Adult Health Nursing

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http://etd.aau.edu.et/handle/123456789/85

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Browsing Adult Health Nursing by Author "Abera Habtamu"

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    Assessment of Adherence to Hypertension Managements and its Associated Factors among Hypertensive Patients Attending Black Lion Hospital Chronic Follow up Unit Addis Ababa, Ethiopia.
    (Addis Ababa University, 2012-05) Abera Habtamu; Abebe Mesfin
    Background: Hypertension is one of the most important preventable causes of premature mortality worldwide and it is one of the primary risk factors for heart disease and stroke. In Ethiopia 10.6% and Addis Ababa, 30% of the population has been estimated to have hypertension. Adherence to medication therapy and lifestyle change is an aspect of patients’ care that is often overlooked and should be evaluated as a crucial part of cardiovascular management. Therefore, this study aimed to assess adherence and associated factors of adherence to hypertensive management among hypertensive patients in Black Lion Hospital chronic follow up unit. Methods: A cross-sectional study was conducted. Systematic sampling technique was used to select 286 study subjects. A structured standard questionnaire was used after some modifications. Analysis was done using SPSS software. The descriptive analysis such as percentage, proportion, frequency distribution and appropriate graphic presentation were used. Bivariate and multivariate logistic regressions were employed. P-value <0.05 was considered statistically significant association. Results: Of 286 subjects included in the study, 165 (57.7%) were female and mean age was 52(22-83) years. The adherence level of respondents to medication, diet, substance and exercise were 69.2%, 64.7%, 87.4% and 43.7% respectively. On regression analysis, married respondents were two times more likely to adhere to anti-hypertensive medication compared to divorced (AOR=2.00, 95%CI: 1.330-6.744, P=0.008). Very well informed respondents were 2 times(COR=1.94,95%CI:1.042-3.622,P=0.037), 4 times(AOR=4.17,95%CI:1.862-.340,P=0.001) and 7 times(AOR=6.47,95% CI:2.514-16.664,P<0.001) were more likely to adhere to medication, diet and recommended substance management than their counterparts respectively. Respondents with the duration of diagnosis of five or more years were 89 %( AOR=0.11, 95% CI: 0.013-0.955, P=0.045) and 90 %( AOR=0.10, 95% CI: 0.026-0.340, P<0.001) were less likely to adhere to medication and substance recommendation than their counterparts. Conclusion and recommendation: The rates of adherence to medicine and life-style changes were generally found to be low in these study participants. The cause of non-adherence is different according to the type of adherence. Each recommendation should be assessed individually in terms of adherence.
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    Cultural Competence and Associated Factors Among Nurses Working in Tertiary Hospitals in Addis Ababa, Ethiopia, 2018
    (Addis Ababa University, 2018-06) Amsalu Bonsa; Abera Habtamu
    Backgrounds: Ethiopian nurses are facing culturally diverse population predominantly due to coexistence of multicultural and multiethnic society in the country. Hence, being able to provide culturally competent nursing care is essential for such culturally diverse population. Objectives: The main aim of this study was to assess level of cultural competency and its associated factors among nurses working tertiary hospitals in Addis Ababa, 2018. Methodology: An institution based cross sectional study design using quantitative and qualitative method was conducted on nurses working in tertiary hospitals in Addis Ababa from March 1- April 30, 2018. Systematic random sampling technique was used to select 352 nurses and purposive sampling technique was used to recruit nurses for interview. Data was collected using English version self administered self-made cultural competence questionnaire for nurses (CCQN) scale and semi structured questions through face to face in depth interview. Data was entered into EPi data manager version 4.2.2 and exported to SPSS software version 20.0 and analyzed using descriptive statistics, independent t-test and one way analysis of variance (ANOVA). Qualitative data was analyzed using thematic data analysis method and integrated with quantitative data using triangulation approach. Results: A total of 343 participants were involved in the study with response rate of 97.4%. The overall cultural competence level of participants was low to moderate (1.94±0.65) with the highest mean was scored for cultural sensitivity (2.54±0.69) and the lowest mean was scored for cultural skill (1.62±0.98). participants’ age, religion, level of education, work experience, current role, ability to speak beside Amharic and English language, previous cultural care education, experience in other hospitals, experience in caring for diverse patients and use of interpreter service were the factors significantly associated with cultural competence at p < .05. Qualitative finding formulated four themes: cultural competence, linguistic competence, cultural competence education and barriers encountered by nurses. Conclusion: Despite cultural competence of participants was low to moderate; they expressed respect for cultural and religious practice of patients and showed an interest to learn about cultural nursing care. Cultural competence of participants was hindered by several barriers and influenced by several factors that need nurses to overcome it. Therefore, nurses and other responsible bodies should struggle to improve cultural competence of nurses. Lastly, a national representative study with patient’s perspectives was recommended.
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    Prevalence of Death among Patients with Myocardial Infection in Teritiary Public Hospitals in Addis Ababa Ethiopia: a Retrospective Study
    (Addis Ababa University, 2023) Alemu Getnet; Abera Habtamu
    Back ground: Myocardial infarction is the leading cause of death globally and majority of which is occurring in low- and middle-income countries. However, the magnitude of death among patient with Myocardial infarction was not well known across Ethiopia. Objectives: The aim of the study was to assess the prevalence of death among patients with myocardial infarction in selected tertiary public hospitals in Addis Ababa. Methods: A facility based descriptive -retrospective study was conducted from January 1 2014 –April 30, 2023. A total of 205 samples were drowning proportionally from the selected hospitals.The data were collected using structured checklists. Data were cleaned manually, coded, and entered into Epi-Data version4.6 and analyzed by SPSS version 25 statistical software. Bivariateand multivariate logistic regression analyses were employed to identify associated factors for myocardial infarction related death value less than 0.05 was included in multivariable logistic regression analysis. Adjusted odds ratio along with 95% CI was calculated to see the strength ofassociation factors, and if less than 0.05 will be taken as a level of statistical significance. Results. Out of 205 study samples, Arrhythmia 77(37.6%), pulmonary embolism, 48(23.4%),and Heart failure, 47(22.9%) were the top three reported causes of death among the study population with Myocardial Infarction. The multivariate logistic regression analysis revealed thathaving a history of comorbidity [AOR= 0.202, (95% CI : 0.101 -0.403) P<0.001], Having poor medication adherence [AOR= 2.381, (95%CI:1.197-4.735), P= 0.013], and having late treatment [AOR=7.157, (95% CI: 3.505- 14.613), P <0.001] were found the determinant factors associated with death due to Myocardial Infarction. Conclusion and recommendation: The study concluded that having a history of comorbidity,having poor medication adherence, and having late treatment were found the determinant factors associated with death due to MI. Therefore, there should be an intervention that reduces thefactorsdetermining the magnitudes of mortality among patient with MI.