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It was a prospective observational study conducted in the rural area of Salem. A community based observational study. Overall, Six in ten of the surveyed patients seem to have a convincing amount of control over Hypertension. Whereas, four in ten of the patients do not have control over their condition, even though more than fifty percent patients have completed their higher secondary education but they seem to lack behind with all the necessary awareness. Hypertension nowadays have become more common between people, it is highly recommended and important to provide patients awareness related how effective self-care practices can be, by the health care departments. This could lead to better control over Hypertension.


Hypertension, Medication adherence, hyperlipidemia, coronary artery disease.

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Akshaya krishnan, R. Manivannan, A. Sarathy varman, S. Murugan, P. Sathish kumar, A. Selva kumar, Sourav Choudhury, & N. Vignesh. (2023). An assessment of self-care practice among hypertensive patients on Salem district, Tamil Nadu, India . International Journal of Research in Pharmacology & Pharmacotherapeutics, 12(1), 17-31.


  1. 1. Tan JL, Thakur K. Systolic hypertension. InStatPearls 2021 Aug 9. StatPearls Publishing. Available from:
  2. 2. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2017:2018 May 15;71(19):e127-248. Available from:
  3. 3. Alam S. Assessment of Knowledge, Attitude and Practice on Hypertensive Patient in a Teritary Care Hospital. (Doctoral dissertation, Annai JKK Sampoorani Ammal College of Pharmacy, Komarapalayam). Thesis 2018. Available from:
  4. 4. Dipiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey LM. Pharmacotherapy: a pathophysiologic approach, ed. Connecticut: Appleton and Lange. 2014;4:141-2.
  5. 5. Han HR, Lee H, Commodore-Mensah Y, Kim M. Development and validation of the hypertension self-care profile: a practical tool to measure hypertension self-care. J Cardiovasc Nurs. 2014 May;29(3):E11-20. doi: 10.1097/JCN.0b013e3182a3fd46, PMID 24088621.
  6. 6. Ruilope LM, Schmieder RE. Left ventricular hypertrophy and clinical outcomes in hypertensive patients. Am J Hypertens. 2008 May 1;21(5):500-8. doi: 10.1038/ajh.2008.16.
  7. 7. Chiazor IE, Oparah AC. Assessment of hypertension care in a Nigerian Hospital. Trop J Pharm Res. 2012;11(1):137-45. doi: 10.4314/tjpr.v11i1.18.
  8. 8. Roohafza H, Kabir A, Sadeghi M, Shokouh P, Ahmadzad-Asl M, Khadem-Maboudi AA et al. Stress as a risk factor for noncompliance with treatment regimens in patients with diabetes and hypertension. ARYA Atheroscler. 2016 Jul;12(4):166-71. PMID 28149311.
  9. 9. Katulanda P, Ranasinghe P, Jayawardena R, Sheriff R, Matthews DR. The influence of family history of diabetes on disease prevalence and associated metabolic risk factors among Sri Lankan adults. Diabet Med. 2015 Mar;32(3):314-23. doi: 10.1111/dme.12591, PMID 25251687.
  10. 10. Noh J, Kim HC, Shin A, Yeom H, Jang SY, Lee JH et al. Prevalence of comorbidity among people with hypertension: the Korea National health and nutrition examination survey 2007-2013. Korean Circ J. 2016 Sep 1;46(5):672-80. doi: 10.4070/kcj.2016.46.5.672, PMID 27721859.
  11. 11. Tusubira AK, Nalwadda CK, Akiteng AR, Armstrong-Hough M, Hsieh E, Ngaruiya C et al. Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study. Lancet Glob Health. 2020 Apr 1;8;Suppl 19. doi: 10.1016/S2214-109X(20)30160-1.
  12. 12. Bakhsh LA, Adas AA, Murad MA, Nourah RM, Hanbazazah SA, Aljahdali AA et al. Awareness and knowledge on hypertension and its self-care practices among hypertensive patients in Saudi Arabia. Ann Int Med Dent Res. 2017;2(5). doi: 10.21276/aimdr.2017.3.5.ME13.
  13. 13. Mwenda AK, Gitonga L, Kamweru PK. Lifestyle modification strategies practiced in management of hypertensive patients in Imenti North Sub County, Kenya. J Cardiol. 2019;3(1):000143. Available from:
  14. 14. Cornelissen VA, Fagard RH. Effects of endurance training on blood pressure, blood pressure–regulating mechanisms, and cardiovascular risk factors. Hypertension. 2005 Oct 1;46(4):667-75. doi: 10.1161/01.HYP.0000184225.05629.51, PMID 16157788.
  15. 15. Qu Z, Parry M, Liu F, Wen X, Li J, Zhang Y et al. Self-management and blood pressure control in China: a community-based multicentre cross-sectional study. BMJ Open. 2019 Mar 1;9(3):e025819. doi: 10.1136/bmjopen-2018-025819, PMID 30898823.
  16. 16. Eghbali M, Akbari M, Seify K, Fakhrolmobasheri M, Heidarpour M, Roohafza H et al. Evaluation of psychological distress, self-care, and medication adherence in association with hypertension control. Int J Hypertens. 2022 Aug 25;2022:7802792. doi: 10.1155/2022/7802792, PMID 36059588.