Volume 23, Issue 3 (10-2020)
jha 2020, 23(3): 66-74 |
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Baghernezhad Hesary F, vahdaninia V, vahdaninia Z, sadeghi R. level of knowledge, attitude and practice of clients of rural health centers in relation to some risk factors for cardiovascular disease. jha 2020; 23 (3) :66-74
URL: http://jha.iums.ac.ir/article-1-3290-en.html
URL: http://jha.iums.ac.ir/article-1-3290-en.html
1- PhD, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
2- PhD, Health Policy and Management Research Center, Aja University of Medical Sciences, Tehran, Iran. ,vvnia@yahoo.com
3- Senior Reserarcher, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
4- Assistant Professor, medical School, Sirjan School of Medical Sciences, Sirjan, Iran.
2- PhD, Health Policy and Management Research Center, Aja University of Medical Sciences, Tehran, Iran. ,
3- Senior Reserarcher, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
4- Assistant Professor, medical School, Sirjan School of Medical Sciences, Sirjan, Iran.
Abstract: (2680 Views)
Introduction: In both developed and developing countries, in urban and rural areas, communities are experiencing an epidemic of non-communicable diseases. Empowering people to deal effectively with this epidemic and its risk factors is essential. Therefore, in order to determine the educational needs, this study examined the level of attitude, knowledge, and practice of clients in rural health centers in relation to some risk factors for cardiovascular disease.
Methods: A cross-sectional descriptive-analytic study was conducted on 245 clients, aged 18 to 60, in rural health centers of South Khorasan province in 2017. Data were collected over a period of four weeks and analyzed with descriptive and analytical statistical methods (Pearson correlation coefficient and t-test), at the significance level of 0.05, using SPSS software version18.
Results: The mean age of the subjects was 38.5 years. The mean score of knowledge and practice of individuals in relation to cardiovascular risk factors was favorable, but the mean score of attitude was low. The results of Pearson correlation test showed that there was a significant relationship between the mean score of knowledge, attitude, and practice of individuals. The strongest relationship was between knowledge and attitude(r=0/46). According to the independent t-test, there was no significant relationship between the history of hypertension and knowledge (p = 0.7), attitude (p = 0.5) and performance (p = 0.6).
Conclusion: Although, for the success of people's empowerment policy, it is necessary to pay attention to all three dimensions of attitude, awareness, and performance, the findings of this study showed a low level of attitude. Due to the relationship between attitude and lifestyle choices and exposure to risk factors of cardiovascular disease, it is recommended that we adopt an appropriate educational policy to improve the attitude of individuals.
Methods: A cross-sectional descriptive-analytic study was conducted on 245 clients, aged 18 to 60, in rural health centers of South Khorasan province in 2017. Data were collected over a period of four weeks and analyzed with descriptive and analytical statistical methods (Pearson correlation coefficient and t-test), at the significance level of 0.05, using SPSS software version18.
Results: The mean age of the subjects was 38.5 years. The mean score of knowledge and practice of individuals in relation to cardiovascular risk factors was favorable, but the mean score of attitude was low. The results of Pearson correlation test showed that there was a significant relationship between the mean score of knowledge, attitude, and practice of individuals. The strongest relationship was between knowledge and attitude(r=0/46). According to the independent t-test, there was no significant relationship between the history of hypertension and knowledge (p = 0.7), attitude (p = 0.5) and performance (p = 0.6).
Conclusion: Although, for the success of people's empowerment policy, it is necessary to pay attention to all three dimensions of attitude, awareness, and performance, the findings of this study showed a low level of attitude. Due to the relationship between attitude and lifestyle choices and exposure to risk factors of cardiovascular disease, it is recommended that we adopt an appropriate educational policy to improve the attitude of individuals.
Keywords: Policy Research, Non-communicable Diseases, Cardiovascular Diseases, Risk Factors, Empowering People
Type of Study: Research |
Subject:
Health Services Management
Received: 2020/06/21 | Accepted: 2020/10/1 | Published: 2020/10/1
Received: 2020/06/21 | Accepted: 2020/10/1 | Published: 2020/10/1
References
1. World Health Organization. Noncommunicable diseases [Internet]. 2018 [cited 2020 Nov 9]; Available online: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
2. Rezaei Hachesu V, Naderyan Feli S, Zare Sakhvidi M. Prevalence of Cardiovascular Risk Factors among Taxi Drivers in Yazd, Iran, 2016. JCHR. 2017;6(4): 200-6.
