Preventive Insights: The Role of Education in Enhancing Hypertension Patients' Knowledge on Heart Disease

  • Marwan Hatem Al-Obaidy University of Kirkuk
  • Zhian Abdulah Hawler Medical University-Erbil
  • Pichayaporn Ratti Sirindhorn College of Public Health Yala
DOI: https://doi.org/10.37251/jhiee.v2i1.1722
Keywords: Health Education, Heart Disease Awareness, Hypertension Patients, Knowledge Enhancement, Preventive Education

Abstract

Purpose of the study: The purpose of this study was to determine the effect of health education on the level of knowledge of people with hypertension about the risk factors for coronary heart disease.

Methodology: The research design used is pre-experimental design with one group pre-post test design approach. The population of the study was 63 respondents. Sampling using random sampling. The sample was 39 respondents. The variables used are 2 variables, namely the independent variable with health education and the dependent variable with the level of knowledge. Data collection using a questionnaire. Statistical analysis using Wilcoxon with a significance level of 0.05.

Main Findings: The results of the study showed that 22 respondents (56.41%) had insufficient knowledge before being given health education. After being given health education, 21 respondents (52.85%) had good knowledge. The p value = 0.000 ≤ α = 0.05 was obtained so that Ha was accepted.

Novelty/Originality of this study: This study provides novelty by proving that structured health education interventions are able to increase the knowledge of hypertension sufferers about coronary heart disease, which has the potential to encourage earlier prevention at the community level.

Author Biographies

Marwan Hatem Al-Obaidy, University of Kirkuk

Department of Public Health, College of Veterinary Medicine, University of Kirkuk, Kirkuk, Iraq

Zhian Abdulah, Hawler Medical University-Erbil

Nursing Department, Hawler Medical University-Erbil, Kurdistan Region, Iraq

Pichayaporn Ratti, Sirindhorn College of Public Health Yala

Department of Dental Public Health, Sirindhorn College of Public Health Yala, Yala, Thailand

References

S. Balakrishnan and B. S. Kumar, “Factors causing variability in formation of coronary collaterals during coronary artery disease’,” Folia Morphol., vol. 81, no. 4, pp. 815–824, 2022, doi: 10.5603/FM.a2021.0110.

S. De Rosa, J. Sabatino, G. Di Salvo, D. Torella, and C. Di Mario, “Coronary artery disease in adults with congenital heart disease,” Int. J. Cardiol. Congenit. Hear. Dis., vol. 13, no. June, p. 100466, 2023, doi: 10.1016/j.ijcchd.2023.100466.

M. de O. L. Ribeiro, V. M. Correia, L. L. H. de Oliveira, and P. R. S. and T. L. Scudeler, “Evolving Diagnostic and Management Advances in Coronary Heart Disease,” Life, vol. 13, no. 4, pp. 1–27, 2023, doi: 10.3390/life13040951.

L. Guasti et al., “Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and th,” ESC Hear. Fail., vol. 9, no. 5, pp. 2808–2822, 2022, doi: 10.1002/ehf2.14022.

T. Aziz, N. Hussain, Z. Hameed, and L. Lin, “Elucidating the role of diet in maintaining gut health to reduce the risk of obesity, cardiovascular and other age-related inflammatory diseases: recent challenges and future recommendations,” Gut Microbes, vol. 16, no. 1, pp. 1–31, 2024, doi: 10.1080/19490976.2023.2297864.

K. Jomova et al., “Essential metals in health and disease,” Chem. Biol. Interact., vol. 367, no. August, p. 110173, 2022, doi: 10.1016/j.cbi.2022.110173.

A. Al-Jawaldeh and M. M. S. Abbass, “Unhealthy Dietary Habits and Obesity: The Major Risk Factors Beyond Non-Communicable Diseases in the Eastern Mediterranean Region,” Front. Nutr., vol. 9, no. March, pp. 1–21, 2022, doi: 10.3389/fnut.2022.817808.

