Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia
Despite the benefits of evidence-based self-care behaviors in the management of hypertension, hypertensive patients have low rate of adherence to the recommended self-care behaviors. Studies related to self-care behaviors among hypertensive patients are limited in Ethiopia. To assess the rate of adh...
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| Veröffentlicht in: | PloS one 2019-06, Vol.14 (6), p.e0218947-e0218947 |
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| creator | Niriayo, Yirga Legesse Ibrahim, Seid Kassa, Tesfaye Dessale Asgedom, Solomon Weldegebreal Atey, Tesfay Mahari Gidey, Kidu Demoz, Gebre Teklemariam Kahsay, Desalegn |
| description | Despite the benefits of evidence-based self-care behaviors in the management of hypertension, hypertensive patients have low rate of adherence to the recommended self-care behaviors. Studies related to self-care behaviors among hypertensive patients are limited in Ethiopia.
To assess the rate of adherence to self-care behaviors and associated factors among hypertensive patients.
A cross-sectional study was conducted at the cardiac clinic of Ayder comprehensive specialized hospital among ambulatory hypertensive patients. Self-care behaviors were assessed using an adopted Hypertension Self-Care Activity Level Effects (H-SCALE). Data were collected through patient interview and review of medical records. Binary logistic regression analysis was performed to identify predictors of self-care behaviors.
A total of 276 patients were included in the study. The majority of the participants were nonsmokers (89.9%) and alcohol abstainers (68.8%). Less than half of the participants were adherent to the prescribed antihypertensive medications (48.2%) and recommended physical activity level (44.9%). Moreover, only 21.45% and 29% were adherent to weight management and low salt diet recommendations, respectively. Our finding indicated that rural resident (adjusted odds ratio [AOR]: 0.45, 95% confidence interval [CI]: 0.21-0.97), comorbidity (AOR: 0.16, 95% CI: 0.08-0.31), and negative medication belief (AOR: 0.25, 95% CI: 0.14-0.46) were significantly associated with medication adherence. Female sex (AOR: 0.46, 95% CI: 0.23-0.92), old age (AOR: 0.19, 95% CI: 0.06-0.60) and lack of knowledge on self-care behaviors (AOR: 0.13, 95% CI: 0.03-0.57) were significantly associated with adherence to weight management. Female sex (AOR: 1.97, 95% CI: 1.03-3.75) and lack of knowledge on self-care (AOR: 0.07, 95% CI: 0.03-0.16) were significantly associated with adherence to alcohol abstinence. Female sex (AOR: 6.33, 95% CI: 1.80-22.31) and khat chewing (AOR: 0.08, 95% CI: 0.03-0.24) were significantly associated with non-smoking behavior. There was also a significant association between female sex and physical activity (AOR: 0.22, 95% CI: 0.12-0.40).
The rate of adherence to self-care behaviors particularly weight management, low salt intake, physical exercise, and medication intake was low in our study. Elders, females, khat chewers, rural residents, and patients with negative medication belief, comorbidity, and inadequate knowledge of SCBs were less adherent to self-care behaviors c |
| doi_str_mv | 10.1371/journal.pone.0218947 |
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To assess the rate of adherence to self-care behaviors and associated factors among hypertensive patients.
A cross-sectional study was conducted at the cardiac clinic of Ayder comprehensive specialized hospital among ambulatory hypertensive patients. Self-care behaviors were assessed using an adopted Hypertension Self-Care Activity Level Effects (H-SCALE). Data were collected through patient interview and review of medical records. Binary logistic regression analysis was performed to identify predictors of self-care behaviors.
A total of 276 patients were included in the study. The majority of the participants were nonsmokers (89.9%) and alcohol abstainers (68.8%). Less than half of the participants were adherent to the prescribed antihypertensive medications (48.2%) and recommended physical activity level (44.9%). Moreover, only 21.45% and 29% were adherent to weight management and low salt diet recommendations, respectively. Our finding indicated that rural resident (adjusted odds ratio [AOR]: 0.45, 95% confidence interval [CI]: 0.21-0.97), comorbidity (AOR: 0.16, 95% CI: 0.08-0.31), and negative medication belief (AOR: 0.25, 95% CI: 0.14-0.46) were significantly associated with medication adherence. Female sex (AOR: 0.46, 95% CI: 0.23-0.92), old age (AOR: 0.19, 95% CI: 0.06-0.60) and lack of knowledge on self-care behaviors (AOR: 0.13, 95% CI: 0.03-0.57) were significantly associated with adherence to weight management. Female sex (AOR: 1.97, 95% CI: 1.03-3.75) and lack of knowledge on self-care (AOR: 0.07, 95% CI: 0.03-0.16) were significantly associated with adherence to alcohol abstinence. Female sex (AOR: 6.33, 95% CI: 1.80-22.31) and khat chewing (AOR: 0.08, 95% CI: 0.03-0.24) were significantly associated with non-smoking behavior. There was also a significant association between female sex and physical activity (AOR: 0.22, 95% CI: 0.12-0.40).
