Thực trạng công tác chăm sóc sức khỏe sinh sản của nữ công nhân tổng công ty may hưng yên năm 2015

MINISTRY OF EDUCATION AND TRAININGMINISTRY OF HEALTH HANOI MEDICAL UNIVERSITY ………***……… NGUYỄN VĂN TOÀN A SURVEY ON KNOWLEDGE, ATTIUDESAND PRACTICEREGARDING TO HYPERTENTIONAMONG ELDERLY PEOPLE IN SELECTED TWO COMMUNESIN BAC GIANG CITY IN 2014 BACHELOR OF SCIENCE NURSING ADVANCED PROGRAM IN NURSING 2010 – 2014 HANOI – 2015 MINISTRY OF EDUCATION AND TRAININGMINISTRY OF HEALTH HANOI MEDICAL UNIVERSITY ………***……… NGUYỄN VĂN TOÀN A SURVEY ON KNOWLEDGE, ATTIUDES AND PRACTICE REGARDING TO HYPERTENTION AMONG ELDERLY PEOPLE IN SELECTED TWO COMMUNES IN BAC GIANG CITY IN 2014 BACHELOR OF SCIENCE NURSING ADVANCED PROGRAM IN NURSING 2010 – 2014 SUPERISOR: MR BÙI VŨ BÌNH Master of science in nursing HANOI– 2015 i ACKNOWLEDGEMENTS This study depended on the contribution of many individuals I am deeply appreciative of those who offered advice and help The following individuals deserve special mention First of all, I grateful acknowledge the Presidential Board and the Undergraduate Training and Management Department of Hanoi Medical University for giving me the opportunity to complete this thesis I would like to express my sincere gratitude to the full support, unfailing patience, invaluable advice and detailed guidance of Mr Bui Vu Binh, Lecturer of the Nursing and Midwifery Department, Hanoi Medical University, whose comments gave me a clear insight into this study It was my privilege to have him as my supervisor I would like to acknowledge participants from two ward Dinh Ke and Hoang Van Thu for their cooperation, willingness and enthusiasm in answering the interview that help me to this thesis better Last but not least, from the bottom of my heart, I would like to thank my dear family and friends who always stand by my side, support and encourage me to complete this thesis Hanoi, June 15th, 2015 Nguyen Van Toan ii DECLARATION I declare that this thesis represents my own work, except where due acknowledgement is made, and that is has not been previously included in a thesis, dissertation or report submitted to the university or any other institution for a degree, diploma or other qualifications Signed Nguyen Van Toan iii TABLE OF CONTENTS ACKNOWLEDGEMENTS i DECLARATION ii TABLE OF CONTENTS iii LIST OF TABLES vi LIST OF FIGURES vi LIST OF ABBREVIATIONS vii INTRODUCTION CHAPTER - LITERATURE REVIEW 1.1 Overview of hypertension 1.1.1 Hypertension definition 1.1.2 Causes of hypertension 1.1.3 Risk Factors 1.1.4 Complications 1.1.5 Management: 1.2 Epidemiology 1.2.1 Global burden 1.2.2 The prevalence of Hypertension in Vietnam 1.2.3 Hypertension and elderly people with hypertension 1.3 Knowledge, attitude and practice 1.3.1 Knowledge, attitude and practice definitions 1.3.2 Knowledge, attitude and practice regarding to Hypertension 10 iv 1.4 Factors influence to healthy blood pressure practice 13 1.4.1 Educational level 13 1.4.2 Economical status 13 1.4.3 Information approach and health care worker-patient relationship 13 1.4.4 Other factors 14 1.5 Framework 16 CHAPTER - SUBJECTS AND METHOD 17 2.1 Study design 17 2.2 Sampling and Setting 17 2.2.1 Setting 17 2.2.2 Sampling 17 2.2.3 Sample size 18 2.3 Research instruments 18 2.4 Research Indicators and Variables 18 2.5 Bias and controllingbias 19 2.5.1 Acquired bias 19 2.5.2 Controlling bias 19 2.6 Research progress 20 2.6.1 The process of making research 20 2.6.2 Data collection 20 v 2.6.3 Data analysis 20 2.7 Ethical considerations 21 CHAPTER - RESULTS 22 3.1 General characteristics of the participants 22 3.2 Knowledge, attitude and practice related to hypertension care 24 3.2.1 Knowledge of participants on hypertension 24 3.2.2 Attitudes towards Hypertension 26 3.2.3 Self-care on Hypertension 27 3.3 Factors associated with hypertension 29 3.3.1 Participants characteristic and hypertension status 29 3.3.2 