Y. A. Gelaw et al., “Socio-demographic correlates of unhealthy lifestyle in Ethiopia: a secondary analysis of a national survey,” BMC Public Health, vol. 23, no. 1, pp. 1–11, 2023, doi: 10.1186/s12889-023-16436-7.

M. Zhu, W. Jin, W. He, and L. Zhang, “The incidence, mortality and disease burden of cardiovascular diseases in China: a comparative study with the United States and Japan based on the GBD 2019 time trend analysis,” Front. Cardiovasc. Med., vol. 11, no. September, pp. 1–12, 2024, doi: 10.3389/fcvm.2024.1408487.

B. K. Padhi et al., “Inequalities in cardiovascular disease among elderly Indians: A gender perspective analysis using LASI wave-I (2017-18),” Curr. Probl. Cardiol., vol. 49, no. 7, p. 102605, 2024, doi: 10.1016/j.cpcardiol.2024.102605.

S. E. Hayward et al., “Clinical outcomes and risk factors for COVID-19 among migrant populations in high-income countries : A systematic review,” J. Migr. Heal., vol. 3, no. March, pp. 1–19, 2021, doi: 10.1016/j.jmh.2021.100041.

P. Delfabbro, D. L. King, and J. Williams, “The psychology of cryptocurrency trading: Risk and protective factors,” J. Behav. Addict., vol. 10, no. 2, pp. 201–207, 2021, doi: 10.1556/2006.2021.00037.

M. Lak, F. Divsalar, F. Charmduzi, S. R. Soltani, and M. Reza, “Evaluation of the Relationship between Neurological and Cardiovascular Diseases in Adults and Children with Infection and HTN Basen on pharmacological points,” Int. Neurourol. J., vol. 28, no. 1, pp. 821–832, 2024, doi: 10.5123/inj.2024.1.inj91.

L. Ciumărnean et al., “Cardiovascular risk factors and physical activity for the prevention of cardiovascular diseases in the elderly,” Int. J. Environ. Res. Public Health, vol. 19, no. 1, pp. 1–16, 2022, doi: 10.3390/ijerph19010207.

T. Al-khlaiwi et al., “High prevalence of lack of knowledge and unhealthy lifestyle practices regarding premature coronary artery disease and its risk factors among the Saudi population,” BMC Public Health, vol. 23, no. 1, pp. 1–8, 2023, doi: 10.1186/s12889-023-15834-1.

N. A. Odunaiya, T. Adesanya, E. C. Okoye, and O. O. Oguntibeju, “Towards cardiovascular disease prevention in Nigeria: A mixed method study of how adolescents and young adults in a university setting perceive cardiovascular disease and risk factors,” African J. Prim. Heal. care Fam. Med., vol. 13, no. 1, pp. 1–9, 2021, doi: 10.4102/phcfm.v13i1.2200.

M. Pakhare and A. Anjankar, “Critical Correlation Between Obesity and Cardiovascular Diseases and Recent Advancements in Obesity,” Cureus, vol. 16, no. 1, pp. 1–9, 2024, doi: 10.7759/cureus.51681.

H. J. Kim et al., “Awareness of cardiovascular disease among Korean women: Results from a nationwide survey,” Prev. Med. Reports, vol. 26, p. 101698, 2022, doi: 10.1016/j.pmedr.2022.101698.

E. V. Krieger et al., “Arrhythmias in Repaired Tetralogy of Fallot: A Scientific Statement from the American Heart Association,” Circ. Arrhythmia Electrophysiol., vol. 15, no. 11, p. E000084, 2022, doi: 10.1161/HAE.0000000000000084.

A. K. Jacobs et al., “Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Policy Statement from the American Heart Association,” Circulation, vol. 144, no. 20, pp. E310–E327, 2021, doi: 10.1161/CIR.0000000000001025.

O. Okan, M. Messer, D. Levin-Zamir, L. Paakkari, and K. Sorensen, “Health literacy as a social vaccine in the COVID-19 pandemic,” Health Promot. Int., vol. 38, no. 4, pp. 1–9, 2023, doi: 10.1093/heapro/daab197.

