Abstract:
Introduction: Blood pressure self-monitoring is patients' regular use of personal blood pressure
measurement equipment to measure their blood pressure outside of a clinical environment.
Inadequate blood pressure self-monitoring remains a significant problem faced by healthcare
providers and populations in the prevention of hypertension.
Objective: The objective of this study is to assess the practice of blood pressure self-monitoring
and associated factors among hypertensive patients on follow-up visits at Hospitals, West Shoa
zone, Oromia, Ethiopia, 2022.
Methods: An institution-based cross-sectional quantitative study supported by a qualitative study
was carried out on 412 hypertensive patients from September 01-30/09/2022. An interviewer administered questionnaire was used to collect data, and a simple random sampling technique was
employed to select the study participants. Data were entered into a computer using the Kobo
toolbox and exported to SPSS Version 26 for analysis. Binary logistic regression analysis was run
to assess the association between the dependent and independent variables and Variables with P value < 0.25 were entered into a multivariate logistic regression to control the effects of potential
confounding factors. P-value of <0.05 was taken as a cutoff point to declare a statistically
significant association between independent and dependent variables.
Result: The proportion of blood pressure self-monitoring practice among hypertensive patients on
follow-up visits at hospitals in the West Shoa zone was 19.6%. Educational level [AOR=7.49,
95%CI (3.00, 8.67)], income [AOR=3.14, 95%CI (1.21, 8.13)], co-morbidities [AOR=5.55,
95%CI (2.74, 11.24)], recommendation toward self-monitoring [AOR=2.40, 95%CI (1.15, 5.03)]
and awareness of self-monitoring [AOR=8.54, 95%CI (3.54, 10.60)] were factors significantly
associated with blood pressure self-monitoring practice.
Conclusion and Recommendation: The proportion of blood pressure self-monitoring among
hypertensive patients on follow-up visits at hospitals in the West Shoa zone was low. The practice
of blood pressure self-monitoring needs to be deliberated by health education programs and
recommended to minimize hypertension complications
