Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia

Abdulwahed, Anwar; Seid, Anwar

doi:10.11648/j.rs.20200502.11

Cited by 9 publications

(12 citation statements)

References 11 publications

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“…Meanwhile, low SCB levels in hypertension patients with comorbidities could worsen their conditions. 27 This result is supported by a previous study, which found the history of comorbidities to be significantly associated with SCB when implementing lifestyle modification practices. 28 Therefore, hypertension accompanied by comorbidities is complicated to control.…”

Section: Discussionsupporting

confidence: 74%

Factors Influencing Self-Care Behaviors in Hypertension Patients With Complications

Pahria¹,

Nugroho²

2022

VHRM

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While hypertension with accompanying complications remains a life-threatening illness, a critical program in its management and prevention is implementing self-care behaviors (SCBs). This study examined the factors associated with SCB that are dominant in hypertension patients with complications. Materials and Methods: This quantitative study was conducted using the regression analytic method and a cross-sectional approach. The non-probability sampling technique was used, and the response rate was 96.2%. Data were collected using a modified hypertension self-care profile (HBP-SCP) questionnaire, hypertension knowledge questionnaire, family support questionnaire, and the briefillness perception questionnaire (B-IPQ). Results:The mean total SCB score was high at 55.9% with a mean of 191.01, SD = 5.16; 77.5% of the respondents had no disease history, 80.4% had good knowledge, 58.8% had strong family support, and 50% had a good perception of the disease. Factors that were significantly related to SCB were family support (p = 0.00, r = 0.75) and illness perception (p = 0.00, r = 0.77), while disease history (r = 0.47) and knowledge were not significantly related (r = 0.13). Moreover, the analysis of multiple linear regression with the backward method showed that the most dominant factor influencing SCB was illness perception (p = 0.00, = 0.47, B = 0.495, R2 = 0.650). The effect of illness perception on SCB (65%) meant that each 0.50 perception score increased the SCB score by one. Conclusion: It is recommended that health workers increase patient perception using innovative interventions to improve the SCB of hypertension patients with complications.

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Section: Discussionsupporting

confidence: 74%

Factors Influencing Self-Care Behaviors in Hypertension Patients With Complications

Pahria¹,

Nugroho²

2022

VHRM

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“…is study revealed that the odds of age greater than or equal to 65 years had 3.8 times more likely to have good selfcare practice compared to age less than 40 years. is was supported by the study done in Harar town [16] and in Jima [21]. e study done in North Ethiopia Tigray; hypertension patients with the age of greater than or equal to 65 years were 3.2 times more likely to adapt to good self-care practice towards hypertension than those above the age of 65 years [12].…”

Section: Discussionmentioning

confidence: 84%

“…The sample size was determined by using a single population proportion formula by taking 44.7% proportion from previous study and assuming 5% marginal error, 95% confidence interval and 5% nonresponse, and the final sample size was 399 [ 21 ]. Systematic sampling technique was used to recruit study participants, and every other patient who came for follow-up in the hypertension chronic outpatient clinic was interviewed.…”

Section: Methodsmentioning

confidence: 99%

Self-Care Practice and Associated Factors among Hypertensive Patients in Debre Tabor Referral Hospital, Northwest Ethiopia, 2020

Gelaw

Yenit

Nigatu

2021

International Journal of Hypertension

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Background. Hypertension prevalence is continuously rising and is projected to be 1.56 billion cases by the year 2025. Despite the great progress made in the treatment of hypertension, many patients still do not achieve optimal results and experience devastating complications due to uncontrolled high blood pressure. Objective. The aim of this study is to assess self-care practice and associated factors among hypertensive patients. Methods. An institution-based cross-sectional study was conducted at Debre Tabor Referral Hospital, Northwest Ethiopia, from October to November 2020. A single population proportion formula and systematic random sampling technique was used to recruit 392 study participants. The data were entered to Epi-Info software version 7.1 and then exported to SPSS version 23 for analysis. A descriptive statistic was expressed as percentage, frequency, and mean. Finally, multivariable logistic regression was used to identify factors associated with dependent variable using a p value of <0.05. Results. A total 392 eligible hypertensive patients participated in the study. The self-care practice among hypertension patients was found to be 54.1%. Urban residency (AOR = 2.17; 95% CI, 1.2–3.9), social support (AOR = 2.12; 95% CI, 1.13–3.39), good knowledge (AOR = 1.83; 95% CI, 1.15–2.91), age between 40 and 64 (AOR = 3.15; 95% CI, 1.19–8.3), age ≥65 (AOR = 3.81; 95% CI, 1.35–10.7), and stress control (AOR = 1.6; 95% CI, 1.06–2.67) were predictors of hypertension self-care practice. Conclusion and Recommendation. The study revealed that almost one out of two hypertension patients had good hypertension self-care practice. Good social support, age greater than 40 years, urban residency, good basic knowledge, and having stress control were positively associated with hypertensive self-care practice.

