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

Anwar Abdulwahed,Anwar Seid

doi:10.11648/j.rs.20200502.11

Abstract

Globally hypertension is a major public health problem and leading cause of mortality in developing countries. Self-care practice encourage hypertensive patients to have better quality of life by preventing complication and decrease health care expenditure. The aim of this study is to assess Self-care practice and associated factors among hypertension patients in Jimma university specialized hospital, south west Ethiopia. An institution based Cross sectional study was employed on 322 adult hypertensive patients using simple random sampling procedure between March to May, 2016. Data was analyzed using SPSS version 20.0. A p-value of <0.05 was considered as statistically significant. Adjusted odds ratio at 95% CI was considered to declare the independent effect of independents variables on the outcome. In this study, the overall participants with the recommended level of self-care practice were found to be 44.7%. Being employed [AOR = 2.032, 95% Confidence Interval [CI]: (1.162, 3.552), educational attainment (AOR = 3.730, 95% CI: (1.837, 7.576) and Presence of co morbidity diseases (AOR = 0.502, 95% CI: 0.2886, 0.8850) were factors significantly associated with self-care practice. This study revealed level of self-care practice were low among hypertensive patients. Occupation, educational status and comorbidity were factors significantly associated with Self-care practice. Hypertensive patients with low socioeconomic status, no formal educational attainment and with co-morbidity needs special attention to improve their self-care practice.

Highlights

Worldwide, hypertension is common and regarded as a major public health problem [1]
Most of the studies conducted identifies medication adherence alone, but limited study on importance of self-care that is essential in controlling hypertension. Considering this current study aims to assess level of self-care practice and the factors associated among hypertensive patients in Jimma University Specialized Hospital, South West Ethiopia, 2016
The study was conducted in Jimma University Specialized Hospital which is found in Jimma town, Ethiopia

Summary

Introduction

Hypertension is common and regarded as a major public health problem [1]. It is an overwhelming global challenge and analysis of the global burden of hypertension revealed that over 25% of the world's adult population had hypertension in 2000, and the proportion is expected to increase to 29% by 2025 [2]. According to the World Health Organization, more than 80% of deaths from hypertension and associated cardiovascular diseases occur in low and middle-income countries and this is common among people of low socio-economic status [4]. Based on world health organization (WHO), one method to control hypertension is to involve patients in their own selfcare practice [5, 6].

Objectives

Methods

Results