Correlations among Age, Knowledge score, Attitudes score, and Practice score 31 3.3.3 Knowledge, attitude, practice with having hypertension 32 CHAPTER - DISCUSSION 34 4.1 General characteristics of the participants 34 4.2 Knowledge, attitude, practice of elderly regardingto hypertension 35 4.2.1 Knowledge 35 4.2.2 Attitude 37 4.2.3 Practice 37 CONCLUSIONS 41 RECOMMENDATIONS 42 vi LIST OF TABLES Table 3.1: Demographic characteristics of the participants 22 Table 3.2: Hypertension and source of knowledge 23 Table 3.3: Knowledge on Hypertension 24 Table 3.4: Attitudes towardsHypertension 26 Table 3.5: Self-care on Hypertension 27 Table 3.6: The relation between gender and hypertension 29 Table 3.7: The relation between age and hypertension 29 Table 3.8: The relation between demographic and knowledge 30 Table 3.9: The relation between demographic and attitudes 30 Table 3.10: Correlations between age, knowledge score, attitudes score, and practice score 31 Table 3.11: Knowledge, attitude, practice with hypertension 32 LIST OF FIGURES vii LIST OF ABBREVIATIONS ACE: Angiotensin-converting enzyme ARBs: Angiotensin II receptorblockers A- Score: Attitude score BP: Blood pressure CVD: Cardiovascular DBP: Diastolic Blood Pressure HBP: High Blood Pressure HTN: Hypertension KAP: Knowledge Attitude Practice K- score: Knowledge score P-score: practice score SBP: Systolic Blood Pressure WHO: World Health Organization INTRODUCTION Hypertension is an important public health challenge, which affects approximately one billion people worldwide [1] According to the World Health Organization (WHO), hypertension is the leading risk factor for mortality (12.7% of deaths attributable) [2] Each year at least 7.1 million people die as a consequence of hypertension [3].The overall average prevalence of hypertension in the world was estimated as 35% (37% in men and 31% in women)[4] Hypertension has become a significant problem in many developing countries In Vietnam the rate of hypertension has increased significantly in recent years According to Son Pham (2011), 25.1% of Vietnamese people (28.3% men vs 23.1% women) over age 25 have high blood pressure The rate of hypertension increased with age in both sexes and particularly higher in the age group over 65[5] Especially hypertension has serious complications which are usually found when peoplecheckat the health facilities Hypertension is one of the diseases which is more common in old age and may affect the quality of life in elderly people According to the studies in the University of York, hypertension is a risk factor for stroke and ischemic heart disease in elderly people[6] With a big concernment about knowledge, attitudes and practices regarding hypertension among elderly people, the researcher conducted this study in Bac Giang Bac Giang is a midland province, 90% of the population live in rural areas, 10% of poverty People have less access to health services than other areas The researcher selected study in Bac Giang city Bac Giang city has 148.172 people, including the elderly accounted for 19.148 persons (12.9%) and 46.5% 45 of Patients’ Knowledge, Attitude and Practices on Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting 2010 30 Susan A Oliveria, S., Roland S Chen, MD, Bruce D McCarthy, MD, and P Catherine C Davis, Martha N Hill, PhD, Hypertension Knowledge, Awareness, and Attitudes in a Hypertensive Population 2005 31 Awotidebe, T.O., Adedoyin, R.A., Rasaq, W.A., Adeyeye, V.O., Mbada, C.E., Akinola, O.T.,Otwombe, K.N., Knowledge, attitude and Practice of Exercise for blood pressure control: A cross-sectional survey 2013 32 Iyalomhe, G.B.S.I.a.S.I Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community 2013; Available from: http://www.researchgate.net/publication/268411965_Hypertensionrelated_knowledge_attitudes_and_lifestyle_practices_among_hypertensive_patients_in_a_suburban_Nigerian_community 33 Son, P.T., HYPERTENSION IN VIETNAM 2012 34 Thuần, T.T., XÁC ĐỊNH CÁC YẾU TỐ ẢNH HƯỞNG TỚI KIẾN THỨC- THÁI ĐỘ- THỰC HÀNH CỦA BỆNH NHÂN CAO HUYẾT ÁP TẠI QUẬN TP.HỒ CHÍ MINH NĂM 2006 2006 35 Mumtaz Ali Shaikh, D.