Blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up at South Wollo Zone Public Hospitals, Northeast Ethiopia

Abstract

Background: Hypertension is a silent killer that causes serious health issues in all parts of the world.It is risk factor for cardiovascular disease, stroke, and kidney disease. Self-monitoring practice has been identified as an important component of hypertension management. Hence, this study aimed to assess blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up in South Wollo Zone public hospitals, Northeast Ethiopia. Methods: Hospital based cross-sectional study was conducted from June 1 to June 30, 2022, among 336 adult hypertensive patients on follow-up at selected South Wollo Zone public hospitals.Data were collected by using self-administered pre-tested structured questionnaires; the collecteddata were entered into Epi-data version 4.6 and then exported to SPSS version 25 software for analysis. Descriptive statistics such as frequency and percentage were used to describe the study participants. Tables and texts were used for data presentation. Binary logistic regression was conductedto test the association between the independent and dependent variables. Adjusted Odds Ratio with 95% CI was estimated to identify the factors associated with BP self-monitoring and thelevel of significance wasdeclared at P-value <0.05. Results: The proportion (95% CI) of Blood Pressure Self-Monitoring Practice among hypertensive patients in South Wollo Zone Public Hospitals was 8.93% [95%CI; 6.3, 12.5]. In the multivariable analysis, urban residence [AOR=3.97, 95%CI (1.11, 14.20)], comorbidity [AOR=4.80, 95%CI (1.23, 18.69)], regular healthcare professional visit [AOR=4.64, 95%CI (1.02, 21.14)], advice on the type of devices used for BP self-monitoring [AOR=5.26, 95%CI (1.49, 18.58)], and knowledge on hypertension self-care [AOR=13.13, 95%CI (4.21, 40.99)] were positively associated with BP self-monitoring practice. Conclusion: In the study, the proportion of Blood Pressure Self-Monitoring Practice was low.Living in urban areas, comorbidity, regular healthcare professional visits, advice on the type of devices used for Blood Pressure self-monitoring, and knowledge of hypertension self-care were positively associated with Blood Pressure Self-Monitoring Practice.