Investigation of Knowledge, Risk factors and Management of Hypertension related nursing care in a tertiary care hospital in Pakistan


  • Attia Rani Chauhdary Pervez Elahi Institute of Cardiology Wazirabad, Pakistan
  • Rubab Fatima Chauhdary Pervaiz Elahi Institute of Cardiology, Wazirabad, Pakistan
  • Nida Amjad Chauhdary Pervaiz Elahi Institute of Cardiology, Wazirabad, Pakistan



Hypertension, nurses, knowledge, cardiovascular diseases


Background: Hypertension, or high blood pressure, is a significant preventable risk factor for early mortality worldwide. It disrupts the normal mechanisms that regulate arterial pressure. This study aims to assess the knowledge of senior staff nurses regarding hypertension and associated risk factors, irrespective of their personal diagnosis of hypertension. The objective is to enhance primary and secondary prevention and control programs for cardiovascular diseases.

Materials and Methods: A structured questionnaire comprising closed-ended questions with yes/no responses was administered to 141 nurses. The collected data were analyzed using SPSS version 26, with statistical significance set at p<0.05.

Results: The study population had a mean age of 40.014 ± 11.34 years, with 100% female participants. The majority of nurses (87.2%) had received training in hypertension management. Based on their responses, 87.2% of the nurses demonstrated accurate knowledge about hypertension.

Conclusion: It is imperative to address the presence of misinformation among nursing staff in cardiology hospitals in Pakistan. Increasing awareness about hypertension can contribute to improved patient management and enhance nursing care and services.

Keywords: Hypertension, nurses, knowledge, cardiovascular diseases

Author Biographies

Attia Rani, Chauhdary Pervez Elahi Institute of Cardiology Wazirabad, Pakistan

Charge Nurse

Rubab Fatima, Chauhdary Pervaiz Elahi Institute of Cardiology, Wazirabad, Pakistan

Charge Nuse

Nida Amjad, Chauhdary Pervaiz Elahi Institute of Cardiology, Wazirabad, Pakistan

Charge Nurse


Azadnajafabad S, Mohammadi E, Aminorroaya A, et al. Non-communicable diseases’ risk factors in Iran; a review of the present status and action plans. Journal of Diabetes & Metabolic Disorders 2021 2021; 1–9.

Nilson EAF, Metlzer AB, Labonté ME, et al. Modelling the effect of compliance with WHO salt recommendations on cardiovascular disease mortality and costs in Brazil. PLoS One 2020; 15: e0235514.

Akter Mahbuba, Hadi Suhag MdA. Knowledge of Hypertension among Nurses at a Tertiary Medical College Hospital, Sylhet. Saudi Journal of Humanities and Social Sciences 2020; 5: 740–751.

Trung Nguyen L, Quoc Toan P, Anh Tuan V, et al. Hypertensive Retinopathy in Patients With Indications for Kidney Transplantation: A Cross-sectional Study-0003-4507-9042. Epub ahead of print 2022. DOI: 10.21203/

Huang W, Li L. The Chronic Kidney Disease and Abnormal Retinal Blood Vessels. 2020; 159–172.

Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nature Reviews Nephrology 2020 16:4 2020; 16: 223–237.

Ding M, Zhou Y, Li C, et al. Can the WHO ‘s recommendations of physical activity volume decrease the risk of heart disease in middle and older aged Chinese People: the evidence from a seven year longitudinal survey. BMC Geriatr 2022; 22: 1–10.

Song JJ, Ma Z, Wang J, et al. Gender Differences in Hypertension. J Cardiovasc Transl Res 2020; 13: 47–54.

Begum S, Akter Halim KM, Islam S, et al. Nurses’ knowledge regarding nursing care and management of hypertensive patients in a selected hospital in Dhaka city. Int J Res Med Sci 2019; 7: 1914.

Kreutz R, Dobrowolski P, Prejbisz A, et al. Lifestyle, psychological, socioeconomic and environmental factors and their impact on hypertension during the coronavirus disease 2019 pandemic. J Hypertens 2021; 39: 1077–1089.

Imanda A, Martini S, Artanti KD. Post Hypertension and Stroke: A Case Control Study. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) 2019; 13: 164–168.

Dahal S, Sah RB, Niraula SR, et al. Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu. PLoS One 2021; 16: e0257037.

Asif H. Men in Female Dominated Professions (A Case Study of Nursing Profession). Indian Journal of Humanities and Social Sciences 2019; 7: 29–42.

Zhou B, Perel P, Mensah GA, et al. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology 2021 18:11 2021; 18: 785–802.

Flint AC, Conell C, Ren X, et al. Effect of Systolic and Diastolic Blood Pressure on Cardiovascular Outcomes. New England Journal of Medicine 2019; 381: 243–251.

Zhou D, Xi B, Zhao M, et al. Uncontrolled hypertension increases risk of all-cause and cardiovascular disease mortality in US adults: the NHANES III Linked Mortality Study. Scientific Reports 2018 8:1 2018; 8: 1–7.

Slivnick J, Lampert BC. Hypertension and Heart Failure. Heart Fail Clin 2019; 15: 531–541.