S. Bin Naeem and M. N. K. Boulos, “COVID-19 misinformation online and health literacy: A brief overview,” Int. J. Environ. Res. Public Health, vol. 18, no. 15, pp. 1–12, 2021, doi: 10.3390/ijerph18158091.

Y. Wang, X. Wang, C. Wang, and J. Zhou, “Global, regional, and national drowning trends from 1990 to 2021: Results from the 2021 Global Burden of Disease Study,” Cureus, vol. 16, pp. 1–32, 2024, doi: 10.1111/acem.15003.

A. Timmis et al., “European Society of Cardiology: the 2023 Atlas of Cardiovascular Disease Statistics,” Eur. Heart J., vol. 45, no. 38, pp. 4019–4062, 2024, doi: 10.1093/eurheartj/ehae466.

S. I. Hay, “Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021,” Lancet, vol. 403, no. May, pp. 2204–2256, 2024, doi: 10.1016/S0140-6736(24)00685-8.

M. Amini, F. Zayeri, and M. Salehi, “Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from global burden of disease study 2017,” BMC Public Health, vol. 21, no. 1, pp. 1–12, 2021, doi: 10.1186/s12889-021-10429-0.

M. A. Rahaman, A. Kalam, and M. Al-Mamun, “Unplanned urbanization and health risks of Dhaka City in Bangladesh: uncovering the associations between urban environment and public health,” Front. Public Heal., vol. 11, no. October, pp. 1–18, 2023, doi: 10.3389/fpubh.2023.1269362.

S. Casari et al., “Changing Dietary Habits: The Impact of Urbanization and Rising Socio-Economic Status in Families from Burkina Faso in Sub-Saharan Africa,” Nutrients, vol. 14, no. 9, pp. 1–18, 2022, doi: 10.3390/nu14091782.

C. Turaman, “Classification of the risk factors of coronary heart disease and their evolutionary origins,” Heal. Sci. Rev., vol. 3, no. February, p. 100027, 2022, doi: 10.1016/j.hsr.2022.100027.

K. K. Teo and T. Rafiq, “Cardiovascular Risk Factors and Prevention: A Perspective From Developing Countries,” Can. J. Cardiol., vol. 37, no. 5, pp. 733–743, 2021, doi: 10.1016/j.cjca.2021.02.009.

Y. AbdulRaheem, “Unveiling the Significance and Challenges of Integrating Prevention Levels in Healthcare Practice,” J. Prim. Care Community Heal., vol. 14, pp. 1–16, 2023, doi: 10.1177/21501319231186500.

A. O. Mbata, O. S. Soyege, C. N. Nwokedi, and B. O. Tomoh, “Preventative Medicine and Chronic Disease Management : Reducing Healthcare Costs and Improving Long-Term Public Health,” Int. J. Multidiscip. Res. Growth Eval., vol. 5, no. 6, pp. 1584–1600, 2024, doi: 10.54660/.IJMRGE.2024.5.6.1584-1600.

N. Khaltaev and S. Axelrod, “Countrywide cardiovascular disease prevention and control in 49 countries with different socio-economic status,” Chronic Dis. Transl. Med., vol. 8, no. 4, pp. 296–304, 2022, doi: 10.1002/cdt3.34.

F. Ullah, A. U. Rehman, R. D. Khan, H. Orakzai, A. Ahmadyar, and A. Khan, “Cardiovascular Disease in Low and Middle Income Countries: Challenges and Solutions,” Indus J. Biosci. Res., vol. 3, no. 6, pp. 0–5, 2025.

T. O. Kolawole, A. Y. Mustapha, A. O. Mbata, B. O. Tomoh, A. Y. Forkuo, and M. C. Kelvin-agwu, “Evaluating the Effectiveness of Community-Based Health Education Programs in Preventing Non-Communicable Diseases,” IRE Journals, vol. 7, no. 3, pp. 779–794, 2023.

