Hypertension Recommended Self-care Knowledge, Attitude, Practice and Its Predictors among Hypertensive Patients in Ethiopia: A Cross Sectional Study

Abstract

Abstract Introduction: Globally, hypertension is a significant public health challenge. Elevated BP is responsible for 7.6 million deaths per annum globally, which is greater than any other risk factors. The aim of the study was to assess the hypertension recommended self-care knowledge, attitude, practice and its predictors among hypertensive patients on follow-up clinic. Methods A cross-sectional survey was done on 120 hypertensive patients who were on follow-up clinic at Asella Referral and Teaching Hospital. The data were collected from patients from 23/12/2020 to 16/01/2021 by face-to-face interview and medical records review. Data were entered into Epi Data version 4.2.0.0 and exported to SPSS version 23.0 for statistical analysis. Results The level of good knowledge, favorable attitude, and good practice towards recommended Self-care was 60.0%, 52.5%, and 50.8%, respectively. The multivariable logistic regression analysis showed that; formal education [AOR = 3.615, 95%CI (1.262, 10.352), p = 0.017], and receiving information about Self-care from healthcare providers during follow-up [AOR = 3.307, 95%CI (1.226, 8.926), p = 0.018] were factors significantly associated with knowledge towards recommended Self-care. Having good knowledge towards Self-care [AOR = 13.449, 95%CI (4.794, 37.728), p = 0.000] was significantly associated with attitude towards recommended Self-care. Receiving information about Self-care from healthcare providers during follow-up was 3.887 times [AOR = 3.887, 95%CI (1.232,12.261), p = 0.021], having good Knowledge towards Self-care [AOR = 3.195, 95%CI (1.161,8.794), p = 0.025], having a favorable attitude towards Self-care [AOR = 3.093, 95%CI (1.198,7.990), p = 0.020] were factors significantly associated with practice towards recommended Self-care. Conclusion The level of good knowledge, favorable attitude, and good practice towards recommended Self-care among hypertensive patients on follow-up was unsatisfactory. Health education programs about hypertension self-care are needed to take place to improve their knowledge, attitude, and practice of the patients.