.973) and weight management non-adherence (p = 0.006; OR = 0.956; 95% CI = 0.927–0.987) were positively correlated with the level of perceived stress in patients uncontrolled hypertension.
CONCLUSION: Improving coping strategies for stress by designing educational provisions about medication and weight management (diet and physical activity) are easily understood by people who do not experience education. Continuity and comprehensive education are needed.Downloads
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References
WHO. Raised Blood Pressure. Geneva: WHO; 2018. Available from: https://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_tex/en [Last accessed on 2019 Jan 31].
Indonesia Ministry of Health. National Basic Health Research Report. Ministry Health Republic Indonesia. Indonesia: Indonesia Ministry of Health; 2018. p. 171-6.
Spruill TM, Butler MJ, Thomas SJ, Tajeu GS, Kalinowski J, Castañeda SF, et al. Association between high perceived stress over time and incident hypertension in black adults: Findings from the jackson heart study. J Am Heart Assoc. 2019;8(21):e012139. https://doi.org/10.1161/JAHA.119.012139 PMid:31615321 DOI: https://doi.org/10.1161/JAHA.119.012139
Hu B, Liu X, Yin S, Fan H, Feng F, Yuan J. Effects of psychological stress on hypertension in middle-aged Chinese: A cross-sectional study. PLoS One. 2015;10(6):e0129163. https://doi.org/10.1371/journal.pone.0129163 PMid:26043027 DOI: https://doi.org/10.1371/journal.pone.0129163
Abegaz TM, Abdela OA, Bhagavathula AS, Teni FS. Magnitude and determinants of uncontrolled blood pressure among hypertensive patients in Ethiopia: Hospital-based observational study. Pharm Pract (Granada). 2018;16(2):1173. https://doi.org/10.18549/PharmPract.2018.02.1173 PMid:30023028 DOI: https://doi.org/10.18549/PharmPract.2018.02.1173
Jafar TH, Gandhi M, Jehan I, Naheed A, de Silva HA, Shahab H, et al. Determinants of uncontrolled hypertension in rural communities in South Asia-Bangladesh, Pakistan, and Sri Lanka. Am J Hypertens. 2018;31(11):1205-14. https://doi.org/10.1093/ajh/hpy071 PMid:29701801 DOI: https://doi.org/10.1093/ajh/hpy071
Sarfo FS, Mobula LM, Burnham G, Ansong D, Plange-Rhule J, Sarfo-Kantanka O, et al. Factors associated with uncontrolled blood pressure among Ghanaians: Evidence from a multicenter hospital-based study. PLoS One. 2018;13(3):e0193494. https://doi.org/10.1371/journal.pone.0193494 PMid:29554106 DOI: https://doi.org/10.1371/journal.pone.0193494
Tesfaye B, Haile D, Lake B, Belachew T, Tesfaye T, Abera H. Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at Jimma University Teaching and Specialized Hospital: Cross-sectional study. Res Reports Clin Cardiol. 2017;8:21-9. https://doi.org/10.2147/rrcc.s132126 DOI: https://doi.org/10.2147/RRCC.S132126
Algren MH, Ekholm O, Nielsen L, Ersbøll AK, Bak CK, Andersen PT. Associations between perceived stress, socioeconomic status, and health-risk behaviour in deprived neighbourhoods in Denmark: A cross-sectional study. BMC Public Health. 2018;18(1):250. https://doi.org/10.1186/s12889-018-5170-x PMid:29439681 DOI: https://doi.org/10.1186/s12889-018-5170-x
Gusty RP, Merdawati L. Self-care behaviour practices and associated factors among adult hypertensive patients in padang. Nurs J. 2020;11(1):51-8. https://doi.org/10.22219/jk.v11i1.10281 DOI: https://doi.org/10.22219/jk.v11i1.10281
Gebremichael GB, Berhe KK, Zemichael TM. Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018. BMC Cardiovasc Disord. 2019;19(1):121. https://doi.org/10.1186/s12872-019-1091-6 PMid:31117945 DOI: https://doi.org/10.1186/s12872-019-1091-6
Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2019 update: A report from the American heart association. Circulation. 2019;139(10):e56-528. https://doi.org/10.1161/cir.0000000000000659 PMid:30700139 DOI: https://doi.org/10.1161/CIR.0000000000000659
Warren-Findlow J, Seymour RB. Prevalence rates of hypertension self-care activities among African Americans. J Natl Med Assoc. 2011;103(6):503-12. https://doi.org/10.1016/S0027-9684(15)30365-5 PMid:21830634 DOI: https://doi.org/10.1016/S0027-9684(15)30365-5
Sandi C, Haller J. Stress and the social brain: Behavioural effects and neurobiological mechanisms. Nat Rev Neurosci. 2015;16(5):290-304. https://doi.org/10.1038/nrn3918 PMid:25891510 DOI: https://doi.org/10.1038/nrn3918
Warren-Findlow J, Basalik DW, Dulin M, Tapp H, Kuhn L. Preliminary validation of the hypertension self-care activity level effects (H-SCALE) and clinical blood pressure among patients with hypertension. J Clin Hypertens. 2013;15(9):637-43. https://doi.org/10.1111/jch.12157 PMid:24034656 DOI: https://doi.org/10.1111/jch.12157
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96. PMid:6668417 DOI: https://doi.org/10.2307/2136404
Khaled K, Tsofliou F, Hundley V, Helmreich R, Almilaji O. Perceived stress and diet quality in women of reproductive age: A systematic review and meta-analysis. Nutr J. 2020;19(1):92. https://doi.org/10.1186/s12937-020-00609-w PMid:32859204 DOI: https://doi.org/10.1186/s12937-020-00609-w
Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. J Am Med Assoc. 2007;298(14):1685-7. https://doi.org/10.1001/jama.298.14.1685 PMid:17925521 DOI: https://doi.org/10.1001/jama.298.14.1685
Sarafino EP, Smith TW. Health Psychology: Biopsychosocial Interactions. 8th ed. United States of America: Willey; 2014.
