Antihypertensive Medication Adherence and its Associated Factors Among Hypertensive Patients in North Showa Zone Public Hospitals, Ethiopia 2021
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Date
2021-06
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Addis Ababa University
Abstract
Adherence to antihypertensive medication plays a tremendous role in controlling BP, however poor adherence to antihypertensive medication leads to complications of HTN, wastage of health care resources, and workload on health care providers which results in poor clinical outcome. This study aimed to assess antihypertensive medication adherence and its associated factors among hypertensive patients’ in North Showa Zone public hospitals’, Oromia regional state, North Ethiopia. 2021. An institutional-based cross sectional study was conducted from February 8 to March 8/2021 in three public hospitals of North Showa Zone. Out of four public hospitals, three hospitals were selected through simple random sampling techniques and the final sample size 348 was selected systematic random sampling. Data were checked, cleaned and entered into Epi data software version 3.1, and imported to SPSS version 23 software for analysis. Descriptive analysis was done and presented in frequencies and percentages. The association between independent and dependent variables was analyzed using bivariate and multivariate analysis, and variables that show P-values of < 0.05 with 95% CI will be considered statistically significant. This study includes 348 participants with a 97.4% response rate. Of the respondents, 56.9% adhere to their medication. Marital status (AOR=3.24,95%CI=1.12-9.60), residence (AOR=2.59,95%CI=1.42-4.75), Controlled BP (AOR=4.26, 95%CI=2.37-7.67), number of medication (AOR= 2.59,95%CI=1.35-4.97), comorbidity (AOR=2.24, 95%CI=1.33 4.67), knowledge (AOR=5.01,95%CI=2.69-9.35), insurance coverage user (AOR=2.20,95%CI=1.23-3.95) and forgetfulness were found statistically significant. The adherence status of this study was sub-optimal and the knowledge status of patients about HTN and their treatments was the most associated factor. Give health education for patients about HTN and its treatments, early diagnosis, and management of comorbidity, and adherence counseling are important for improving the adherence status of clients.
Key Words: Adherence, antihypertensive medication, public hospitals
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Keywords
Adherence, antihypertensive medication, public hospitals