STATEMENT OF THE PROBLEM:

A study to assess the of knowledge regarding Hypertensive Crisis among

hypertension patient in a selected area at hospital.

AIM OF THE STUDY:

The aim of the study to assess the knowledge regarding Hypertensive Crisis among
hypertension patient .

OBJECTIVES OF THE STUDY:

1. To assess the knowledge on Hypertensive Crisis among hypertension patient.

2. To find out association between the knowledge regarding Hypertensive Crisis with
selected demographic variable .

3. 2. To educate on prevention of hypertensive crisis .

OPERATIONAL DEFINITIONS:
ASSESS:
Assess is to evaluate estimate the nature , ability or quality .

KNOWLEDGE:
In this study the knowledge refers to the fact and information regarding Hypertensive
Crisis.

HYPERTENSIVE CRISIS:
It is an acute elevation in blood pressure [ systolic pressure greater than 180 mm Hg]
that can cause rapid end –organ damage in individual previously not known to have
hypertension or in those with previously diagnosed hypertension
HYPERTENSION :
It is a clinical syndrome, defined as systolic blood pressure >140mmHg and
diastolic blood pressure >90mmHg.

HYPERTENSIVE PATIENT :
It refers to the patient who are diagnosed as elevated blood pressure by
physician , healthworker etc..,

HYPOTHESIS :
H1: There will be a siginificant difference in the mean score of hypertensive crisis
among hypertension patient

H2: There will be a significant association between the level of knowledge on

hypertensive crisis among hypertension patient and selected demographic variables such
as age, sex, family history of hypertension , life style.

METHODOLOGY:
Methodology is the systemative, theoretical analysis of the method applied to a field of
study. It comprises the theoretical analysis of the body of method and principles associated
with a branch of knowledge .

Methodology is the way to solve the problem systematically that includes steps of
procedure and strategies of the data it includes description of research approach, research
design , setting of the study, sample size,sampling technique ,criteria for selection of sample ,
description of tools , testing of tools ,pilot study ,data collection procedure and plan for data
analysis

RESEARCH APPROACH :
It involves the description of the plan to investigate the phenomenon under
study in a structure (quantitative) unstructured (qualitative)or a combination of the two
methods (quantitative-qualitative integrated approach)

In this study,the researcher adopted quantitative approach

RESEARCH DESIGN:
The study design used in this study is descriptive study

POPULATION:
The population of the study comprised of Hypertensive patient who were residing in a
selected hospital at chennai.

TARGET POPULATION:
The target population of the study comprised of Hypertensive patient between the
age group of 45-60 who where residing in a selected hospital at chennai.

SAMPLE SIZE:
The sample size for the study consist of 50 Hypertensive patient who fulfill the inclusive
criteria.

SAMPLING TECHNIQUE:
Non-probability convenient sampling technique was used for the study.

INDEPENDENT VARIABLE:
Independent variable of the study was knowledge regarding Hypertensive Crisis.

DEPENDENT VARIABLE:
The dependent variable of the study was hypertension patient .

INFLUENCING VARIABLE:
The influencing variables are age, gender, family history of Hypertension, life style.
 CRITERIA FOR THE SELECTION OF THE SAMPLE
INCLUSIVE CRITERIA:
 Hypertensive patient between the age group of45-60 years.
 Hypertensive patient who are willing to participate in the study.
 Hypertensive patient who are residing at selected hospital.
 Hypertensive patient who are able to communicate in Tamil and English.

EXCLUSIVE CRITERIA:
 Hypertensive patient who are not available during data collection.
 Hypertensive patient who is having chronic and co-morbid illness.
 Hypertensive patient who is a known case of Hypertension patient .
 Chlidrens and psychiatric patient
 DEMOGRAPHIC DATA
1. AGE

a)45-50 b)50-55

c)55-60 d)Above 60

2. SEX

a)Male b)Female

c)Transgender

3. EDUCATION

a) secondary education b)No formal education

c) graduate d)higher education

4. MARITAL STATUS

a) married b)unmarried

c)widow

5. OCCUPATION

a) Government employee b) Non- governmental employee

c) student d)own business

6. FAMILY INCOME

a) 0-6000 b) 6001-10000

c) 10001-20000 d)Above 20000

7. RELIGION

a) Hindu b) Christian

c)Muslim
8. PERSONAL HABITS

a) smoking b) alcohol consumption

c) tobacco chewing d) No bad habits

9. LIVING AREA

a)Rural b)Urban

10. FAMILY HISTORY OF HYPERTENSION

a)Yes b)No

11. DIETARY PATTERN

a) High salt diet b) Fat rich diet

c) Balanced diet

12. YEARS OF HYPERTENSION

a) lesser than 1 year b)1 -5 years

c) 5- 10 years d)Greater than 10 years

“A STUDY TO ASSESS THE EFFECTIVENESS OF
KNOWLEDGE REGRADING HYPERTENSIVE CRISIS ,
AMONG HYPERTENSION PATIENT AT SELECTED
HOSPITAL AT CHENNAI’’

SUBMITTED BY: GUIDED BY:

Ms.Abirami.M B.SC(N) GUIDE: Prof. Mrs.J.Edna Sweenie

 SECTION-B
DEFINITION
1.WHAT IS HYPERTENSION

a) Bp above 120/80 mmHg b)Above 140/90mmHg

c) Above 180/120 mmHg d)Below 120/90 mmHg

2.WHAT IS HYPERTENSIVE CRISIS?