3. Bhattacharya S, Juyal R, Hossain MM, Singh A. Non-communicable diseases viewed as "collateral damage" of our decisions: Fixing accountabilities and finding sloutions in primary care settings. J Family Med Prim Care. 2020; 9(5): 2176-2179. [DOI:10.4103/jfmpc.jfmpc_202_20]
4. Government of South Australia. The South AustralianApproach to Health in All Policies: Background and PracticalGuide, Version 2. Government of South Australia, Adelaide.2011
5. Aminde LN, Takah N, Ngwasiri C, Noubiap JJ, Tindong M, Dzudie A, Veerman JL. Population awareness of cardiovascular disease and its risk factors in Buea, Cameroon. BMC Public Health. 2017;17(1):545. [DOI:10.1186/s12889-017-4477-3]
6. United Nations. Transforming our world: the The 2030 Agenda agenda for Sustainable sustainable Developmentdevelopment. [Internet]. 2015 [cited 2020 Nov 9];Available online: https://sustainabledevelopment.un.org/post2015/transformingourworld
7. Garcia M, Mulvagh S, Bairey Merz N, Buring j, Manson j. Cardiovascular Disease in Women: Clinical Perspectives. Circ Res. 2016;118(8):1273-93. [DOI:10.1161/CIRCRESAHA.116.307547]
8. Narita M, Tanji F, Tomata Y, Mori K, Tsuji I. The Mediating Effect of Life-style Behaviors on the Association Between Personality Traits and Cardiovascular Disease Mortality Among 29.766 Community-Dwelling Japanese. Psychosom Med. 2020;82(1):74-81. [DOI:10.1097/PSY.0000000000000757]
9. American Diabetes Association. 10. Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S103-S123. [DOI:10.2337/dc19-S010]
10. Singh K, Chandrasekaran AM, Bhaumik S, Chattopadhyay K, Gamage AU, Silva PD, et al. Cost-effectiveness of interventions to control cardiovascular diseases and diabetes mellitus in South Asia: a systematic review. BMJ Open. 2018;8(4):e017809. [DOI:10.1136/bmjopen-2017-017809]
11. Nursyafiza B M, Nor Azlina A R, Mainul H. Knowledge, Attitude, and Practice Regarding the Risk of Cardiovascular Diseases in Patients Attending Outpatient Clinic in Kuantan, Malaysia. J Pharm Bioallied Sci. 2018;10(1): 7-14. [DOI:10.4103/jpbs.JPBS_227_17]
12. Imanipour M, Bassampour S, Haghani H. Relationship between Preventive Behaviors and Knowledge Regarding Cardiovascular Diseases. Hayat. 2008; 14 (2):41-49. [In Persian].
13. Sabzevari S, Mohammadalizade S, Borhani P. Pishcar Mofrad Z. Kerman population,s Knowledge,attitude and practice about prevention of Myocardial Infarction. JRUMS. 2002; 4(1): 275-284. [In Persian].
14. Adili F, Fakhr Zadeh H, Nouri M, Makarem J, Larijani B. Knowledge, practice status and trends in risk factors for cardiovascular disease in inhabitants of Tehran University of Medical Sciences (Population lab region). IJDLD. 2005; 5(2): 175-185. [In Persian].
15. Jalali F, Haji Ahmadi M, Hosseinpour M, Angari MZ, Asadi E. Knowledge, attitude and practice (KAP) of people living in Babol about clinical symptoms and risk factors of coronary artery diseases (CAD). JBUMS. 2004; 6 (1): 43-49. [In Persian].
16. Khani M, Kazemi MR, Javanshir S. The awareness rate of the symptoms and risk factors of coronary artery disease in over 20-year-old urban population in Zanjan. J Qazvin Univ Med Sci. 2003; 6(4): 50-54. [In Persian].
17. Habibollah Zadeh H, Baghaei R, Abolfathi L, Ghasem Zadeh P. Study on causes of heart failure and evaluation of knowledge and attitude towards the disease. JIMC. 2001; 19(2): 85-89. [In Persian]
18. Sadeghian S. [The knowledge of hospitalized patients about major risk factors of IHD in university hospitals of Tehran]. Daneshvar Medicine. 2001; 8(35): 55-60. [In Persian].
19. Mckenzie j, Neiger B, Smeltzer j. Planing, implementing and evaluating programs: a primer. 4th ed. San Francisco: pearson/Benjamin Cumming; 2005.
20. Mazloomi mahmodabadi SS, Shahbazi H, Momeni Sarvestani M, Sadeghzadeh J. The Study of Knowledge, Attitude and Practice of Yazd Restaurant Chefs in Preventing Cardiovascular Diseases Risk Factors in 2010. Toloo-e-behdasht. 2011;10(1):14-27. [In Persian].
21. Shojaeizadeh D, Pakpour A, Saffary M, Sanaeinasab H. Educational Technology in Health field. Tehran: Asaresobhan; 2016. [In Persian].
22. Modeste N, Tamayose T. Dictionary of public health promotion and education: terms and concepts. 2nd ed. San Francisco: Jossey-Bass; 2004
23. Vahdaninia V. Governance for health; The Way to Justly and Sustainable Development. Tehran: Teb va Jamea; 2019. [In Persian].
24. Mahdavi Shahri SM, Khalili Z, Sadrollahi A, Saadati B. Prevalence of risk factors for cardiovascular disease among elderly peo-ple in Kashan city, Iran, 2014. Cardiovascular Nursing. 2014; 3(3): 13-21. [In Persian].
25. Mardanian-Dehkordi L, Naseh L, Babashahi M. Knowledge and attitude of Isfahan people about prevention of cardio-vascular disease. Cardiovascular Nursing. 2017;6(2):6-13. [In Persian].
26. Jafari F, Fallahi F, Ghosian-Moghadam M, Kholdi N, Samadpour M, Aminzadeh M. Women's knowledge about cardiovascular disease risk factors. Cardiovascular Nursing.2012; 1(3): 9-40. [In Persian].
27. Boateng D, Wekesah F, Browne J, Agyemang C, Agyei-Baffour P, Aikins A-G, et al. Knowledge and awareness of and perception towards cardiovascular disease risk in sub- Saharan Africa: A systematic review. PLoS One. 2017;12(2):e0189264. [DOI:10.1371/journal.pone.0189264]
28. Rezabeigi Davarani E, Iranpour A, Khanjani N, Mohseni M, Nazari Robati F. Cardiovascular Diseases Risk Factors and the Relationship between Knowledge Level and Preventive Behaviors for Cardiovascular Diseases among Women in Kerman.Health_Based Research. 2016;2(2):119-32. [In Persian].
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