Practice of Blood Pressure Self-monitoring and Associated Factors Among Hypertensive Patients on Follow-up Visits at Hospitals, West Shoa zone, Oromia, Ethiopia

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