Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients

ObjectiveThe present study aimed to assess knowledge, attitudes, and practices (KAP) regarding the prevention of intracerebral hemorrhage among hypertensive patients and medication adherence to hypertension.MethodsWe conducted a cross-sectional study at the Third People's Hospital of Nantong Ci...

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Main Authors: Qiang Chen, Feng Liu, LingLing Zhang, Yang Jin, Haibin Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1361273/full
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author Qiang Chen
Feng Liu
LingLing Zhang
Yang Jin
Haibin Huang
author_facet Qiang Chen
Feng Liu
LingLing Zhang
Yang Jin
Haibin Huang
author_sort Qiang Chen
collection DOAJ
description ObjectiveThe present study aimed to assess knowledge, attitudes, and practices (KAP) regarding the prevention of intracerebral hemorrhage among hypertensive patients and medication adherence to hypertension.MethodsWe conducted a cross-sectional study at the Third People's Hospital of Nantong City between November 4, 2023 and December 4, 2023. Demographic information, KAP and medication adherence scores were collected using an online questionnaire.ResultsTotally 600 valid questionnaires were analyzed. Among these, 443 participants (73.83%) were female, with a mean age of 62.95 ± 15.07 years. The mean scores for knowledge, attitude, practice, and medication adherence were 13.93 ± 2.88, 32.10 ± 3.22, 25.53 ± 3.44, and 3.12 ± 1.85, respectively. Only 3.50% had high medication compliance to hypertension. Multivariate analyses revealed that uncertain about family history of hypertensive intracerebral hemorrhage [OR = 0.378, 95%CI: (0.218–0.656); P = 0.001], no smoking [OR = 4.603, 95%CI: (1.954–10.845); P < 0.001], and no alcohol consumption [OR = 3.522, 95%CI: (1.764–7.033); P < 0.001] were independently associated with proactive practice. Structural equation modeling (SEM) results revealed direct effects between knowledge and attitude (β = 0.999, P < 0.001), knowledge and practice (β = 1.103, P < 0.001), as well as attitude and practice (β = 0.452, P < 0.001).ConclusionHypertensive patients demonstrated sufficient knowledge, positive attitudes, and inactive practices towards preventing intracerebral hemorrhage, coupled with poor medication adherence to hypertension. Developing targeted interventions to address these gaps and promoting a holistic approach is crucial to improving overall patient outcomes in clinical practice.
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spelling doaj-art-4afb6f311629416ba086c444c76f2dcc2025-08-20T03:46:42ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-06-011210.3389/fcvm.2025.13612731361273Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patientsQiang Chen0Feng Liu1LingLing Zhang2Yang Jin3Haibin Huang4Department of Neurosurgery, Nantong Third People’s Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaDepartment of Neurosurgery, Dongtai People’s Hospital, Dongtai, Jiangsu, ChinaDepartment of Emergency, Nantong Third People’s Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaMedical Oncology, Nantong Tumor Hospital, Nantong, Jiangsu, ChinaDepartment of Emergency, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaObjectiveThe present study aimed to assess knowledge, attitudes, and practices (KAP) regarding the prevention of intracerebral hemorrhage among hypertensive patients and medication adherence to hypertension.MethodsWe conducted a cross-sectional study at the Third People's Hospital of Nantong City between November 4, 2023 and December 4, 2023. Demographic information, KAP and medication adherence scores were collected using an online questionnaire.ResultsTotally 600 valid questionnaires were analyzed. Among these, 443 participants (73.83%) were female, with a mean age of 62.95 ± 15.07 years. The mean scores for knowledge, attitude, practice, and medication adherence were 13.93 ± 2.88, 32.10 ± 3.22, 25.53 ± 3.44, and 3.12 ± 1.85, respectively. Only 3.50% had high medication compliance to hypertension. Multivariate analyses revealed that uncertain about family history of hypertensive intracerebral hemorrhage [OR = 0.378, 95%CI: (0.218–0.656); P = 0.001], no smoking [OR = 4.603, 95%CI: (1.954–10.845); P < 0.001], and no alcohol consumption [OR = 3.522, 95%CI: (1.764–7.033); P < 0.001] were independently associated with proactive practice. Structural equation modeling (SEM) results revealed direct effects between knowledge and attitude (β = 0.999, P < 0.001), knowledge and practice (β = 1.103, P < 0.001), as well as attitude and practice (β = 0.452, P < 0.001).ConclusionHypertensive patients demonstrated sufficient knowledge, positive attitudes, and inactive practices towards preventing intracerebral hemorrhage, coupled with poor medication adherence to hypertension. Developing targeted interventions to address these gaps and promoting a holistic approach is crucial to improving overall patient outcomes in clinical practice.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1361273/fullknowledgeattitudepracticemedication adherencehypertensionintracerebral hemorrhage
spellingShingle Qiang Chen
Feng Liu
LingLing Zhang
Yang Jin
Haibin Huang
Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
Frontiers in Cardiovascular Medicine
knowledge
attitude
practice
medication adherence
hypertension
intracerebral hemorrhage
title Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
title_full Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
title_fullStr Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
title_full_unstemmed Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
title_short Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
title_sort knowledge attitudes and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients
topic knowledge
attitude
practice
medication adherence
hypertension
intracerebral hemorrhage
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1361273/full
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