Geleta Zewude Mulatu, Diriba Dereje Chala, Jabana Desalegn Emana
Wollega University Comprehensive Specialized Hospital, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Nursing, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
PLoS One. 2025 May 14;20(5):e0321156. doi: 10.1371/journal.pone.0321156. eCollection 2025.
Though previous studies reported the advantages of family in treating people with hypertension, evidence indicates that family support among people with hypertension was poor. To the best of the researchers' knowledge, no study examined the status of perceived family support and associated factors among people with hypertension in Ethiopia. Therefore, this study assessed perceived family support status and associated factors among people with hypertension in Nekemte City public hospitals, Western Ethiopia.
A hospital based cross sectional study on 422 selected adults with hypertension was conducted in public hospitals in Nekemte from June to August 2023. A systemic random sampling technique was used to select eligible participants. Bivariate and multivariable logistic regression analyses were carried out, and variables with a p-value < 0.25 in the bivariate analysis were included in the multivariable analysis to identify factors associated with perceived family support at a P-value < 0.05.
Two hundred ninety two (70.4%), 95% CI (65.7%, 74.7%), of people with hypertension reported perceived strong family support. Having a family history of hypertension [AOR = 3.6, 95% CI (1.266, 10.34)], involvement of families during patient education on HTN [AOR = 3.305, 95% CI (2.306, 8.363)], and good interaction with family [AOR = 2.45, 95% CI (1.002, 5.32)] were positively associated with perceived family support. Whereas, patients who are poorly knowledgeable about hypertension [AOR = 0.3, 95% CI (0.001, 0.542)] were negatively associated with perceived family support.
Two hundred ninety two people with hypertension reported perceived strong family support. Having a family history of hypertension, involvement of families during patient education on hypertension, and patients' interaction with family were positively statistically associated with perceived family support and patients who are poorly knowledgeable about hypertension were negatively associated with perceived family support. Hospitals, along with other stakeholders, should strengthen family support by involving families in health education in line with hypertension patients' lifestyles.
尽管先前的研究报道了家庭在治疗高血压患者方面的优势,但有证据表明高血压患者的家庭支持情况较差。据研究人员所知,埃塞俄比亚尚未有研究调查高血压患者的感知家庭支持状况及相关因素。因此,本研究评估了埃塞俄比亚西部内克梅特市公立医院高血压患者的感知家庭支持状况及相关因素。
2023年6月至8月,在埃塞俄比亚西部内克梅特市的公立医院对422名选定的成年高血压患者进行了一项基于医院的横断面研究。采用系统随机抽样技术选择符合条件的参与者。进行了二元和多变量逻辑回归分析,二元分析中p值<0.25的变量被纳入多变量分析,以确定在p值<0.05时与感知家庭支持相关的因素。
292名(70.4%),95%置信区间(65.7%,74.7%)的高血压患者报告感知到强烈的家庭支持。有高血压家族史[AOR = 3.6,95%置信区间(1.266,10.34)]、家庭参与高血压患者教育[AOR = 3.305,95%置信区间(2.306,8.363)]以及与家人良好互动[AOR = 2.45,95%置信区间(1.002,5.32)]与感知家庭支持呈正相关。而对高血压知识了解不足的患者[AOR = 0.3,95%置信区间(0.001,0.542)]与感知家庭支持呈负相关。
292名高血压患者报告感知到强烈的家庭支持。有高血压家族史、家庭参与高血压患者教育以及患者与家人的互动在统计学上与感知家庭支持呈正相关,而对高血压知识了解不足的患者与感知家庭支持呈负相关。医院应与其他利益相关者一道,根据高血压患者的生活方式让家庭参与健康教育,加强家庭支持。