Chao A, Jastreboff A, White M, Grillo C, Sinha R. Stress, cortisol, and other appetite-related hormones: Prospective prediction of 6-month changes in food cravings and weight. Obesity. 2017;25(4):713-20. https://doi.org/10.1002/oby.21790 PMid:28349668 DOI: https://doi.org/10.1002/oby.21790
Joseph PV, Davidson HR, Boulineaux CM, Fourie NH, Franks AT, Abey SK, et al. Eating behavior, stress, and adiposity: Discordance between perception and physiology. Biol Res Nurs. 2018;20(5):531-40. https://doi.org/10.1177/1099800418779460 PMid:29852756 DOI: https://doi.org/10.1177/1099800418779460
Richardson AS, Arsenault JE, Cates SC, Muth MK. Perceived stress, unhealthy eating behaviors, and severe obesity in lowincome women. Nutr J. 2015;14(1):122. https://doi.org/10.1186/s12937-015-0110-4 PMid:26630944 DOI: https://doi.org/10.1186/s12937-015-0110-4
Hamrahian SM. Medication non-adherence: A major cause of resistant hypertension. Curr Cardiol Rep. 2020;22(11):133. https://doi.org/10.1007/s11886-020-01400-3 PMid:32910342 DOI: https://doi.org/10.1007/s11886-020-01400-3
Bruno A, Brooks DD, Abrams TA, Poorak MD, Gunio DK, Kandhal PK, et al. Left ventricular hypertrophy in acute stroke patients with known hypertension. Clin Exp Hypertens. 2017;39(6):502-4. https://doi.org/10.1080/10641963.2016.1259328 PMid:28722487 DOI: https://doi.org/10.1080/10641963.2016.1259328
Alcántara C, Edmondson D, Moise N, Oyola D, Hiti D, Kronish IM. Anxiety sensitivity and medication nonadherence in patients with uncontrolled hypertension. J Psychosom Res. 2014;77(4):283-6. https://doi.org/10.1016/j.jpsychores.2014.07.009 PMid:25280825 DOI: https://doi.org/10.1016/j.jpsychores.2014.07.009
Iuga AO, McGuire MJ. Adherence and health care costs. Risk Manag Healthc Policy. 2014;7:35-44. https://doi.org/10.2147/rmhp.S19801 PMid:24591853 DOI: https://doi.org/10.2147/RMHP.S19801
Burnier M. Drug adherence in hypertension. Pharmacol Res. 2017;125(B):142-9. https://doi.org/10.1016/j.phrs.2017.08.015 PMid:28870498 DOI: https://doi.org/10.1016/j.phrs.2017.08.015
Alvarez C, Hines AL, Carson KA, Andrade N, Ibe CA, Marsteller JA, et al. AssociAtion of perceived stress and discrimination on medication adherence among diverse patients with uncontrolled hypertension. Ethn Dis. 2021;31(1):97-108. https://doi.org/10.18865/ED.31.1.97 PMid:33519160 DOI: https://doi.org/10.18865/ed.31.1.97
Biffi A, Rea F, Iannaccone T, Filippelli A, Mancia G, Corrao G. Sex differences in the adherence of antihypertensive drugs: A systematic review with meta-analyses. BMJ Open. 2020;10(7):e036418. https://doi.org/10.1136/bmjopen-2019-036418 PMid:32641331 DOI: https://doi.org/10.1136/bmjopen-2019-036418
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Copyright (c) 2022 Reni Gusty, Nursyirwan Effendi, Khatijah Abdullah Lim, Yuliarni Syafrita (Author)
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