Department of Public Health, Unity University, Addis Ababa, Ethiopia.
Department of Out Patient, Bole Bulbula Health Center, Addis Ababa, Ethiopia.
BMC Cardiovasc Disord. 2023 Jan 25;23(1):48. doi: 10.1186/s12872-023-03062-9.
The study assessed the level of self-care practice and its predictors among hypertensive patients in the health centers of Bole Sub-city, Addis Ababa, Ethiopia.
A multi-Center-based cross-sectional study that employed 370 hypertensive participants at the conveniently selected Health Centers in Bole Sub-City; from August 01-30, 2020. The researchers selected the participants based on a simple random sampling method after applying for a pre-tested interviewer-administered questionnaire and secured for informed consent. All the statistical analyses were SPSS 22.0 software based. The authors used binary logistics regression to identify the presence and strength of association; with its respective 95%CI and p-value less than five percent as a significant level.
The overall level of good self-care practice among hypertensive patients was 53.0% (95% CI: 47.2-58.8%) whereas 61.4%, 63.8%, 92.7%, 82.7%, and 18% of the study participants were adherent to medication, good weight management, non-smokers, alcohol abstainers and physical activity consecutively. Being illiterate had 2.347 and 2.084 times higher odds of having had good self-care practice compared to secondary school and a diploma or above consecutively. Being a merchant, civil, and retired were associated with good self-care practice than being unemployed.
The study reported a lower level of self-care practice in the study settings. Educational level and occupation were factors identified for self-care practice. The authors recommended policymakers, healthcare workers, and researchers work on the identified factors of self-care practice of hypertensive participants in the study settings.
本研究评估了埃塞俄比亚亚的斯亚贝巴博莱市各卫生中心高血压患者的自我护理实践水平及其预测因素。
这是一项多中心的横断面研究，在 2020 年 8 月 1 日至 30 日期间，在博莱市的卫生中心方便地选择了 370 名高血压参与者。研究人员采用简单随机抽样方法选择参与者，在获得经过预测试的访谈式问卷调查和获得知情同意书后进行选择。所有统计分析均基于 SPSS 22.0 软件。作者使用二元逻辑回归来确定存在和关联的强度；各自的 95%置信区间和 p 值小于 5%为显著水平。
高血压患者总体自我护理实践水平为 53.0%（95%CI：47.2-58.8%），而 61.4%、63.8%、92.7%、82.7%和 18%的研究参与者分别连续遵医嘱、良好的体重管理、不吸烟、不饮酒和进行体育活动。与中学及以上学历相比，文盲患者具有 2.347 和 2.084 倍更高的良好自我护理实践机会。与失业者相比，商人、公务员和退休人员更有可能进行良好的自我护理实践。
本研究报告称，在所研究的环境中，自我护理实践水平较低。教育程度和职业是自我护理实践的识别因素。作者建议政策制定者、医疗保健工作者和研究人员针对所确定的研究环境中高血压参与者的自我护理实践因素开展工作。
