Self-Care Practice And Associated Factors Among Hypertensive Patient In Public Hospitals Of West Shewa Zone, Oromia, Ethiopia, 2021

Abstract

Background: Hypertension affects people all over the world. It affects one fourth of the world's adult population and more than one billion individuals per year globally. Self-care practices are an activity conducted by hypertensive patient towards their illness and lack of Self- Care Practice results uncontrolled hypertension, which leads which leads to morbidity and morbidity from cardiovascular disease complications. The study added some important factors which not included in most of the previous study. Objective: To assess self-care practice and associated factors among hypertensive patient in selected public hospitals of West Shoa Zone, Oromia, Ethiopia, 2021. Methods and materials: Institution-based cross-sectional study was conducted in four public health hospitals of west Shoa Zone. Systematic random sampling technique was used to select 301 patients .Data were collected by interviewer administered structured, pretested questionnaire and anthropometric measurements. Data were entered to Epi data version 3.1 and exported to SPSS version 25 for statistical analysis. Descriptive statistics, Bivariable and Multivariate Binary Logistic Regressions were employed to see the association between outcome and independent variable by computing odds ratio with 95% confidence interval and at p value <0.05 for the final decision of statistical association. Result: Out of total sampled patients 297 were participated with response rate of 98.67 % and above half (51.9%) were female and mean age was 55.64 years (±14.14 SD). The magnitude of good self-care practice was (40.4%) [95%CI=35%-46%]. Being female [AOR=2.56, [95% CI: 1.06-6.4], having good social support [AOR=5.69, [95% CI: 2.11- 15.34], higher Education [AOR=6.97, [95% CI 2.72-15.4] are significantly associated with self-care practice and among hypertensive patients, physical exercise (33.3%), medication adherence (49.2%) and salt diet management (48.1%) were low. Conclusion and Recommendation: The study found that good self-care practice to ward hypertension was low. Being female, higher Education, good social supportood, self-efficacy, family history of hypertension, Knowledge, and longer duration of diagnosis are significantly associated factors. There is a nee