Published: 2019-04-26

Nurses’ knowledge regarding nursing care and management of hypertensive patients in a selected hospital in Dhaka city

Shima Begum, Khondoker Mahmuda Akter Halim, Sharmin Islam, Ratna Khatun, Faisal Muhammad


Background: Heart diseases, hypertension, diabetes, COPD and cancer are some of the major NCDs and account for more than three-fifths of a death in Bangladesh. This study was aimed to assess the level of nurses’ knowledge regarding nursing care and management of the hypertensive patients.

Methods: This study utilized a descriptive cross-sectional study type and the data were collected using self-administered questionnaire. The respondents were informed about the purpose of the study to obtain their consent and they were given clear instructions on how to fill the questionnaires. All the data were analyzed using Statistical Package for Social Sciences (SPSS) version 22.

Results: In this study slightly above 60.0% of the participants were female and 73% of them were Muslims. More than half (53.0%) of the respondents had B.Sc. in nursing and 51.3% of them had <10 years of service experience. About 70.4% of the respondents had attended a training on hypertension and 92.2% of them knows about normal blood pressure measurement. About 92.2% of the participants knows the causes of hypertension and 82.6% of the respondents mentioned that hypertension management aims to prevent morbidity and mortality and only 39.1% of them knows the recommended diet for people with hypertension.

Conclusions: The finding reported that the nurses' knowledge regarding the management of hypertensive patients and knowledge on hypertension were very good. Developing knowledge among the nurses in relation to hypertension is the key factor to plan for comprehensive nursing care for better prognosis of the patient.


Diseases, Hypertension, Knowledge, Nurses, Patients

Full Text:



World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks, 2009. Available at:

Lewington S. Prospective studies collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360:1903-13.

Singer DR, Kite AK. Management of hypertension in peripheral arterial disease: does the choice of drugs matter?. Euro J Vasc Endovas Surg. 2008;35(6):701-8.

Gareth B, Gregory YHL, Eoin O. ABC of hypertension. The pathophysiology of hypertension. BMJ. 2001;322(7291):912-6.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Joint National Committee Prevention. 2003;42(6):1206-52.

World Health Organization. Raised blood pressure. Global Health Observatory (GHO) data, 2014. Available at:

Carretero OA, Oparil SO. Essential hypertension. Part I: definition and etiology. Circulation. 2000;101(3):329-35.

Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, et al. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217-23.

El-Saharty S, Ahsan KZ, Koehlmoos TLP, Engelgau MM. Tackling non-communicable diseases in Bangladesh: now is the time. Washington DC: World Bank Publications; 2013:1-3.

Director General of Health Service (DGHS). MOHFW. Strategic plan for surveillance and prevention of Non-communicable Disease in Bangladesh 2007-2011; 2007:1-46.

Krishnan A, Garg R, Kahandaliyanage A. Hypertension in the South East Asia region. Regional Health Forum: WHO South East Asia Region. 2013:17(1):7-14.

Alwan A. Global status report on non-communicable diseases 2010. World Health Organization (WHO). 2011:9-31.

Ramsay JA, McKenzie JK, Fish DG. Physicians and nurse practitioners: do they provide equivalent health care? Am J Public Health. 1982;72(1):55-7.

Watkins LO, Wagner EH. Nurse practitioner and physician adherence to standing orders criteria for consultation or referral. Am J Public Health. 1982;72:22-9.

Cullen KJ, McCall MG, Stenhouse NS. Community control of hypertension. Aust N Z J Med. 1976;6:403-6.

Abel E, Darby AL, Ramachandran R. Managing hypertension among veterans in an outpatient screening program. J Am Acad Nurse Pract. 1994;6(9):413-9.

Clark AB, Dunn M. A nurse clinician's role in the management of hypertension. Arch Intern Med. 1976;136:903-4.

Fuchs Z, Viskoper JR, Drexler I, Nitzan H, Lubin F, Berlin S, et al. Comprehensive individualized non-pharmacological treatment programme for hypertension in physician-nurse clinics: two-year follow-up. J Hum Hypertens. 1993;7:585-91.

Johnson R. Nurse practitioner-patient discourse: uncovering the voice of nursing in primary care practice. Sch Inq Nurs Pract. 1993;7(3):143-57.

Hill MN, Reichgott MJ. Achievement of standards for quality care of hypertension by physicians and nurses. Clin Exper Hypertens. 1979:1(5):665-84.