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Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia

BACKGROUND: Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. Nevertheless, we know little concerning hypertension self-care practice in Ethiopia. The purpose of this study was to assess hypertension self-care practice and associated...

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Autores principales: Ademe, Sewunet, Aga, Fekadu, Gela, Debela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341627/
https://www.ncbi.nlm.nih.gov/pubmed/30665405
http://dx.doi.org/10.1186/s12913-019-3880-0
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author Ademe, Sewunet
Aga, Fekadu
Gela, Debela
author_facet Ademe, Sewunet
Aga, Fekadu
Gela, Debela
author_sort Ademe, Sewunet
collection PubMed
description BACKGROUND: Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. Nevertheless, we know little concerning hypertension self-care practice in Ethiopia. The purpose of this study was to assess hypertension self-care practice and associated factors among patients in public health facilities in Dessie town, Ethiopia. METHODS: In this cross-sectional study, 309 hypertensive patients (mean age 58.8 years, 53.4% women) completed the interviewer-administered questionnaire in Amharic language. Descriptive and logistic regression analyses were conducted using SPSS version 22. RESULT: The mean score for hypertension self-care was 37.7 ± 8.2 and 51% scored below the mean. Divorced participants (AOR = 0.115, 95% CI = 0.026, 0.508, p-value < 0.01) and those who lack source of information (AOR = 0.084, 95% CI = 0.022, 0.322, p-value < 0.01) were less likely to have good self-care practice. But, participants who had convenient place for exercise (AOR = 2.968, 95% CI = 1.826, 4.825, p-value < 0.01), who had good social support (AOR = 2.204, 95% CI = 1.272, 3.821, p-value < 0.01), who had traditional clergy-based teaching (AOR = 2.209, 95% CI = 1.064, 4.584, p-value < 0.05), and who had good self-care agency (AOR = 1.222, 2.956, p-value < 0.05) were more likely to have good self-care practice. CONCLUSION: Most of the study participants reported poor self-care practices. Factors associated with hypertension self-care practice are marital status, education, source of self-care information, place for exercise, social support, and self-care agency. Targeted interventions are needed to improve hypertension self-care practice.
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spelling pubmed-63416272019-01-24 Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia Ademe, Sewunet Aga, Fekadu Gela, Debela BMC Health Serv Res Research Article BACKGROUND: Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. Nevertheless, we know little concerning hypertension self-care practice in Ethiopia. The purpose of this study was to assess hypertension self-care practice and associated factors among patients in public health facilities in Dessie town, Ethiopia. METHODS: In this cross-sectional study, 309 hypertensive patients (mean age 58.8 years, 53.4% women) completed the interviewer-administered questionnaire in Amharic language. Descriptive and logistic regression analyses were conducted using SPSS version 22. RESULT: The mean score for hypertension self-care was 37.7 ± 8.2 and 51% scored below the mean. Divorced participants (AOR = 0.115, 95% CI = 0.026, 0.508, p-value < 0.01) and those who lack source of information (AOR = 0.084, 95% CI = 0.022, 0.322, p-value < 0.01) were less likely to have good self-care practice. But, participants who had convenient place for exercise (AOR = 2.968, 95% CI = 1.826, 4.825, p-value < 0.01), who had good social support (AOR = 2.204, 95% CI = 1.272, 3.821, p-value < 0.01), who had traditional clergy-based teaching (AOR = 2.209, 95% CI = 1.064, 4.584, p-value < 0.05), and who had good self-care agency (AOR = 1.222, 2.956, p-value < 0.05) were more likely to have good self-care practice. CONCLUSION: Most of the study participants reported poor self-care practices. Factors associated with hypertension self-care practice are marital status, education, source of self-care information, place for exercise, social support, and self-care agency. Targeted interventions are needed to improve hypertension self-care practice. BioMed Central 2019-01-21 /pmc/articles/PMC6341627/ /pubmed/30665405 http://dx.doi.org/10.1186/s12913-019-3880-0 Text en © The Author(s). 2019 Open AccessThis article is 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, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ademe, Sewunet
Aga, Fekadu
Gela, Debela
Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia
title Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia
title_full Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia
title_fullStr Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia
title_full_unstemmed Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia
title_short Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia
title_sort hypertension self-care practice and associated factors among patients in public health facilities of dessie town, ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341627/
https://www.ncbi.nlm.nih.gov/pubmed/30665405
http://dx.doi.org/10.1186/s12913-019-3880-0
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