Document Detail


The relation between knowledge about hypertension and education in hospitalized patients with stroke in Vienna.
MedLine Citation:
PMID:  17322074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Knowledge about hypertension and its control influences blood pressure control in patients with hypertension. We assessed these parameters in a large cohort of patients with ischemic stroke or transient ischemic attack and analyzed their association with educational attainment. METHODS: Five hundred ninety-one consecutive patients with stroke with a medical history of hypertension were interviewed about knowledge concerning hypertension within a multicenter hospital-based stroke registry. We analyzed answers in relation to educational level with multivariate logistic regression adjusted for age and sex. RESULTS: Seventy-seven percent of the patients stated to have known about hypertension being a risk factor for stroke, but only 30% felt at increased risk of stroke. Less than half (47%) could identify 140 mm Hg or less as the maximum tolerated systolic blood pressure, and 53% had their blood pressure only controlled monthly or less often. Knowledge of possible consequences of myocardial infarction, nephropathy, peripheral vascular disease, and retinopathy was 64%, 20%, 11%, and 16%, respectively. Approximately half of patients were acquainted with the nonpharmacologic treatment options of physical activity (49%), reduction of salt intake (54%), and reduction of caloric intake (48%), whereas relaxation techniques were only known to 17%. Adherence to those treatment options ranged from 42% to 67%. Educational level was significantly associated with knowledge of increased risk, possible consequences of hypertension, and knowledge about nonmedication treatment options. CONCLUSIONS: Knowledge in our population was insufficient and partly associated with educational level, leaving much room for improvement by educational campaigns. Furthermore, we found a gap between knowledge of the increased risk for stroke in patients with hypertension and awareness of their own risk.
Authors:
Doris Samal; Stefan Greisenegger; Eduard Auff; Wilfried Lang; Wolfgang Lalouschek
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Publication Detail:
Type:  Journal Article     Date:  2007-02-22
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  38     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-28     Completed Date:  2007-05-01     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1304-8     Citation Subset:  IM    
Affiliation:
Medical University of Vienna, Department of Neurology, Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Aged
Austria
Blood Pressure / physiology
Brain Ischemia / etiology*,  physiopathology,  prevention & control
Caloric Restriction / psychology
Cohort Studies
Educational Status
Female
Hospitals / statistics & numerical data,  trends
Humans
Hypertension / complications*,  physiopathology,  prevention & control
Ischemic Attack, Transient / etiology,  physiopathology,  prevention & control
Male
Middle Aged
Patient Education as Topic / statistics & numerical data,  trends*
Physical Fitness / psychology
Prospective Studies
Relaxation Therapy / education
Risk Factors
Stroke / etiology*,  physiopathology,  prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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