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Illness perception among hypertensive patients in primary care centre UKMMC
A Norfazilah1, A Samuel2, Pt Law2
1Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center.
Insights
Hypertension illness perception is higher in Malays, those with a family history, and patients experiencing anxiety. Early identification and treatment of anxiety are crucial for managing hypertension.
Area of Science:
- Public Health
- Clinical Medicine
- Psychosomatic Medicine
Background:
- Hypertension prevalence is increasing globally, particularly in Malaysia.
- Patient illness perception significantly influences health-seeking behaviors.
- Understanding these perceptions is key to effective hypertension management.
Purpose of the Study:
- To assess illness perception among hypertensive patients.
- To identify factors associated with their illness perception.
Main Methods:
- Cross-sectional study of 250 hypertensive patients at a Malaysian primary care center.
- Utilized the Malay version of the Brief Illness Perception Questionnaire (BIPQ).
- Assessed depression and anxiety using the Hospital Anxiety and Depression Scale (HADS).
Main Results:
- Illness perception scores were significantly higher in Malay patients.
- Higher scores were also observed in patients with a positive family history of hypertension.
- Anxiety was strongly associated with higher illness perception scores.
Conclusions:
- Primary care providers should consider ethnicity, family history, and anxiety when assessing patient perceptions of hypertension.
- Screening for and treating anxiety in hypertensive patients is recommended.
- Improved understanding of illness perception can enhance patient management strategies.
Introduction:
Hypertension is one of the chronic diseases with a rising trend globally, including Malaysia. Patients' own perception of their illness is a strong factor that determines their health-seeking behaviour. The objective of this study was to evaluate the illness perception of hypertensive patients and the associated factors.
Method:
A cross-sectional study was conducted among 250 hypertensive patients who were randomly sampled at the Primary Care Centre of the Universiti Kebangsaan Malaysia Medical Centre (PCC UKMMC) from October 2011 to January 2012. All respondents completed a self-administered questionnaire comprising three sections: (1) Socio-demographic data, (2) Illness perception score, measured using the Malay version of Brief Illness Perception Questionnaire (BIPQ) and (3) Malay version of depression and anxiety, assessed by the Hospital Anxiety and Depression Scale (HADS). Data entry and analysis were done using Statistical Package for Social Sciences (SPSS) version 19.0.
Results:
The total illness perception score was significantly higher among Malay 5.13 (95% CI: 2.21, 8.05), those with positive family history 5.43 (95% CI: 2.14, 8.72) and respondents who have anxiety 8.56 (95% CI: 4.39, 12.73).
Conclusion:
Primary care providers need to identify these three significant factors that are associated with patients' illness perception when managing hypertensive patients. Steps need to be taken to screen and treat anxiety among this group of patients.
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