Bachelor of Science

URI for this collectionhttps://rps.wku.edu.et/handle/987654321/112

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    SELF-MANAGEMENT ADHERENCE AND ASSOCIATED FACTORS AMONG HYPERTENSIVE PATIENTS WHO ARE ON FOLLOW UP AT WOLKITE UNIVERSTY SPECIALIZED AND TEACHING HOSPITAL, GURAGHE ZONE, SNNPR, ETHIOPIA, 2023
    (WOLKITE UNIVERSITY, 2023-08) DERBIE BELAYHUN; FEKREDIN NUR; RAMATO ABDELA
    Background: hypertension is the "silent killer" because it typically exhibits no warning indications or symptoms. Hypertension is a serious warning sign that significant self-management are required to avoid and handle complications. Self-management is the capacity of individuals, families, and groups to participate actively in health promotion and defense, illness prevention, and disability management, either with or without the assistance of a healthcare professional. Objectives: To assess the level of self-management adherence and associated factors among hypertensive patient who are on follow up at Wolkite University specialized and teaching hospital, Gurage Zone, SNNPR, Ethiopia, 2023.Method: The conducted study design was hospital-based cross-sectional study. Systematic random sampling technique was use to select the study samples. Data collected by principal investigators using a structured questionnaire. Data cleaned and entered to SPSS 25 versions. Descriptive statistics used to describe the sample. Associations between independent and dependent variables were analyzed first using bivariate binary logistic regression analysis. Those independent variables which have p-value <0.25 was considered for multivariate analysis to test for independent association. Adjusted odds ratio and 95% confidence interval and P-value of<0.05 were considered as statistically significant. The results of the study expressed as percentages and frequencies and prepared by using tables and graphs. Results: The level of good self-management practice among hypertensive patients was 34.7% (95%CI: 26.2-40.3%). Respondents with educational level of college/university and above were about 11.863 times (AOR= 11.863, 95% CI: 2.547, 55.259, P=0.002) more likely to engage in good hypertension self-management practices as compared to those respondents that did not able to read and write. Participants who had good self-efficacy were about 3.176 more likely to engage in good hypertension self-management practices as compared to those respondents who had poor self-efficacy (AOR=4.173, 95% CI: 1.210, 8.338, p=0.019).Conclusions: This study reported a lower level of self-management practice by hypertensive patients; only 34.7% of the respondents had good hypertension self-management practices. Educational level and self-efficacy were factors identified having had statistically significant association with the self management practice
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    DRUG ADHERENCE AND ASSOCIATED FACTORS AMONG PATIENTS ON ART AT GURAGE ZONE HOSPITALS, SNNPR, ETHIOPIA
    (WOLKITE UNIVERSITY, 2021-06) MASRESHA BIHONEGN,; ALEHEGN GETANRH,; JENBER NEGA,
    Background: Antiretroviral therapy has an impressive clinical effect on the human immunodeficiency virus. Since the introduction of Antiretroviral Treatments, morbidities and mortalities due to HIV/AIDS have been significantly reduced. Adherence is the most important factor in determining Antiretroviral Therapy (ART) treatment success and long term viral suppression. Objectives: The aim of this study is to assess the adherence rate of patients on antiretroviral drugs and associated factors among HIV positive patients at Gurage zone hospitals, SNNPR, Ethiopia, 2021. Methods: An institutional based cross-sectional study was conducted from July 1-July 30, 2021 in Gurage zone hospitals, SNNPR of Ethiopia. A total of 342 study participants were participated in the study and systematic random sampling technique was used to select 342 study participants from each hospital. The data collected by using structured questionnaires through face to face interview and observation of patient card were edited, coded and entered into SPSS version 20 for analysis. In binary logistic regression variables with P-value <0.25 were considered to measure the association between dependent and each independent variable. In multivariable logistic regression variables with P-value ≤ 0.05 were considered statistically significant between independent variables and the outcome variable (medication adherence). Adjusted odds ratio (AOR) with a 95% confidence interval was used to determine the strength and direction of the association. Results: A total of 342 participants were included in the study with the response rate of 100%. The mean age of participants was 34.88 (SD ± 9.517) years with a maximum age of 67 and a minimum age of 19. The overall rate of adherence to ART was 78.4%. Having ARV drug side effect (AOR=0.328; 95% CI: 0.130, 0.830), having educational level of primary school (AOR=0.241; 95% CI: 0.072, 0.809), poor knowledge about HIV and its treatment (AOR=0.104; 95% CI: 0.028, 0.391), and HIV staging III (AOR=0.155; 95% CI: 0.029, 0.812) were negatively associated with good adherence. Whereas, average monthly income (AOR=6.195; 95% CI: 1.486, 25.822), one tablet taken in a day (AOR=26.959; 95% CI: 5.167, 140.660), and having no perceived social stigma (AOR=7.269; 95% CI: 2.290, 23.074) were positively associated with good ART drug adherence. Conclusion and recommendation: In this study, the rate of adherence to antiretroviral therapy was low when compared to WHO standard. It is important to provide information to patients on their treatment plan to ensure patients keep their regular follow up, to improve patient’s trust with clinician