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A STUDY TO ASSESS THE KNOWLEDGE ,ATTITUDE ANDPRACTICE

OF LIFE STYLE MODIFICATION AMONG HYPERTENSIVE


PATIENTS AT SELECTED HOSPITALS
IN BANGLORE

M.Sc. Nursing Dissertation protocol submitted to

Rajiv Gandhi University of health Sciences, Karnataka, Bangalore.

By

Mr. NOBLE M.S.


M.Sc. NURSING FIRST YEAR
YEAR 2009-2011

Under the guidance of


Mr. Biju Ramachandran
Principal and HOD, department of MSN
K.T.G. college of nursing,
Sreegandhadakavalu, Hegganahalli cross
Sunkadakatte road, Bangalore-560091.

RAJIV GANDHI UNIVERSITY OF HEALTH SCINCES,


6 BRIEF RESUME OF THE INTENDED WORK
INTRODUCTION
“We cannot change our genes or sex, but we can definitely modify our life style there
by protecting our self from hypertension.”
Robert C Schlant (2000)
Hypertension, the silent killer which remains asymptomatic until the damage effect of it
can be seen . Hypertension .an important and common risk factor for considerable morbidity and
mortality not only in the indusrialiased world but also in developing countries. Thus, the problem of
hypertension can be truly considered as pandemic.
A study conducted o prevalence of hypertension report that 972 million people in
the world are suffering with this problem . incidents rate of hypertension range between 3 and 18%
depending on the age ,gender ethnicity and body size of the population studied
The factors contributing to the increased prevalence of hypertension is mainly
based on environmental factors, genetic factors and factors like alcohol intake, high fat intake, body
mass index and hormonal problems/ hypertensive when compared to normotensives develops twice
as much as coronary heart disease, four times as much congestive heart failure and seven times as
much stroke. This risk factors can be conquered through lifestyle modification
Life style modifications are universally accepted, not only as the first step in the
management of hypertension but also as a way to prevent hypertension. In addition to lowering blood
pressure, this measures can also reduce other cardio vascular risk factors. This cost involved is
minimal and there are hardly any risks. Hypertensive patients irrespective of this stage or grade
should be motivated to adopt this measures.

Knowledge regarding hypertension is an important measures used for decreasing the


prevalence of hypertension . study conducted in maliuye, hazarika and et al(2005) reported that only
13.6% of the hypertensive were aware of their elevated blood pressure status only 8.7% were taking
regular treatment. The increase level of knowledge on life style changes will help to have desired
intervention goal in people who are most motivated
6.3 STATEMENT OF PROBLEM
“A study to assess the knowledge, attitude and practice of lifestyle modification among hypertensive
patients at selected hospitals in Bangalore

6.4 Objectives of the study


1 To assess the Knowledge of hypertensive patients regarding life style modification
1 To assess the attitude of hypertensive patients regarding life style modification
2 To assess the practice of hypertensive patients regarding life style modification
3 To associate the knowledge and practice of hypertensive patients
4 To associate the knowledge of hypertensive patients with their demographic variables
6 To associate the knowledge of hypertensive patients with their demographic
variables(age, sex, education, occupation, income, family history of hypertension and dietary pattern)

6.5 Operational Definitions


● Assess; gathering information about knowledge on lifestyle modifications among
Hypertensive patients
●Knowledge; verbal response from hypertensive patients regarding lifestyle modifications
●Attitude; It refers to complex mental state evolving believes , feelings, values, and
disposition to act in certain ways
●Practice; It refers to a learning method the act of rehearsing a behavior over and over a
engaging in an actively again and again for the purpose of improving it or
mastering it
●Lifestyle modification; changing the activities of life such as physical activity, diets, and
Behavioral modification which maintain healthy living
●Hypertensive patients; a person (male or female) who is between 35 to55 years of age and
Having systolic blood pressure more than 140 mm Hg and diastolic blood
Pressure more than 90 mmHG at the time of data collection
6.6 Hypothesis

