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KMID : 0648320030090010057
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Journal of The Korean Society of Hypertension
2003 Volume.9 No. 1 p.57 ~ p.68
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Comparison of Hypertensives’ Health Related Behaviors of Health Center and a University Hospital
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Kwon Kyoung-Hee
Kwon Yoon-Hyung
Lee Tae-Yong
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Abstract
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Background and Objectives: This study was performed to examine the differences between hypertension control,
lifestyle modification and KAP(Knowledge, Attitude and Practice) of hypertensives using health center and a
University hospital.
Methods: The data was obtained from the patients whose hypertension was treated in health center or a University Hospital from December, 2001 to January, 2002. Among these people, we selected total 204 cases of hypertensives over 50 years old, 102 patients from public health center(56 males, 46 females), 102 patients from a University hospital(52 males, 50 females).
Results: More patients were well-controlled in a University hospital than health center’s. For the knowledge status of the hypertension, correct answer rate was higher in health center related with ’existence of the cause of
hypertension’(p=0.013) and in a University hospital related with ’effect of exercise’(p=0.020). The knowledge for
criteria and cause of hypertension and adequate exercise were low, and for the necessity of treatment, continuous
treatment and the effect of treatment was high in both groups. More than 80% of hypertensives had good attitude
and a half of the patients had a load of expense economically but were not statistically significant. Among the
lifestyle, only the number of times of exercise a week was statistically significant and patients in health center
exercised 2.6 times a week, patients in a University Hospital 1.6 times a week. In smoking habits, ex-smoker was
about 50% of male and the rate of practice was high. In drinking habits, current drinker occupied from 40-50%
of male and the rate of practice was low. Male patients practiced more actively and regularly related with exercise.
The practice of low salt diet was higher in health center’s patients than hospital’s. 30-40% of the total was overweighted
in BMI. Generally the knowledge status was high but the correlation was low between knowledge status and attitude
or practice.
Conclusions: There was few people whose hypertension was treated to below the accepted level and there was
poor attention for change of lifestyle for hypertension control. Aging and combination of diseases made active weight
control such as exercise to be difficult. Thus continuing consulting and education are needed for change of lifestyle
in the future and guidance of appropriate exercise for individuals may be given.
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KEYWORD
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Hypertension, Health related behavior, lifestyle
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