Knowledge, attitude and practice of hypertensive clients about self-care home management at LCH (OPD II) medical clinic

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A descriptive, quantitative and qualitative study was conducted at Kamuzu Central Hospital (OPD II) medical clinic. Experiences from the health workers at Kamuzu Central Hospital (KCH) had shown that the hypertensive clients lacked knowledge on the disease process hence clients do not know what actually happens in their bodies (Ozotiosauka, 2004). In this view, it was important to conduct a study whose purpose was to find out if hypertensive clients have got knowledge about how they can manage their condition at home. The study focused on knowledge, attitude, drug compliance and practice of hypertensive clients in the control of high blood pressure. Nursing literature in Malawi lacks information on the self-care home management for hypertensive clients. No such study has ever been conducted in Malawi. Orem's self-care model was used to guide the study with emphasis on self-care home management of hypertensive clients. Sample size of twenty clients was drawn from KCH Medical Clinic (OPD II) using a simple random sampling method. A pilot study was conducted at Likuni Hospital to ensure validity and reliability of the research instrument. Data was collected using an interview guide. Data was analysed manually using descriptive statistics and content analysis to describe qualitative data. Study findings revealed lack of adequate knowledge for hypertensive clients about the disease process and its cause, need for psychological support from health workers and also the usefulness of the medical clinic for the general public. Recommendations were made basing on the results, emphasizing the importance of the information, education and communication (IEC) to hypertensive clients and also establishment of other medical clinic services within the Central Region to cater for those clients living in other districts in order to promote health and maintain self-care management at home. In conclusion, we have seen that participants' lack of knowledge on the disease process was related to inadequate information, education and communication, low level of education and poor communication between clients and health workers.