Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Public Health in Mekane Eyesus Primary Hospital, Debre Tabor, Ethiopia.
Sci Rep. 2024 Sep 12;14(1):21336. doi: 10.1038/s41598-024-70710-1.
Hypertension is a persistent systemic Blood Pressure reading of 140/90 mm Hg or greater which is a preventable cause of cardiovascular disease morbidity and mortality. To assess non-adherence to appointment follow-up and its associated factors among Hypertensive patients in the follow-up clinics in South Gondar Hospitals 2023. Institutional-based cross-sectional study design was employed in hospitals in South Gondar from January to February to assess missed appointment follow-up and its associated factors among Hypertensive patients in follow-up clinics. There is one comprehensive specialized hospital and 9 primary hospitals in this zone. Using simple random methods four hospitals were selected by lottery method. The sample was calculated by using the single population proportion formula. The collected data was entered into Epi data version 3.1 and exported to Statistical Package for Social Sciences version 26 for analysis. Bivariate and multivariable logistic regression analysis was performed to determine the association factors. A total of 401 hypertensive patients on hypertensive follow-up were involved with a response rate of 95.02%. Age ranged from 25 to 86 years with a median age of 58.47 years. Of the total of participants, 211 (52.6.) were rural residents. Among the total hypertensive patients in the hypertensive follow-up clinic, 39.2% were non-adherent for their appointment follow-up. Living far from follow-up health facility (AOR: 2.53; 95% CI 1.349-4.743), absence of perceived symptoms (AOR: 4.98; 95% CI 2.888-8.590), patient complaints Pill burdens (AOR: 3.50; 95% CI 2.108-5.825), and poor Awareness about complication of hypertension (AOR: 2.62; 95% CI 1.471-4.673) were significantly associated with missing of their appointment follow-up for the most hypertensive patients. The prevalence of non-adherence to medical follow-up in hypertension is high as compared to different national health policy recommendations. Distance from the health facility, absence of perceived symptoms, Pill burdens, and lack of knowledge about complications of hypertension were significantly associated with Missed appointment follow-up in Hypertensive patient.
高血压是一种持续的系统性血压读数，即 140/90mmHg 或更高，这是心血管疾病发病率和死亡率的可预防原因。本研究旨在评估南贡达尔医院随访诊所中高血压患者不遵医嘱进行随访的情况及其相关因素。2023 年，在南贡达尔的医院中采用基于机构的横断面研究设计，评估了随访诊所中高血压患者错过预约随访及其相关因素。该地区有一家综合性专科医院和 9 家一级医院。采用简单随机方法，通过抽签法选择了 4 家医院。采用单总体比例公式计算样本量。收集的数据录入 EpiData 版本 3.1，并导出到统计软件包 26 进行分析。采用二变量和多变量逻辑回归分析来确定关联因素。共有 401 名高血压患者参与了高血压随访，应答率为 95.02%。年龄在 25 至 86 岁之间，中位数为 58.47 岁。在所有参与者中，有 211 名（52.6%）来自农村。在高血压随访诊所的所有高血压患者中，有 39.2%不遵医嘱进行预约随访。居住在离随访卫生机构较远的地方（OR：2.53；95%CI 1.349-4.743）、没有感知到症状（OR：4.98；95%CI 2.888-8.590）、患者抱怨药物负担（OR：3.50；95%CI 2.108-5.825）和对高血压并发症的认识较差（OR：2.62；95%CI 1.471-4.673）与大多数高血压患者错过预约随访显著相关。与不同的国家卫生政策建议相比，高血压患者不遵医嘱进行医疗随访的比例较高。距离卫生机构较远、没有感知到症状、药物负担以及缺乏对高血压并发症的认识与高血压患者错过预约随访显著相关。
