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

Received: 24 February 2020     Accepted: 31 August 2020     Published: 17 September 2020
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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.

Published in Rehabilitation Science (Volume 5, Issue 2)
DOI 10.11648/j.rs.20200502.11
Page(s) 12-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Hypertension, Self-care, Practice, Jimma

References
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[2] Hareri HA, Abebe M. Assessments of Adherence to Hypertension Medications and Associated Factors among Patients Attending Tikur Anbessa Specialized Hospital Renal Unit, Addis Ababa, Ethiopia 2012. Inter. Journal of Nursing Science 2013; 3 (1): 1–6.
[3] Quang, Nguyen., Joann Dominguez., Loida Nguyen. & GN. Hypertension management: An update. American Health and Drug Benefits. 2010; 3 (1): 47.
[4] Abdesslam, Boutayeband Saber Boutayeb the burden of non-communicable diseases in developing countries, International Journal Equity Health. 2005; 4 (2).
[5] Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JJ et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003; 289 (19): 2560–72. Doi: 10.1001/jama.289.19.2560. [PubMed: 12748199].
[6] Yang SO, Jeong GH, Kim SJ, Lee SH. Correlates of self-care behaviors among low-income elderly women with hypertension in South Korea. J ObstetGynecol Neonatal Nurs. 2014; 43 (1): 97–106. Doi: 10.1111/1552-6909.12265. [PubMed: 24354464].
[7] Department of Health, NHS. Supporting people with long term conditions to Self-care. A guide to developing local strategies and good practice. 2006.
[8] Logan, A. G., et al., Effect of home blood pressure tele monitoring with self-care support on uncontrolled systolic hypertension in diabetics. Hypertension AHA journals.org, 2012. 60: p. 51-57.
[9] Yeon-Hwan Park et al., The effect of an integrated health education and exercise program in community- dwelling older adults with hypertension: a randomized controlled trial. Patient Education and Counseling, 2011. 82: p. 133-137.
[10] Aparajita Dasgupta, Sembagamuthu Sembiah, Bobby Paul, Ayon Ghosh, Bijit Biswas, Nazrul Mallick, Assessment of self-care practices among hypertensive patients: a clinic based study in rural area of Singur, West Bengal, 30 November 2017.
[11] Bakhsh LA, Adas AA, Murad MA, Nourah RM, Hanbazazah SA, Aljahdali AA, Alshareef RJ. Awareness and Knowledge on Hypertension and its Self- Care Practices among Hypertensive Patients in Saudi Arabia. Ann. Int. Med. Den. Res. 2017; 3 (5): ME58-ME62.
[12] Giles T, Aranda JM, Jr, Suh DC, et al. Ethnic/racial variations in blood pressure awareness, treatment, and control. Journal of Clinical Hypertension (Greenwich) 2007; 9 (5): 345–354. [PubMed].
[13] Warren-Findlow J, Basalik DW, Dulin M, Tapp H, Kuhn L. Preliminary validation of the Hypertension Self-Care Activity Level Effects (H-SCALE) and clinical blood pressure among patients with hypertension. Journal Clinical Hypertension 2013; 15 (9): 637-43.
[14] Eyasu Siyum Buda, Lolemo Kelbiso Hanfore, Lifestyle modification practice and associated factors among diagnosed hypertensive patients in selected hospitals, South Ethiopia.
[15] Dr Jan Warren-Findlow, Prevalence Rates of Hypertension Self-care Activities among African Americans, J Natl Med Assoc. 2011 June; 103 (6): 503–512.
[16] Mahajan H, Kazi Y, Sharma B, Velhal GD. Assessment of KAP, Risk Factors and Associated Co-Morbidities in Hypertensive Patients. Journal of Dental Med Sci. 2012; 1 (2): 06-14.
[17] Hareri HA, Abebe M, Asefaw T. Assessments of adherence to hypertension managements and its influencing factors among hypertensive patients attending black lion hospital chronic follow up unit, Addis Ababa, Ethiopia-a cross-sectional study. International Journal of Pharmaceutical Science Research, 2013; 4 (3): 1086–95.
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  • APA Style

    Anwar Abdulwahed, Anwar Seid. (2020). Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia. Rehabilitation Science, 5(2), 12-17. https://doi.org/10.11648/j.rs.20200502.11

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    ACS Style

    Anwar Abdulwahed; Anwar Seid. Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia. Rehabil. Sci. 2020, 5(2), 12-17. doi: 10.11648/j.rs.20200502.11

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    AMA Style

    Anwar Abdulwahed, Anwar Seid. Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia. Rehabil Sci. 2020;5(2):12-17. doi: 10.11648/j.rs.20200502.11

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  • @article{10.11648/j.rs.20200502.11,
      author = {Anwar Abdulwahed and Anwar Seid},
      title = {Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia},
      journal = {Rehabilitation Science},
      volume = {5},
      number = {2},
      pages = {12-17},
      doi = {10.11648/j.rs.20200502.11},
      url = {https://doi.org/10.11648/j.rs.20200502.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Level of Self-care Practice and Associated Factors Among Hypertensive Patients in Jimma University Specialized Hospital, South West Ethiopia
    AU  - Anwar Abdulwahed
    AU  - Anwar Seid
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    N1  - https://doi.org/10.11648/j.rs.20200502.11
    DO  - 10.11648/j.rs.20200502.11
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.rs.20200502.11
    AB  - 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.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • College of Health Science, Arsi University, Asella, Ethiopia

  • College of Health Science, Samara University, Semera, Ethiopia

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