Assessment of Knowledge, Treatment Compliance and Associated Factors Among Hypertensive Patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 2021.
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Date
2021-06
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Addis Abeba University
Abstract
Background: The majority of hypertension people are at high risk of developing cardiovascular disease.The primary barriers to controlling hypertension are a lack of awareness about the disease and poor
medication adherence, both of which have a negative influence on the patient's behavior.
Objective: To assess knowledge of hypertension and compliance of treatment and factors associatedamong hypertension patients at TASH Addis Ababa Ethiopia, 2021.
Methods: The institutional based cross sectional study design was used at TASH, and 375 hypertensive patients were recruited in the follow-up clinic. The data was gathered using a standard structured questionnaire. Face-to-face interviews were used to conduct a survey by professional data collectors. EPIdata was used to enter data, which was then exported to statistical package for social science(SPSS) software version 20 for additional analysis. Multiple linear regression and binary logistic regression
analysis were employed to asses’ factor associated with knowledge and association between compliance and indpendnet variables respectively. The association between variables was determined by the p values
below 0.05 using 95% confidence level (CI).
Result: The current study found that only 45.9% of patients comply with antihypertensive therapy and majority of the respondets (63.75%) have good knowledge about hypertension except only around one third(35.4%) were aware of the signs and symptoms of hypertension. Factors that associated with treatment compliance were including: Age above 60 years(AOR=0.129; 95% CI: 0.066,0.254), no formaleducation ( AOR=0.250; 95% CI: 0.099, 0.634), less than 5 years since hypertension diagnosis(AOR=3.989; 95% CI: 1.586,10.033)., comorbidity(AOR= 0.360; 95% CI: 0.195,0.665), and missing
medications (AOR= 0.366 ; 95% CI: 0.199, 0.674) were associated with poor treatment compliance,whereas rigorous physical activity(AOR=1.169; 95% CI: 1.003,1.362); and client knowledge of hypertension(AOR=1.336; 95%CI: 1.106, 1.615) . In addition, the factors associated with knowledge of
HTN include, no formal education β=-0.815;(-1.293, -0.337) and governmental employment β=1.164;(0.626,1.702), were found to be statistatically significant association with knowledge of HTN.
Conclution and recommendation: The current study reveled that only 45.9% of partisipants comply with antihypertensive trappy and more than one third of the participant were aware of the signe and symptoms of HTN. Therefore, the findings suggest that health care practitioners should pay attention to
increase the awareness of clients toward antihypertensive treatment adherence in order to minimize the complications.
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Keywords
Hypertensive patients