H0-There is no significant relation ship between knowledge attitude and practice regarding life
style modification among hypertensive patients
H1-There is significant difference between knowledge and attitude regarding prevention of
hypertension
H2- There is significant difference between knowledge and practice regarding prevention of
hypertension
H3- There is significant difference between attitude and practice regarding prevention of
hypertension
H4- There is significant difference between knowledge and attitude regarding prevention of
hypertension

6.7 ASSUMPTION;

The study based on the following assumptions


● Hypertensive patients have inadequate knowledge regarding practice about prevention and
Control of hypertension
● Knowledge about life style modifications helps in reduction of hypertension and to better
Prevention
● Patients are the best conveyors of information to other patients and to family
● To find out the selected demographic variables.
● Adopting lifestyle modification can prevent complication of hypertension
●Adopting lifestyle modification can prevent complication of hypertension

6.8 DELIMITATION

Study is limited to patients with hypertension who are attending the out patient department and
general wards of the selected hospitals at Bangalore
6.9 PROJECTED OUTCOME

The study will provide knowledge to patient about the lifestyle modification

7 MATERIALS AND METHODS


7.1 SOURCE OF DATA patient those who are attending OPD

7.2 METHOD OF DATA


COLLECTION

7.2. SAMPLING CRITERIA


1
INCLUSION CRITERIA 1 Patient suffering with hypertension

2 Patient between the ages of 35 to 55 years of both the


sex.

3 Patients of out patient departments and general wards

EXCLUSION CRITERIA 1) Patient suffering from hypertension with


other than cardio vascular disease

7.2. RESEARCH DESIGN Descriptive design


2

7.2. VARIABLES UNDER STUDY In this study the demographic variables are age, sex,
3 INDEPENDENT VARIABLE
education, occupation, economic status, family history,
habits

7.2.
4
DEPENDENT VARIABLES The dependent variables are in this study knowledge,
attitude and practice

7.2.
5 SETTING The study will be conducted in selected hospital in
Bangalore
7.2.6
POPULATION All the hypertensive patients between the ages of 35-65 years
come to out patient department in general hospitals

7.2.7
SAMPLE SIZE 100 Hypertensive patients at both sex

7.2.8
SAMPLE TECHNIQUE The convenient sampling technique will be used in this study

7.2.9
TOOL OF RESEARCH Appropriated structured knowledge questionnaire to assess the
knowledge and likert type of attitude scale to assess the attitude
and practice of lifestyle modification of hypertension
constructed and validated by experts and it will be used to
collect the needed data

SECTION A Deals with the demographic variables

SECTION B Includes the structured questionnaire regarding attitude, practice

7.2.
10 COLLECTION OF DATA
1-A prior formal permission will be obtained from the selected
hospital authorities of Bangalore for collecting the required data
2- Informed consent will be obtained from the out patients
3- Structured questionnaire will be administered to collect the
data regarding knowledge about life style modification
4- Likert type of attitude scale will be administered to assess the
attitude and practice of lifestyle modification
5- Duration of data collection is 4 weeks

7.2. METHODS OF DATA 1.Descriptive and inferential statistics will be used.


11
ANALYSIS AND
PRESENTATION 2. Mean , median and mode will be used to explain demographic
variables
7.3 DOES THE STUDY REQUIRE ANY INVESTIGATION OR INTERVENTION TO BE
CONDUCTED ON PATIENTS OR OTHER HUMANS OR ANIMALS? IF SO, PLEASE
DESCRIBE BRIEFLY.

No, The study requires to analyze the knowledge, attitude and practice of life style modification in
hypertensive patients at selected hospital in bangalore

7.4 HAS ETHICAL CLEARENSE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE OF
7.3?

1.Ethical clearance will be obtained from the research committee of K.T.G. college of nursing