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“…The included studies were reported from five regions and one city administration of the country. Four studies were reported from the Oromia regional state [ 28 , 34 , 36 , 37 ]. Three studies were from Amhara regional state [ 38 – 40 ], three studies from Harari regional state [ 35 , 41 , 42 ], three studies from Addis Ababa city administration [ 43 – 45 ], two studies from Tigray regional state [ 27 , 46 ], and two studies from South Nations Nationalities and Peoples Regional State (SNNPR) [ 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…The current study identified two predictors, namely, knowledge about hypertension and the educational status of hypertensive patients. The analysis of nine cross-sectional studies [ 27 , 35 , 37 , 39 , 41 , 43 , 44 , 47 , 48 ] showed that the educational status of the hypertensive patients was significantly associated with hypertensive self-care practice. Hypertensive patients who attended formal education were approximately 3 times more likely to adhere to hypertensive self-care practice than those who did not attend formal education (AOR = 2.82; 95% CI 2.18, 3.64) ( Figure 4 ).…”

Section: Resultsmentioning

confidence: 99%

Self-Care Practice and Associated Factors among Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis

Wondmieneh

Gedefaw

Getie

et al. 2021

International Journal of Hypertension

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Background. Hypertension is one of the leading causes of morbidity and mortality in developing countries including Ethiopia. Self-care practice has been provided as one of the most important preventive mechanisms of hypertension and is considered as a basic treatment for hypertension. There is no national-level study that assesses hypertensive self-care practice in Ethiopia. Therefore, this study aimed to assess the pooled level of hypertensive self-care practices and associated factors in Ethiopia. Methods. This study was carried out using published and unpublished articles accessed from databases: PubMed/MEDLINE, HENARI, Google Scholar, Web of Science, Scopus, African Journals, and university repositories. Data were extracted using a standard data extraction format. Data analysis was carried out using STATA version 11. Heterogeneity across the included studies was assessed using Cochrane’s Q statistics and I2 test with its corresponding p values. Publication bias was determined using Egger’s test and presented with a funnel plot. The pooled level of hypertensive self-care practice was estimated using a random-effects meta-analysis model. Results. This systematic review included 17 cross-sectional studies with 5,248 study participants. The overall pooled level of self-care practice among hypertensive patients in Ethiopia was 41.55% (95% CI 33.06, 50.05). Participant formal education (AOR = 2.82; 95% CI 2.18, 3.64) and good knowledge of hypertension (AOR = 4.04; 95% CI 2.19, 7.44) were significantly associated with self-care practice among hypertensive patients in Ethiopia. Conclusion. In this study, more than half of hypertensive patients had poor hypertensive self-care practice in Ethiopia. Participant’s formal education and good knowledge of hypertension were significantly associated with self-care practice among people living with hypertension in Ethiopia. Therefore, based on the evidence of this study, we recommended that programmers and policymakers should enhance the awareness of hypertensive patients on self-care practice domains and strengthen local programs working on noncommunicable diseases.

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Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia

Cited by 9 publications

References 11 publications

Factors Influencing Self-Care Behaviors in Hypertension Patients With Complications

Factors Influencing Self-Care Behaviors in Hypertension Patients With Complications

Self-Care Practice and Associated Factors among Hypertensive Patients in Debre Tabor Referral Hospital, Northwest Ethiopia, 2020

Self-Care Practice and Associated Factors among Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis

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