M. Gomez del Pulgar et al., “Best Nursing Intervention Practices to Prevent Non-Communicable Disease: A Systematic Review,” Public Health Rev., vol. 43, no. September, pp. 1–13, 2022, doi: 10.3389/phrs.2022.1604429.

A. Ghahramani, M. de Courten, and M. Prokofieva, “‘The potential of social media in health promotion beyond creating awareness: an integrative review,’” BMC Public Health, vol. 22, no. 1, pp. 1–13, 2022, doi: 10.1186/s12889-022-14885-0.

P. Silva, R. Araújo, F. Lopes, and S. Ray, “Nutrition and Food Literacy: Framing the Challenges to Health Communication,” Nutrients, vol. 15, no. 22, pp. 1–25, 2023, doi: 10.3390/nu15224708.

A. Timmis et al., “European Society of Cardiology: cardiovascular disease statistics 2021: Executive Summary,” Eur. Hear. J. - Qual. Care Clin. Outcomes, vol. 8, no. 4, pp. 377–382, 2022, doi: 10.1093/ehjqcco/qcac014.

A. Paczkowska et al., “Impact of patient knowledge on hypertension treatment adherence and efficacy: A single-centre study in poland,” Int. J. Med. Sci., vol. 18, no. 3, pp. 852–860, 2021, doi: 10.7150/ijms.48139.

N. A. Azadi, A. Ziapour, J. Y. Lebni, S. F. Irandoost, J. Abbas, and F. Chaboksavar, “The effect of education based on health belief model on promoting preventive behaviors of hypertensive disease in staff of the Iran University of Medical Sciences,” Arch. Public Heal., vol. 79, no. 1, pp. 1–8, 2021, doi: 10.1186/s13690-021-00594-4.

S. K. Masenga and A. Kirabo, “Hypertensive heart disease: risk factors, complications and mechanisms,” Front. Cardiovasc. Med., vol. 10, no. June, pp. 1–16, 2023, doi: 10.3389/fcvm.2023.1205475.

W. Shi, G. L. M. Ghisi, L. Zhang, K. Hyun, M. Pakosh, and R. Gallagher, “Systematic review, meta-analysis and meta-regression to determine the effects of patient education on health behaviour change in adults diagnosed with coronary heart disease,” J. Clin. Nurs., vol. 32, no. 15–16, pp. 5300–5327, 2023, doi: 10.1111/jocn.16519.

S. Mohebi, M. Parham, G. Sharifirad, and Z. Gharlipour, “Application of health education and promotion theory-based interventions on patients with cardiovascular disease: A systematic review,” J. Educ. Health Promot., vol. 10, no. June, pp. 1–14, 2021, doi: 10.4103/jehp.jehp.

N. Soleimani, F. Ebrahimi, and M. Mirzaei, “Self-management education for hypertension, diabetes, and dyslipidemia as major risk factors for cardiovascular disease: Insights from stakeholders’ experiences and expectations,” PLoS One, vol. 19, no. 9, pp. 1–28, 2024, doi: 10.1371/journal.pone.0310961.

A. Ullah et al., “Revolutionizing Cardiac Care: A Comprehensive Narrative Review of Cardiac Rehabilitation and the Evolution of Cardiovascular Medicine,” Cureus, vol. 15, no. 10, pp. 1–11, 2023, doi: 10.7759/cureus.46469.

H. Dzwigol, “Research Methodology in Management Science: Triangulation,” Virtual Econ., vol. 5, no. 1, pp. 78–93, 2022, doi: 10.34021/ve.2022.05.01(5).

K. Hendren, K. Newcomer, S. K. Pandey, M. Smith, and N. Sumner, “How qualitative research methods can be leveraged to strengthen mixed methods research in public policy and public administration?,” Public Adm. Rev., vol. 83, no. 3, pp. 468–485, 2023, doi: 10.1111/puar.13528.

