International Journal of Cardiovascular Nursing
Assessment of Awareness and Treatment Adherence Among Patients with Hypertension and Elevated Blood Sugar
Lecturer, Department of Nursing, SBS Institute of Nursing, Sohian Kalan, Punjab, India
Abstract
Hypertension and elevated blood sugar are two major chronic conditions that frequently coexist and significantly increase the risk of cardiovascular complications and other long-term health issues. Effective management of these conditions requires not only medical treatment but also adequate patient awareness and consistent adherence to prescribed therapies and lifestyle modifications. This study aims to assess the level of awareness and treatment adherence among patients diagnosed with hypertension and elevated blood sugar. A descriptive cross-sectional study was conducted among adult patients attending healthcare facilities. Data were collected using a structured questionnaire that evaluated participants’ knowledge of their condition, understanding of risk factors, medication adherence, and lifestyle practices such as diet, physical activity, and regular health monitoring. The findings indicate that while a proportion of patients had basic knowledge about hypertension and blood sugar control, significant gaps existed in understanding disease complications and the importance of long-term adherence to treatment. Moreover, adherence to medication and recommended lifestyle changes was found to be inconsistent, influenced by factors such as lack of education, forgetfulness, financial constraints, and limited access to healthcare resources. The study highlights the need for targeted health education programs and continuous patient counseling to improve awareness and promote better adherence behaviors. In conclusion, enhancing patient awareness and strengthening adherence strategies are essential steps toward effective management of hypertension and elevated blood sugar, ultimately reducing the burden of associated complications and improving quality of life.
Keywords: Blood sugar, hypertension, lifestyle modification, patient awareness, treatment adherence
References (10)
- 1. Thankappan KR, Daivadanam M, Mini GK, Joshi R, Sathish T. Editorial: Awareness, treatment, and control of hypertension or diabetes in India: The impact of public health promotion. Front Public Health. 2022 May 2;10:906862. doi:10.3389/fpubh.2022.906862. PMID: 35586003; PMCID: PMC9108190.
- 2. Pathak A, Poulter NR, Kavanagh M, Kreutz R, Burnier M. Improving the management of hypertension by tackling awareness, adherence, and clinical inertia: A symposium report. Am J Cardiovasc Drugs. 2022 May;22(3):251–261. doi:10.1007/s40256-021-00505-6. Epub 2021 Nov 9. PMID: 34751917; PMCID: PMC8576089.
- 3. Govindani R, Sharma A, Patel N, Baradia P, Agrawal A. Assessment of medication adherence among patients with hypertension and diabetes mellitus in a tertiary healthcare center: A descriptive study. Cureus. 2024 Jun 25;16(6):e63126. doi:10.7759/cureus.63126. PMID: 39055471; PMCID: PMC11271814.
- 4. Mathur D, Deora S, Kaushik A, Bhardwaj P, Singh K. Awareness, medication adherence, and diet pattern among hypertensive patients attending teaching institution in western Rajasthan, India. J Family Med Prim Care. 2020 May 31;9(5):2342–2349. doi:10.4103/jfmpc.jfmpc_193_20. PMID: 32754499; PMCID: PMC7380809.
- 5. Pirasath S, Sundaresan T. Descriptive cross-sectional study on knowledge, awareness and adherence to medication among hypertensive patients in a tertiary care center, Eastern Sri Lanka. Sage Open Med. 2021;9. doi:10.1177/20503121211012497.
- 6. Bharatia R, Chitale M, Saxena GN, Kumar RG, Chikkalingaiah, Trailokya A. Management practices in Indian patients with uncontrolled hypertension. J Assoc Physicians India. 2016 Jul;64 (7):14–21. PMID: 27759337.
- 7. Pirasath S, Kumanan T, Guruparan M. A study on knowledge, awareness, and medication adherence in patients with hypertension from a tertiary care centre from Northern Sri Lanka. Int J Hypertens. 2017;2017:9656450. doi:10.1155/2017/9656450. Epub 2017 Nov 2. PMID: 29230325; PMCID: PMC5688346.
- 8. Dodu SR. Emergence of cardiovascular diseases in developing countries. Cardiology. 1988;75(1):56–64. doi:10.1159/000174349. PMID: 3342425.
- 9. Rocella EJ, Burt V, Horan MJ, Cutler J. Changes in hypertension awareness, treatment, and control rates: 20-year trend data. Ann Epidemiol. 1993 Sep;3(5):547–549. doi:10.1016/1047-2797(93) 90114-j. PMID: 8167835.
- 10. Law MR, Frost CD, Wald NJ. By how much does dietary salt reduction lower blood pressure? III—Analysis of data from trials of salt reduction. BMJ. 1991 Apr 6;302(6780):819–824. doi: 10.1136 /bmj.302.6780.819. Erratum in: BMJ. 1991 Apr 20;302(6782):939. PMID: 1827353; PMCID: PMC1669188.