The rate of adherence to self-care behaviors particularly weight management, low salt intake, physical exercise, and medication intake was low in our study. Elders, females, khat chewers, rural residents, and patients with negative medication belief, comorbidity, and inadequate knowledge of SCBs were less adherent to self-care behaviors compared to their counterparts. Therefore, health care providers should pay more emphasis to patients at risk of having low self-care behaviors.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0218947</identifier><identifier>PMID: 31242265</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Activities of daily living ; Adhesion ; Adolescent ; Adult ; Alcohol ; Alcohol use ; Alcoholic beverages ; Ambulatory Care Facilities ; Analysis ; Antihypertensive Agents ; Antihypertensives ; Behavior ; Biology and Life Sciences ; Blood pressure ; Body weight ; Care and treatment ; Chewing ; Comorbidity ; Confidence intervals ; Cross-Sectional Studies ; Diet, Sodium-Restricted - psychology ; Drugs ; Ethiopia ; Evidence-based medicine ; Exercise ; Exercise - psychology ; Faith healing ; Female ; Females ; Global health ; Health care ; Health care industry ; Health education ; Health Knowledge, Attitudes, Practice ; Health literacy ; Health sciences ; Humans ; Hypertension ; Hypertension - drug therapy ; Hypertension - psychology ; Lifestyles ; Male ; Management ; Medical records ; Medical research ; Medication Adherence - psychology ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Nutrient deficiency ; Odds Ratio ; Older people ; Patient compliance ; Patients ; People and Places ; Pharmacy ; Physical activity ; Physical exercise ; Physical Sciences ; Population ; Public health ; Regression analysis ; Retirement benefits ; Rural populations ; Self care (Health) ; Self Care - psychology ; Sex ; Sexual behavior ; Smoking ; Smoking cessation ; Statistical analysis ; Students ; Studies ; Women's associations ; Young Adult</subject><ispartof>PloS one, 2019-06, Vol.14 (6), p.e0218947-e0218947</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Niriayo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Niriayo et al 2019 Niriayo et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-8a3169ed4c350ba93c54010ddbb55619911795270cb4dcb20013520e5a0442ab3</citedby><cites>FETCH-LOGICAL-c692t-8a3169ed4c350ba93c54010ddbb55619911795270cb4dcb20013520e5a0442ab3</cites><orcidid>0000-0002-6943-753X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594646/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594646/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31242265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Annunziato, Rachel A.</contributor><creatorcontrib>Niriayo, Yirga Legesse</creatorcontrib><creatorcontrib>Ibrahim, Seid</creatorcontrib><creatorcontrib>Kassa, Tesfaye Dessale</creatorcontrib><creatorcontrib>Asgedom, Solomon Weldegebreal</creatorcontrib><creatorcontrib>Atey, Tesfay Mahari</creatorcontrib><creatorcontrib>Gidey, Kidu</creatorcontrib><creatorcontrib>Demoz, Gebre Teklemariam</creatorcontrib><creatorcontrib>Kahsay, Desalegn</creatorcontrib><title>Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Despite the benefits of evidence-based self-care behaviors in the management of hypertension, hypertensive patients have low rate of adherence to the recommended self-care behaviors. Studies related to self-care behaviors among hypertensive patients are limited in Ethiopia.
To assess the rate of adherence to self-care behaviors and associated factors among hypertensive patients.
A cross-sectional study was conducted at the cardiac clinic of Ayder comprehensive specialized hospital among ambulatory hypertensive patients. Self-care behaviors were assessed using an adopted Hypertension Self-Care Activity Level Effects (H-SCALE). Data were collected through patient interview and review of medical records. Binary logistic regression analysis was performed to identify predictors of self-care behaviors.
