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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Date
2016-05
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Addis Ababa University
Abstract
Background: -Patients with hypertension are at high risk of cardiovascular disease. An
increase of 10 mm Hg (more than normal) in diastolic blood pressure leads to relatively
increased risk of stroke and cardiovascular disease up to 37%. Moreover, hypertension may
impair vision. The symptoms range from blurred vision to blindness. Since it is a chronic
disease, that necessitate lifelong drug intake and changes in lifestyle. A lack of knowledge
about hypertension negatively influences patients’ awareness and behaviors, and is a major
obstacle 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 renal
referral clinic in public hospitals Addis Ababa city Administration Addis Ababa Ethiopia.
Method – Institutional based cross sectional study was conducted in five public health
hospitals (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 and
systematic random sampling was used to select study units that was part of the study. Data
was checked, cleaned and entered in to Epidata software, then imported to SPSS version
20.0 software for analysis. The results of the descriptive statistics were expressed as
percentage and frequency. Associations between independent variables and dependent
variables was analyzed using bivariate and multivariate analysis to identify factors which
are significantly associated with knowledge; self-care practices among hypertensive patient
who had follow up in the hospitals
Result: - Data coming from this study reveals that (43.6%) of study participants has good
knowledge about hypertension. It also indicated that there is a strong association between
knowledge about hypertension and educational status, family history of hypertension, place
of residency and occupational status of the study participants. On the other hand, the study
shows 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 of
residency 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 in
management of hypertension were recognized to be useful and effective in achieving
hypertension control and preventing its complication, findings of this study were confirm
previous findings concerning self-care among people with self-care practice was
accomplished as recommended in majority respondents but knowledge was more
problematic.
Recommendation: - Family members should be informed about their important roles in
encouraging patients to undergo a hypertension control or self-care practices.it is also
recommended that Health care personnel must increase patient’s awareness toward the
importance of all types of self-care practices domains and strongly promote the practice
among 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