Articles

The association between hypertension self-management and stroke event in male patients at the Badung District Hospital, Bali

Ni Kadek Sutini , Ni Wayan Septarini, I Made Ady Wirawan, Anak Agung Sagung Sawitri

Ni Kadek Sutini
Institute of Health Sciences Bali (STIKES Bali). Email: kadek.sutini@yahoo.com

Ni Wayan Septarini
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University

I Made Ady Wirawan
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University

Anak Agung Sagung Sawitri
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University
Online First: December 01, 2018 | Cite this Article
Sutini, N., Septarini, N., Wirawan, I., Sawitri, A. 2018. The association between hypertension self-management and stroke event in male patients at the Badung District Hospital, Bali. Public Health and Preventive Medicine Archive 6(2): 82-87. DOI:10.15562/phpma.v6i2.14


Background and purpose: Hypertension is a major risk factor for stroke. Despite efforts to control hypertension with pharmacological and non-pharmacological therapies, the prevalence of and death from stroke is reported to be increasing. This study aims to determine the association of hypertension self-management with the incidence of stroke in patients with hypertension.

Methods: A case-control study was conducted involving 44 patients suffering from hypertension and who had suffered a stroke as a case, as well as 44 patients with hypertension and no stroke as a control. Data on self-management of diet, physical activity, stress mitigation efforts, alcohol consumption, and medication adherence were collected using self administered questionnaire. Data on the diagnosis of hypertension, stroke and history of comorbidities were obtained from the patient's medical records. Multivariatee analysis using logistic regression was employed to assess the association between hypertension self-management with the incidence of stroke in patients with hypertension.

Results: Characteristics of cases and controls did not differ in education, marital and socioeconomic status, but differed in age and employment. Multivariate analysis showed that there were three components of hypertension self-management associated with the incidence of stroke, namely poor adherence to medication (AOR=7.28; 95%CI: 2.19-24.17), poor self-management of stress (AOR=5.45; 95%CI: 1.56-18.99), and poor management of self-regulated diet (AOR=5.28; 95%CI: 1.31-21.32).Conclusions: Medication adherence, diet and stress management are the three main components of self-management that are associated with stroke events among hypertension patients. Efforts to increase medication adherence, diet and stress management should be enhanced.

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