Assessment of Knowledge, Associated Factors Self-Care Towards Practice Hypertension and among Hypertensive Patients in Public in Hospit Addis Ababa City Adiministration
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2016-05
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Addis Ababa University
Abstract
Background: -Patients with hypertension are at high risk of cardiovascular disease. Anincrease of 10 mm Hg (more than normal) in diastolic blood pressure leads torelativelyincreased risk of stroke and cardiovascular disease up to 37%. Moreover, hypertension mayimpair vision. The symptoms range from blurred vision to blindness. Since it is a chronicdisease, that necessitate lifelong drug intake and changes in lifestyle. A lack of knowledgeabout hypertension negatively influences patients’ awareness and behaviors, and is a majorobstacle in controlling hypertension
Objective the general objective of the study was to assess over-all level of knowledge,self-care and its associated factors among hypertensive patients in adult cardiac and renalreferral clinic in public hospitals Addis Ababa city Administration Addis Ababa Ethiopia.
Method – Institutional based cross sectional study was conducted in five public healthhospitals (Yekatit 12, Ras Desta Zewuditu, Dagmawi Menilik and Tirunesh Bejing). The final sample size is 384 which was proportionally allocated to each of the institutions andsystematic random sampling was used to select study units that was part of the study. Datawas checked, cleaned and entered in to Epidata software, then imported to SPSS version20.0 software for analysis. The results of the descriptive statistics were expressed aspercentage and frequency. Associations between independent variables and dependentvariables was analyzed using bivariate and multivariate analysis to identify factors whichare significantly associated with knowledge; self-care practices among hypertensive patientwho had follow up in the hospitals
Result: - Data coming from this study reveals that (43.6%) of study participants has goodknowledge about hypertension. It also indicated that there is a strong association betweenknowledge about hypertension and educational status, family history of hypertension, placeof residency and occupational status of the study participants. On the other hand, the studyshows that (51.5%) of study participants has good self-care practice towards hypertension.However, there is a significant association between self-care practice and place ofresidency and educational status of the study participants. Study participants who has secondary and above educational status has good self-care practice than participants have no formal education.
Conclusion: - Despite the important role of knowledge and self-care practices inmanagement of hypertension were recognized to be useful and effective in achievinghypertension control and preventing its complication, findings of this study were confirmprevious findings concerning self-care among people with self-care practice wasaccomplished as recommended in majority respondents but knowledge was moreproblematic.
Recommendation: - Family members should be informed about their important roles inencouraging patients to undergo a hypertension control or self-care practices.it is alsorecommended that Health care personnel must increase patient’s awareness toward theimportance of all types of self-care practices domains and strongly promote the practiceamong hypertensive patients via strengthening IEC program, hypertension association.
Key words: -hypertension, knowledge, self-care practice and factors
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Keywords
Hypertension Knowledge Self-care practice and factors