-e.-Y., Sadia, Raj Kumar Hypertension Knowledge, Attitude and Practice in Adult Hypertensive Patients at LUMHS 2010 36 Awotidebe, T.O., Adedoyin, R.A., Rasaq, W.A., Adeyeye, V.O., Mbada, C.E., Akinola, O.T.,Otwombe, K.N, Knowledge, attitude and Practice of Exercise for blood pressure control: A cross-sectional survey 2013 37 Rakumakoe, M.D., To determine the knowledge, attitudes and perceptions of hypertensive patients towards lifestyle modification in controlling hypertension 2012 38 Health, D.f The 2003 South African Demographic and Health Survey 2003 [cited 2014; Available from: http://www.measuredhs.com/pubs/pdf/FR206/FR206.pdf 39 Thuần, T.T., Các yếu tố ảnh hưởng tới kiến thức thực hành người lớn bệnh tăng huyết áp thành phố Hơ Chí Minh năm 2005 2005 40 Line Aubert, P.B., Jean-Pierre Gervasoni, Anne Rwebogora, Bernard Waeber, Fred Paccaud, Knowledge, Attitudes, and Practices on 46 Hypertension in a Country in Epidemiological Transition journal of American Heart Association, 2014 41 Knight EL, B.R., Wang PS, Glynn RJ, Mogun H, Avorn J, Predictors of uncontrolled hypertension in ambulatory patients Hypertension 2001 42 Kjellgren KI, S.S., Ahlner J, Saljo R, Hypertensive patients’ knowledge of high blood pressure Scand J Prim Health Care 1997 43 Viera AJ1, C.L., Mitchell CM, Sloane PD., High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) study 2008 47 ĐÁNH GIÁ KIẾN THỨC, THÁI ĐỘ, THỰC HÀNH VỀ CAO HUYẾT ÁP CỦA NGƯỜI CAO TUỔI Ở HAI PHƯỜNG DĨNH KẾ VÀ HOÀNG VĂN THỤ TẠI THÀNH PHỐ BẮC GIANG, TỈNH BẮC GIANG Cháu : Nguyễn Văn Toàn sinh viên lớp Y5I trường đại học Y Hà Nội Được cho phép Phòng Quản lý Đào tạo Đại học, trường Đại học Y Hà Nội, cháu thực nghiên cứu chương trình đào tạo Cử nhân Điều Dưỡng chương trình tiên tiến Mục tiêu nghiên cứu cháu là: “Đánh giá kiến thức, thái độ thực hành người cao tuổi bệnh cao huyết áp Thành Phố Bắc Giang – Tỉnh Bắc Giang” Nghiên cứu giúp tơi hồn thành khoá luận tốt nghiệp đánh giá kiến thức , thái độ thực hành người cao tuổi bệnh cao huyết áp, từ đưa số giải pháp nhằm giảm nguy mắc bệnh cao huyết áp tránh biến chứng xảy bệnh cao HA Bộ câu hỏi gồm 43 câu hỏi Gồm phần: phần thông tin chung, phần đánh giá kiến thức cao huyết áp, phần đánh giá thái độ bệnh cao huyết áp phần đánh giá thực hành cao huyết áp Việc tham gia nghiên cứu tự nguyện ông bà không bị phạt quyền lợi ông bà từ chối tham gia định ngừng tham gia nghiên cứu Dự liệu khơng trình bày dạng cá nhân đơn lẻ, thông tin giữ bí mật Mọi liệu người có trách nhiệm tiếp cận Tơi xin chân thành cảm ơn! Nếu ơng/bà có câu hỏi xin liên hệ: Sinh viên: Nguyễn Văn Toàn, sinh viên điều dưỡng trường Đại học Y Hà Nội Email: nvtoan206@hmu.edu.vn số điện thoại: +84 97 928 2605 Giáo viên hướng dẫn, Bùi Vũ Bình, Giảng viên trường Đại học Y Hà Nội 48 Email: binhbv@hmu.edu.vn số điện thoại : +84 98 201 4541 BỘ CÂU HỎI ĐÁNH GIÁ KIẾN THỨC, THÁI ĐỘ VÀ THỰC HÀNH CỦA NGƯỜI CAO TUỔI VỀ BÊNH CAO HUYẾT ÁP Thông Tin Chung D1 Tuổi: D2 Giới: Nam Nữ D3 Địa chỉ: Dĩnh Kế Hồng Văn Thụ D4 Trình độ học vấn: D5 Thu nhập gia đình: VND / month D4 Gia đình ơng bà có bị cao huyết áp khơng? Có Khơng D6 Ơng/bà chẩn đốn CHA chưa? Có Chưa P6.1 Ông/bà điều trị cao huyết áp bao lâu? Ít năm 1-3 năm 3-5 năm 4.Hơn năm D7 Ơng/ bà có sử dụng thuốc điều trị huyết áp khơng? Có Khơng D8 Ơng bà thường tìm hiểu CHA thơng qua nguồn nào: Sách báo, truyền hình, truyền thanh, internet 1.Có 2.Khơng Bác sĩ, nhân viên y tế 1.Có 2.Khơng Những người bị CHA 1.Có 2.Khơng PHẦN CÂU HỎI VỀ KIẾN THỨC: Ông/bà chọn đáp án nhất: K1.Theo hội tim mạch Việt Nam số huyết áp coi cao huyết áp là: ≥120/80mmHg ≥160/90mmHg ≥140/90mmHg ≥100/60mmHg K2.Chỉ số huyết áp tối đa (tâm thu) nên có là: 49 >140 =140 90 =90 120 =120 90 =90