A total of 276 patients were included in the study. The majority of the participants were nonsmokers (89.9%) and alcohol abstainers (68.8%). Less than half of the participants were adherent to the prescribed antihypertensive medications (48.2%) and recommended physical activity level (44.9%). Moreover, only 21.45% and 29% were adherent to weight management and low salt diet recommendations, respectively. Our finding indicated that rural resident (adjusted odds ratio [AOR]: 0.45, 95% confidence interval [CI]: 0.21-0.97), comorbidity (AOR: 0.16, 95% CI: 0.08-0.31), and negative medication belief (AOR: 0.25, 95% CI: 0.14-0.46) were significantly associated with medication adherence. Female sex (AOR: 0.46, 95% CI: 0.23-0.92), old age (AOR: 0.19, 95% CI: 0.06-0.60) and lack of knowledge on self-care behaviors (AOR: 0.13, 95% CI: 0.03-0.57) were significantly associated with adherence to weight management. Female sex (AOR: 1.97, 95% CI: 1.03-3.75) and lack of knowledge on self-care (AOR: 0.07, 95% CI: 0.03-0.16) were significantly associated with adherence to alcohol abstinence. Female sex (AOR: 6.33, 95% CI: 1.80-22.31) and khat chewing (AOR: 0.08, 95% CI: 0.03-0.24) were significantly associated with non-smoking behavior. There was also a significant association between female sex and physical activity (AOR: 0.22, 95% CI: 0.12-0.40).
The rate of adherence to self-care behaviors particularly weight management, low salt intake, physical exercise, and medication intake was low in our study. Elders, females, khat chewers, rural residents, and patients with negative medication belief, comorbidity, and inadequate knowledge of SCBs were less adherent to self-care behaviors compared to their counterparts. Therefore, health care providers should pay more emphasis to patients at risk of having low self-care behaviors.</description><subject>Activities of daily living</subject><subject>Adhesion</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Ambulatory Care Facilities</subject><subject>Analysis</subject><subject>Antihypertensive Agents</subject><subject>Antihypertensives</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Body weight</subject><subject>Care and treatment</subject><subject>Chewing</subject><subject>Comorbidity</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Diet, Sodium-Restricted - psychology</subject><subject>Drugs</subject><subject>Ethiopia</subject><subject>Evidence-based medicine</subject><subject>Exercise</subject><subject>Exercise - psychology</subject><subject>Faith healing</subject><subject>Female</subject><subject>Females</subject><subject>Global health</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health literacy</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - psychology</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Management</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medication Adherence - psychology</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Nutrient deficiency</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>People and Places</subject><subject>Pharmacy</subject><subject>Physical activity</subject><subject>Physical exercise</subject><subject>Physical Sciences</subject><subject>Population</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Retirement benefits</subject><subject>Rural populations</subject><subject>Self care (Health)</subject><subject>Self Care - psychology</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Smoking</subject><subject>Smoking cessation</subject><subject>Statistical analysis</subject><subject>Students</subject><subject>Studies</subject><subject>Women's associations</subject><subject>Young 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and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia</title><author>Niriayo, Yirga Legesse ; Ibrahim, Seid ; Kassa, Tesfaye Dessale ; Asgedom, Solomon Weldegebreal ; Atey, Tesfay Mahari ; Gidey, Kidu ; Demoz, Gebre Teklemariam ; Kahsay, Desalegn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-8a3169ed4c350ba93c54010ddbb55619911795270cb4dcb20013520e5a0442ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Activities of daily living</topic><topic>Adhesion</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Ambulatory Care Facilities</topic><topic>Analysis</topic><topic>Antihypertensive Agents</topic><topic>Antihypertensives</topic><topic>Behavior</topic><topic>Biology and Life Sciences</topic><topic>Blood pressure</topic><topic>Body weight</topic><topic>Care and treatment</topic><topic>Chewing</topic><topic>Comorbidity</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Diet, Sodium-Restricted - psychology</topic><topic>Drugs</topic><topic>Ethiopia</topic><topic>Evidence-based medicine</topic><topic>Exercise</topic><topic>Exercise - psychology</topic><topic>Faith healing</topic><topic>Female</topic><topic>Females</topic><topic>Global health</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health education</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health literacy</topic><topic>Health sciences</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - psychology</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Management</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Medication Adherence - 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Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Niriayo, Yirga Legesse</au><au>Ibrahim, Seid</au><au>Kassa, Tesfaye Dessale</au><au>Asgedom, Solomon Weldegebreal</au><au>Atey, Tesfay Mahari</au><au>Gidey, Kidu</au><au>Demoz, Gebre Teklemariam</au><au>Kahsay, Desalegn</au><au>Annunziato, Rachel A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-06-26</date><risdate>2019</risdate><volume>14</volume><issue>6</issue><spage>e0218947</spage><epage>e0218947</epage><pages>e0218947-e0218947</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Despite the benefits of evidence-based self-care behaviors in the management of hypertension, hypertensive patients have low rate of adherence to the recommended self-care behaviors. Studies related to self-care behaviors among hypertensive patients are limited in Ethiopia.