a) Above 180/120mmHg b) Below 180/120mmHg

c) Below 120/90mmHg d) Above 130/90mmHg

3. WHAT IS HYPERTENSIVE URGENCY

a) A hypertensive crisis with no organ damage

b) Low blood pressure with no organ damage

c) A hypertensive crisis with organ damage

d)Low blood pressure with organ damage

4. WHAT IS HYPERTENSIVE EMERGENCY

a) Low blood pressure with organ damage

b) A hypertensive crisis with no organ damage

c) A hypertensive crisis with organ damage

d) Low blood pressure with no organ damage

RISK FACTOR
5. WHICH IS THE AGE GROUP MORE PRONE TO GET HYPERTENSIVE CRISIS

a) Below 20yrs b) Beteween 30-45yrs

c) Between 45-60yrs d)Above 60yrs

7. WHICH OF THE FOLOWING CAN INCREASE A RISK OF HIGH BLOOD PRESSURE

a)Obesity b)Family history of hypertension

c)Smoking d) All the above

8.WHICH OF THE FOLLOWING CONRTIBUTE TO HIGH BLOOD PRESSURE ?

a)Getting lots of calcium b) Drinking of alcohol & smoking

c)Getting lots of vitamin c d)All the above

9.WHICH OF THE FOLLOWING LIFESTYLE INCREASE THE RISK FACTOR OF HYPERTENSION

a) Sedentary lifestyle b)Heavy working

c)Moderate working

10. WHAT IS THE PRIMARY REASON FOR HYPERTENSIVE CRISIS IN TOADY’S LIFE

a) Non adherence to anti- hypertensive drugs c) Vascular disease

b) Renal disease d) Caridac disease

SIGNS & SYMPTOMS

11. WHAT ARE THE SIGNS AND SYMPTOMS OF HYPERTENSION

a) Difficulty in breathing and chest pain

b)Fatigue

c)Nausea and vomiting

d)Nose bleed

12. WHAT ARE THE SIGNS AND SYMPTOMS OF HYPERTENSIVE CRISIS

a)Nausea and vomiting b)Blurred vision and nose bleed

c)Pedal edema d)Fatigue

 13.WHAT FEATURE SEPARATE HYPERTENSIVE URGENCY FROM EMERGENCY

a) Duration of elevation b)Sign of end organ damage

c)signs &symptoms d)Percentile of b.p

DIAGNOSIS
14. HOW HYPERTENSION IS DIAGNOSED ?

a)Assessing Bp b)History collection

c)Physical examination d)All the above

15..HOW HYPERTENSIVE CRISIS IS DIAGNOSED?

a)Assesing b.p b)History collection

c) Confirmed bp d) Elevated bp ,cardiovascula

assessment ,neurological assessment

COMPLICATION
16.WHICH OF THE FOLLOWING ORGAN IS MOSTLY AFFECTED BY HYPERTENSIVE CRISIS

a)Brain b)Heart

c)Kidney d)lungs

17. WHAT HAPPEN IF HYPERTENSION DOESN’T MANAGED PROPERLY

a) Hypertensive crisis b)Death

c) Diabetes mellitus d)stroke

 MANAGEMENT
18.WHETHER HYPERTENSIVE CRISIS IS CONTROLLABLE TO AVOID MORBIDITY?

a) If immediate treatment is given

b)If adequate rest is provided

c) Administration of oral medication

d) It is untreatable

19.WITHIN HOW MANY HOURS HYPERTENSIVE EMERGENCY SHOULD BE CONTROLLED

a)1hour b) 3hours

c)4hours d)6hours

20.WHY HYPERTENSIVE EMERGENCY SHOULD BE CONTROLLED IMMEDIATELY

a)To reduce morbidity b)To avoid stroke

c)To avoid organ dysfunction & morbidity d) To promote health

21. HOW HYPERTENSIVE URGENCY IS CONTROLLED

a) Bp reduction (24-48 hrs) , oral medication

b)Proper rest

c) Intravenous drug administration

22.HOW HYPERTENSIVE EMERGENCY IS CONTROLLED

a) Oral medication

b)Immediate bp reduction ,intravenous drug administration

c)Adequate rest

d)Does not treatment

23.WHY NON ADHERENCE TO ANTI-HYPERTENSIVE DRUGS OCCURS?

a)Ignorance of long term treatment

b)Forgetting to take medication

c)Religious belief

d) Adverse drug effect

24.WHAT HYPERTENSIVE DRUGS SHOULD BE TAKEN IMMEDIATELY AFTER HYPERTENSIVE

CRISIS ?

a) Nifedipine &captopril b)Proponal

c)Frusemide d)Labetalol

PREVENTION
25.WHICH OF THE FOLLOWING DIET IS USEFUL IN LOWERING BP

a) Low fibre diet b) High salt diet

c) Low salt and high nutritious diet d) High cholesterol diet

26.WHY DOES REDUCING HOW MUCH SALT YOU EAT HELP TO PREVENT HIGH BLOOD
PRESSURE

a)It reduces fluid buildup in the body

b)It allows blood vessel to relax

c) It raises level good cholesterol

d)It helps to treat heart beat at steady level

27.WHICH OF THE FOLLOWING MINERALSHELP IN REDUCING BP

a)Sodium b)potassium and magnesium

c)Phosphorous d) Calcium
28.WHAT CAN YOU DO TO CONTROLHYPERTENSIVE CRISIS

a) Maintaing healthy weight

b)Regular exercise

c)Taking bp medications regularly

d) All the above