The Development and Validation of the “Hippocratic Hypertension Self-Care Scale”

Author:

Brokalaki Hero1,Chatziefstratiou Anastasia A.2,Fotos Nikolaos V.1,Giakoumidakis Konstantinos3ORCID,Chatzistamatiou Evaggelos4

Affiliation:

1. Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece

2. Cardiac Surgery Unit, Genral Peadiatric Hospital of Athens “Agia Sophia”, 11527 Athens, Greece

3. Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece

4. Spiliopoulio Hospital of Athens “Saint Elena”, 11521 Athina, Greece

Abstract

Background: The adoption of self-care behaviors among patients with arterial hypertension (AH) plays an important role in the management of their health condition. However, a lack of scales assessing self-care is observed. We aimed to develop and validate the Hippocratic hypertension self-care scale. Methods: From a pool of questions derived from a literature review, 18 items were included in the scale and reviewed by a committee of experts. Participants indicated the frequency at which they followed the self-behavior prescribed in each statement on a five-point Likert scale. Data were collected between April 2019 and December 2019. Results: A total of 202 consecutive adult patients with AH were enrolled in the study. The internal consistency of the scale was found to be 0.807, using Cronbach’s alpha coefficient. An exploratory factor analysis identified two domains that accounted for 92.94% of the variance in the scale items; however, each sub-scale could not be used as an independent scale. Finally, the test–retest of the scale showed a significant strong correlation (r = 0.0095, p < 0.001). Conclusion: This analysis indicates that the scale is reliable and valid for assessing self-care behaviors in patients with AH. It is suggested that health professionals use it in their clinical practice to improve the management of AH.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference22 articles.

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2. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries;Chow;JAMA,2013

3. Global burden of hypertension: Analysis of worldwide data;Kearney;Lancet,2005

4. Hellenic Health Foundation (2016). HYDRIA. Program and Targeted Action on the Health and Nutrition of the Greek Population: Development and Implementation of Methodology and Documentation, Hellenic Health Foundation.

5. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies;Lewington;Lancet,2002

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