D. Harefa, M. Sarumaha, K. Telaumbanua, T. Telaumbanua, B. Laia, and F. Hulu, “Relationship Student Learning Interest To The Learning Outcomes Of Natural Sciences,” Int. J. Educ. Res. Soc. Sci., vol. 4, no. 2, pp. 240–246, 2023, doi: 10.51601/ijersc.v4i2.614.

M. M. Rahman, M. I. Tabash, A. Salamzadeh, S. Abduli, and M. S. Rahaman, “Sampling Techniques (Probability) for Quantitative Social Science Researchers: A Conceptual Guidelines with Examples,” SEEU Rev., vol. 17, no. 1, pp. 42–51, 2022, doi: 10.2478/seeur-2022-0023.

Q. K. Mahmood, M. Uzair, and O. Azam, “Relationship between breast cancer literacy and awareness about breast self-examination among female students in punjab , pakistan,” PAKISTAN Islam. (An Int. J. Islam. Soc. Sci., vol. 04, no. 03, pp. 1–10, 2024.

J. E. Rudolph, Y. Zhong, P. Duggal, S. H. Mehta, and B. Lau, “Defining representativeness of study samples in medical and population health research,” BMJ Med., vol. 2, no. 1, pp. 1–7, 2023, doi: 10.1136/bmjmed-2022-000399.

F. Mulisa, “Sampling techniques involving human subjects: Applications, pitfalls, and suggestions for further studies,” Int. J. Acad. Res. Educ., vol. 8, no. 1, pp. 75–84, 2022, doi: 10.17985/ijare.1225214.

D. Hossan, Z. Dato’ Mansor, and N. S. Jaharuddin, “Research Population and Sampling in Quantitative Study,” Int. J. Bus. Technopreneursh., vol. 13, no. 3, pp. 209–222, 2023, doi: 10.58915/ijbt.v13i3.263.

D. R. Kapur, “Understanding the Importance of Adult and Community Education,” Indian J. Manag. Lang., vol. 4, no. 2, pp. 1–7, 2024, doi: 10.54105/ijml.b2075.04021024.

M. O. Edwards-fapohunda, “The Role of Adult Learning and Education in Community Development: A Case Study of New York,” Iconic Res. Eng. Journals, vol. 8, no. 1, pp. 437–454, 2024.

M. Sallam, N. A. Salim, M. Barakat, and A. Al-Tammemi, “Narra J Cerebellum Cerebellum,” Narra J Cerebellum, vol. 3, no. 1, pp. 1–14, 2023, doi: 10.52225/narra.v3i3.255.

A. S. Ahuja, B. W. Polascik, D. Doddapaneni, E. S. Byrnes, and J. Sridhar, “The Digital Metaverse: Applications in Artificial Intelligence, Medical Education, and Integrative Health,” Integr. Med. Res., vol. 12, no. 1, pp. 1–4, 2023, doi: 10.1016/j.imr.2022.100917.

F. Sugiharto et al., “Health Educational Methods for Improving Self-Efficacy Among Patients with Coronary Heart Disease: A Scoping Review,” J. Multidiscip. Healthc., vol. 17, pp. 779–792, 2024, doi: 10.2147/JMDH.S455431.

A. Yousefiazar et al., “Designing and validating a patient education model for cardiovascular patients: Protocol for a multilevel mixed-method study,” BMJ Open, vol. 15, no. 4, pp. 1–15, 2025, doi: 10.1136/bmjopen-2024-092234.

Published
2025-06-27
How to Cite
Al-Obaidy, M. H., Abdulah, Z., & Ratti, P. (2025). Preventive Insights: The Role of Education in Enhancing Hypertension Patients’ Knowledge on Heart Disease. Journal of Health Innovation and Environmental Education, 2(1), 11-18. https://doi.org/10.37251/jhiee.v2i1.1722
Issue
Vol. 2 No. 1 (2025): June
Section
Articles

Copyright (c) 2025 Marwan Hatem Al-Obaidy, Zhian Abdulah, Pichayaporn Ratti

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