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Nonadherence to Self-Care Practices, Antihypertensive Medications, and Associated Factors among Hypertensive Patients in a Follow-up Clinic at Asella Referral and Teaching Hospital, Ethiopia: A Cross-Sectional Study
International Journal of Hypertension ( IF 1.9 ) Pub Date : 2021-10-31 , DOI: 10.1155/2021/7359318
Addisu Dabi Wake 1 , Techane Sisay Tuji 1 , Addisu Tadesse Sime 2 , Mekuria Tesfaye Mekonnin 3 , Taju Mohamed Taji 4 , Alfia Abdurahaman Hussein 5
Affiliation  

Background. Hypertension is one of the most common noncommunicable diseases affecting several individuals globally. However, the level of nonadherence to self-care practices, antihypertensive medications, and associated factors among hypertensive patients in a follow-up clinic at Asella Referral and Teaching Hospital is unknown. Objective. To assess the level of nonadherence to self-care practices, antihypertensive medications, and associated factors among hypertensive patients in a follow-up clinic at Asella Referral and Teaching Hospital, Arsi Zone, Oromia Regional State, Ethiopia, in 2020. Methods. An institution-based cross-sectional survey was conducted on 115 hypertensive patients who visited the follow-up clinic at Asella Referral and Teaching Hospital from December 24, 2020, to January 15, 2021. Data were entered into EpiData version 4.2.0.0 and exported to SPSS version 21.0 for statistical analysis. Binary and multivariable logistic regression analysis was used to assess the presence of statistical association between dependent and independent variables. Results. A total of 115 hypertensive patients were enrolled into the study, giving a response rate of 98.29%. The mean age of the study participants was 55.17 years (SD = 17.986). More than half of them (59 (51.3%)) were females. More than half of them (58 (50.4%)) were married. Nearly two-thirds of them (79 (68.7%)) had formal education. The level of nonadherence to self-care practices was 67.0% (n = 77, 95% CI: 60.0, 75.7). Meanwhile, the patient’s level of nonadherence to antihypertensive medications was 16.5% (n = 19, 95% CI: 10.4, 24.3). The multivariable logistic regression analysis showed that age >45 years (AOR = 2.89, 95% CI: 1.16, 7.18), having no formal education (AOR = 1.67, 95% CI: 1.32, 3.74), and having ≤5 years’ duration since diagnoses of hypertension (AOR = 1.56, 95% CI: 1.07, 3.25) were factors significantly associated with nonadherence to self-care practices. Being male (AOR = 2.09, 95% CI: 1.93, 9.59), being married (AOR = 4.22, 95% CI: 1.29, 13.76), and having an average monthly income of ≤2500 ETB (AOR = 1.58, 95% CI: 1.09, 7.08) were factors significantly associated with nonadherence to medications. Conclusion. In the present study, the level of both nonadherence to self-care practices and antihypertensive medications was relatively high. There is a need to initiate programs that could create awareness about adherence to self-care practices and antihypertensive medications among hypertensive patients to improve their level of adherence.

中文翻译:

埃塞俄比亚 Asella 转诊和教学医院随访诊所中高血压患者不坚持自我保健实践、抗高血压药物和相关因素:一项横断面研究

背景。高血压是影响全球多个人的最常见的非传染性疾病之一。然而,在 Asella 转诊和教学医院的随访诊所中,高血压患者对自我保健实践、抗高血压药物和相关因素的不依从程度尚不清楚。客观。评估 2020 年埃塞俄比亚奥罗米亚州 Arsi 区 Asella 转诊和教学医院随访诊所中高血压患者对自我保健实践、抗高血压药物和相关因素的不依从程度。方法. 对 2020 年 12 月 24 日至 2021 年 1 月 15 日在 Asella 转诊和教学医院就诊的 115 名高血压患者进行了基于机构的横断面调查。数据输入 EpiData 版本 4.2.0.0 并导出到 SPSS 21.0 版进行统计分析。二元和多变量逻辑回归分析用于评估因变量和自变量之间是否存在统计关联。结果. 共有115名高血压患者入组,有效率为98.29%。研究参与者的平均年龄为 55.17 岁(SD = 17.986)。其中超过一半(59 人(51.3%))是女性。其中超过一半(58 人(50.4%))已婚。其中近三分之二(79 人(68.7%))接受过正规教育。不遵守自我保健实践的水平为 67.0% ( n  = 77, 95% CI: 60.0, 75.7)。同时,患者对降压药物的不依从率为 16.5%(n = 19, 95% CI: 10.4, 24.3)。多变量logistic回归分析显示年龄>45岁(AOR = 2.89, 95% CI: 1.16, 7.18),未受过正规教育(AOR = 1.67, 95% CI: 1.32, 3.74),病程≤5年因为高血压的诊断(AOR = 1.56, 95% CI: 1.07, 3.25)是与不坚持自我保健行为显着相关的因素。男性 (AOR = 2.09, 95% CI: 1.93, 9.59),已婚 (AOR = 4.22, 95% CI: 1.29, 13.76),平均月收入≤2500 ETB (AOR = 1.58, 95% CI) : 1.09, 7.08) 是与药物不依从性显着相关的因素。结论. 在本研究中,不依从自我保健实践和抗高血压药物的水平都相对较高。有必要启动计划,以提高高血压患者对自我保健实践和抗高血压药物依从性的认识,以提高他们的依从性水平。
更新日期:2021-10-31
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