Determinants of High Blood Pressure Management among Patients Experiencing Stroke: A Case of Meru Teaching and Referral Hospital, Kenya/ (Record no. 93748)

MARC details
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fixed length control field 03392nam a22002177a 4500
001 - CONTROL NUMBER
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003 - CONTROL NUMBER IDENTIFIER
control field KE-MeUCS
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20260330120804.0
007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION
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010 ## - LIBRARY OF CONGRESS CONTROL NUMBER
LC control number
040 ## - CATALOGING SOURCE
Transcribing agency KE-MeUCS
050 ## - LIBRARY OF CONGRESS CALL NUMBER
Classification number RC685.H8.M3 2025
100 ## - MAIN ENTRY--PERSONAL NAME
Relator code Mathiu, Purity Kathambi
245 ## - TITLE STATEMENT
Title Determinants of High Blood Pressure Management among Patients Experiencing Stroke: A Case of Meru Teaching and Referral Hospital, Kenya/
Statement of responsibility, etc Purity Kathambi Mathiu
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc Meru,
Name of publisher, distributor, etc Meru University,
Date of publication, distribution, etc 2025.
300 ## - PHYSICAL DESCRIPTION
Extent xv,197p.
500 ## - GENERAL NOTE
General note Includes Appendix and Reference
520 ## - SUMMARY, ETC.
Summary, etc Non-communicable diseases (NCDs) are a leading global health concern, with77%ofrelated deaths occurring in low- and middle-income countries. In Kenya, hypertensionisa major contributor to cardiovascular diseases and a leading cause of morbidity and mortality. The risk of stroke continues to rise, with 1 in 4 individuals expected to experience one in their lifetime (World Stroke Day 2022). This study examined the determinants of blood pressure management among hypertensive patients who developed stroke at Meru Teaching and Referral Hospital (MeTRH), and evaluated current management practices. Using a mixed-methods convergent design, data were collected from 80 patients with stroke records (via systematic random sampling), 42 healthcare workers (stratifiedrandom sampling), and 10 hypertensive stroke patients (purposive sampling). Tools included medical checklists, structured questionnaires, and in-depth interviews. The study was conducted across MeTRH’s outpatient, medical wards, and non-communicable disease clinics. The results revealed a higher prevalence of hypertension with a complication of stroke among females and older adults (mean age 58.6). Nearly half (47.4%) of healthcare workers (nurses, clinical officer, medical officers, physicians) had under five years of hypertension management experience, and only 18.4% correctly identified the current definition of hypertension, indicating significant knowledge gaps. While 94.7%reportedconducting regular blood pressure screenings and providing lifestyle counselling, patient non-adherence remained a significant barrier—often due to work-related challenges and financial constraints that limited self-care. There was no statistically significant association between healthcare delivery and blood pressure control (p = 0.308). The integration and people-centricity of care was outstanding in convergence. Despite consistent screening and counselling efforts, effective blood pressure control remains hindered by limited healthcare provider experience and patient adherence issues. Addressing these gaps is essential for reducing stroke risk and improving hypertension outcomes. The study recommends strengthening clinical practice by introducing structured hypertension counselling at every clinic visit and developing standardized management guidelines. Policymakers should ensure access to essential diagnostics (e.g., ECG, lipid panels) and affordable medications. Follow-up tracking systems for adherence and lifestyle education are also necessary. Community-based support programs or peer-led hypertension clubs are encouraged to promote long-term self-care. Future research should investigate gender-specific and cultural barriers affecting hypertension control.
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Library of Congress Classification
Koha item type Thesis
Cataloguer Selina Muthii
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Source of acquisition Cost, normal purchase price Cataloguer Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Library of Congress Classification     Meru University Meru University Periodical Section 30/03/2026 Meru University of science and Technology (MUST) 0.00 Selina Muthii   RC685.H8.M3 2025 26-39350 30/03/2026 30/03/2026 Thesis

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