To assess the rate of adherence to self-care behaviors and associated factors among hypertensive patients.
A cross-sectional study was conducted at the cardiac clinic of Ayder comprehensive specialized hospital among ambulatory hypertensive patients. Self-care behaviors were assessed using an adopted Hypertension Self-Care Activity Level Effects (H-SCALE). Data were collected through patient interview and review of medical records. Binary logistic regression analysis was performed to identify predictors of self-care behaviors.
A total of 276 patients were included in the study. The majority of the participants were nonsmokers (89.9%) and alcohol abstainers (68.8%). Less than half of the participants were adherent to the prescribed antihypertensive medications (48.2%) and recommended physical activity level (44.9%). Moreover, only 21.45% and 29% were adherent to weight management and low salt diet recommendations, respectively. Our finding indicated that rural resident (adjusted odds ratio [AOR]: 0.45, 95% confidence interval [CI]: 0.21-0.97), comorbidity (AOR: 0.16, 95% CI: 0.08-0.31), and negative medication belief (AOR: 0.25, 95% CI: 0.14-0.46) were significantly associated with medication adherence. Female sex (AOR: 0.46, 95% CI: 0.23-0.92), old age (AOR: 0.19, 95% CI: 0.06-0.60) and lack of knowledge on self-care behaviors (AOR: 0.13, 95% CI: 0.03-0.57) were significantly associated with adherence to weight management. Female sex (AOR: 1.97, 95% CI: 1.03-3.75) and lack of knowledge on self-care (AOR: 0.07, 95% CI: 0.03-0.16) were significantly associated with adherence to alcohol abstinence. Female sex (AOR: 6.33, 95% CI: 1.80-22.31) and khat chewing (AOR: 0.08, 95% CI: 0.03-0.24) were significantly associated with non-smoking behavior. There was also a significant association between female sex and physical activity (AOR: 0.22, 95% CI: 0.12-0.40).
The rate of adherence to self-care behaviors particularly weight management, low salt intake, physical exercise, and medication intake was low in our study. Elders, females, khat chewers, rural residents, and patients with negative medication belief, comorbidity, and inadequate knowledge of SCBs were less adherent to self-care behaviors compared to their counterparts. Therefore, health care providers should pay more emphasis to patients at risk of having low self-care behaviors.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31242265</pmid><doi>10.1371/journal.pone.0218947</doi><tpages>e0218947</tpages><orcidid>https://orcid.org/0000-0002-6943-753X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-06, Vol.14 (6), p.e0218947-e0218947 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2247706820 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Activities of daily living Adhesion Adolescent Adult Alcohol Alcohol use Alcoholic beverages Ambulatory Care Facilities Analysis Antihypertensive Agents Antihypertensives Behavior Biology and Life Sciences Blood pressure Body weight Care and treatment Chewing Comorbidity Confidence intervals Cross-Sectional Studies Diet, Sodium-Restricted - psychology Drugs Ethiopia Evidence-based medicine Exercise Exercise - psychology Faith healing Female Females Global health Health care Health care industry Health education Health Knowledge, Attitudes, Practice Health literacy Health sciences Humans Hypertension Hypertension - drug therapy Hypertension - psychology Lifestyles Male Management Medical records Medical research Medication Adherence - psychology Medicine Medicine and Health Sciences Middle Aged Nutrient deficiency Odds Ratio Older people Patient compliance Patients People and Places Pharmacy Physical activity Physical exercise Physical Sciences Population Public health Regression analysis Retirement benefits Rural populations Self care (Health) Self Care - psychology Sex Sexual behavior Smoking Smoking cessation Statistical analysis Students Studies Women's associations Young Adult |
| title | Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia |
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