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

Abstract

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