2.permission from the hospital authority

3. Consent will be obtained from the patients who are willing to participate in the study
8 LIST OF REFFERENCES;

1) Black J. M. (2005) medical surgical nursing, 7 th edition. New Delhi, B. I. publications


private Ltd, 1489-1507
2) Elliot , H. L., Connel, J.M.C. and Mc Inner, G.I. (2000) “The year in hypertetension 1 st
Edition Bangalore. Panther publisher Pvt Ltd , 1-11
3) ghafoor unnissa and Kamala Krishna swamy (1998) “ Diet and Heart disease” 3 rd edition.
Hyderabad .National institute of Nutrition, 14-15,30-38,65-70,
4) Susan Wods L. (2005) “ cardiac nursing” 5 th Edition. Philadelphia;Lippincott Williams and
wilkins publishers 85
5)Appel , L.J., Champagne, C.M.,and Harsha, D. W.(2003) “ A STUDY ON
DETERMINATIONOF EFFECT OF COMPREHENSIVE LIFE STYLE MODIFICATION ON
BLOOD PRESSURE CONTROL” JOURNAL OF
AMERICAN MEDICAL ASSOSSIATION 289(16):2083-2093.

6) Benjamin, emilia J. AND RICHARD, S, (2002) “A STUDY ON MAGNITUDE OF THE


PREVENTION PROBLEM, OPPERTUNITIES AND CHSLLANGES” Journal of American college
of cardiology 40;588-603
7) Kearney, Patrica, and Whelton (2004) “ A STUDY ON WORLDWIDE PREVALENCE
HYPERTENSION” JOURNAL OF HUPERTENSION, 22(1);11-19
8) Alexander, C,N, and Smith , J. (1995) .” A STUDY ON SRESS REDUCTION FOR
HYPERTENSION IN OLDER AFRICANS-AMERICANS” RETRIEVED FROM
http://www.ncbi.nin.nih.gov/entre/quency

9)BURKE,V. Lee A. and Hunter,E( 2007)” A STUDY ON ALCOHOLINTAKE INCIDENCE OF


CORONARY DISEASE IN ASTRIANS’, retrived from http://www.ncbi.nin.nih.gov/entre/quency

10)Hasarika, and alhawat(2005),” A STUDY ON AWARENESS AND TREATMENT OF


HYPERTENSION’ RETRIVED FROM http:/www.jhpdc.unc.edu/
9 NAME & SIGNATURE OF THE NOBLE M.S
CANDIDATE

10 REMARKS OF THE GUIDE The study is suitable & feasible

11 NAME AND DESIGNATION

11. GUIDE Mr.BIJU RAMACHANDRAN


1 PRINCIPAL,
K.T.G. COLLEGE OF NURSING
SREEGANDHADAKAVALU,BANGALORE.

11. SIGNATURE
2

11. CO-GUIDE
3

11. SIGNATURE
4

11. HEAD OF THE DEPARTMENT Mr.BIJU RAMACHANDRAN


5 PRINCIPAL,
K.T.G. COLLEGE OF NURSING
SREEGANDHADAKAVALU,BANGALORE

11. SIGNATURE
6

12 REMARKS OF THE PRINCIPAL The study is suitable & feasible

12. NAME & SIGNATURE OF THE Mr.BIJU RAMACHANDRAN


1 PRINCIPAL PRINCIPAL,
K.T.G. COLLEGE OF NURSING
SREEGANDHADAKAVALU,BANGALORE
Rajiv Gandhi University of Health Sciences, Karnataka
Curriculum Development Cell
CONFIRMATION FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

Registration No. ;
Name of the candidate ;

Address ; K.T.G. College of Nursing


; Sreegandhadakavalu, Bangalore
Name of the institution ; K.T.G. College of Nursing
Sreegandhadakavalu, Bangalore
Date of admission to Course ;15/05/2009
Title of the topic ;A study to assess the knowledge,attitude and practice of life
style Modification among hypertensive patients at selected
hospitals in Bangalore

Brief Resume of The work ; Attached


Signature of the student ;
Name of the Guide ;;BIJU RAMACHANDRAN
Signature of the Guide ;
Name of the Co- Guide ;
Signature of the co-Guide ;
Name of the HOD ;
Signature of the HOD ;
Name of the principal ;
Principal mobile number ;
Principal E-mail ID ;
Remark of the Principal ;
Signature of the Principal ;