Blood Pressure Home Monitoring in Hypertensive Patients Attending a Tertiary Health Facility in Amman, Jordan: Effect on Disease Control and Adherence Rate

Zalloum, NA; Farha, RA; Khdair, Ayman; Basheti, Iman A.

doi:10.4314/tjpr.v14i3.24

Cited by 4 publications

(14 citation statements)

References 25 publications

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“…This finding was also lower than results reported from a study done in Karachi (southern Asia), northeastern Singapore (Asia), northern Carolina, and China where the prevalence of BP Self-Monitoring among hypertensive patients was 25%, 24%, 43.1% and 24.5% respectively [12,26,28,29]. The variation might be due to differences in study setting where the study was conducted at the tertiary hospital for the study of Karachi, Southern Asia and differences in sample size (700) for the study done at Northern Carolina.…”

Section: Discussioncontrasting

confidence: 73%

“…Adviceon type of devices used for BP self-monitoring was an important significant factor for BP self-monitoring.Respondents who were advisedonthe type of devices used for BP selfmonitoring were five times more likely to have BP self-monitoring practice as compared to those who were not advised. This finding was supported by a study done inUnited States, Northern Carolina, and Arsi Zone (Ethiopia) [12,19,21]. The reason might be since having awareness about BP self-monitoring devices can increase the demand of blood pressure self-monitoring which finally improves BP self-monitoring practice.…”

Section: Discussionmentioning

confidence: 57%

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Blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up at South Wollo Zone Public Hospitals, Northeast Ethiopia

Edmealem

Geleta²,

Mengesha

et al. 2023

Preprint

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Background: Hypertension is a silent killer that causes serious health issues in all parts of the world.It is risk factor for cardiovascular disease, stroke, and kidney disease. Self-monitoring practice has been identified as an important component of hypertension management. Hence, this study aimed to assess blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up in South Wollo Zone public hospitals, Northeast Ethiopia. Methods: Hospital based cross-sectional study was conducted from June 1 to June 30, 2022, among 336 adult hypertensive patients on follow-up at selected South Wollo Zone public hospitals.Data were collected by using self-administered pre-tested structured questionnaires; the collecteddata were entered into Epi-data version 4.6 and then exported to SPSS version 25 software for analysis. Descriptive statistics such as frequency and percentage were used to describe the study participants. Tables and texts were used for data presentation. Binary logistic regression was conductedto test the association between the independent and dependent variables. Adjusted Odds Ratio with 95% CI was estimated to identify the factors associated with BP self-monitoring and thelevel of significance wasdeclared at P-value <0.05. Results: The proportion (95% CI) of Blood Pressure Self-Monitoring Practice among hypertensive patients in South Wollo Zone Public Hospitals was 8.93% [95%CI; 6.3, 12.5]. In the multivariable analysis, urban residence [AOR=3.97, 95%CI (1.11, 14.20)], comorbidity [AOR=4.80, 95%CI (1.23, 18.69)], regular healthcare professional visit [AOR=4.64, 95%CI (1.02, 21.14)], advice on the type of devices used for BP self-monitoring [AOR=5.26, 95%CI (1.49, 18.58)], and knowledge on hypertension self-care [AOR=13.13, 95%CI (4.21, 40.99)] were positively associated with BP self-monitoring practice. Conclusion: In the study, the proportion of Blood Pressure Self-Monitoring Practice was low.Living in urban areas, comorbidity, regular healthcare professional visits, advice on the type of devices used for Blood Pressure self-monitoring, and knowledge of hypertension self-care were positively associated with Blood Pressure Self-Monitoring Practice.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 57%

Blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up at South Wollo Zone Public Hospitals, Northeast Ethiopia

Edmealem

Geleta²,

Mengesha

et al. 2023

Preprint

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“…18 Patients who have practiced self-monitoring of BP showed high adherence rates to antihypertensive medications and approval of enhanced lifestyle. 19 Moreover, it offers wide BP information gained under fixed timeframes and circumstances over a long period, has a stronger predictive value in terms of cardiovascular risk when compared with clinic BP measurements and it is easy to integrate into regular dayto-day habits. 12 Hypertension remains a massive public health and economic burden globally, regardless of recent improvements in the trend of BP control.…”

Section: Introductionmentioning

confidence: 99%

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

Wake¹,

Mengistu²,

Tuji³

2020

IBPC

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Background: Self-monitoring of blood pressure (BP) among hypertensive patients is an important aspect of the management and prevention of complication related to hypertension. However, self-monitoring of BP among hypertensive patients on scheduled follow-up in hospitals in Ethiopia is unknown. The aim of the study was to assess knowledge and attitude of self-monitoring of BP among adult hypertensive patients. Methods: A cross-sectional survey was conducted on 400 adult hypertensive patients attending follow-up clinics at four public hospitals of Arsi Zone, Oromia Regional State, Ethiopia. The data were collected from patients from March 10, 2019 to April 8, 2019 by face-to-face interview using a pretested questionnaire and augmented by a retrospective patients' medical records review. The data were analyzed using the SPSS version 21.0 software. Results: A total of 400 patients were enrolled into the study with the response rate of 97.6%. The median age of the participants was 49 years (range 23-90 years). More than half (225 [56.3%]) were male. The majority (160 [40%]) were married and more than two-thirds (282 [70.5%]) were Oromo by ethnic background. About 206 (51.5%) had attended primary education. The proportion of patient's knowledge toward self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients was 31.5% (n=126 [95% CI; 26.5, 36.5]) and 7.75% (n=31 [95% CI; 5.3, 10.5]) respectively. The multivariable logistic regression analysis revealed; higher education (AOR=2.73, 95% CI [1.33, 13.88)], governmental employed (AOR=1.52, 95% CI [1.06, 6.48]), having an income of >3500 Ethiopian Birr (AOR=2.16, 95% CI [1.56, 7.39]), duration of hypertension >6 years (AOR=1.87, 95% CI [1.21, 6.37]), having health insurance (AOR=3.56, 95% CI [1.39, 10.53]), having co-morbidities (AOR=3.93, 95% CI [1.35, 10.32]), receiving a health professional recommendation toward self-monitoring of BP (AOR=6.08, 95% CI [2.45, 15.06]), and having an awareness of hypertension-related complication (AOR=3.94, 95% CI [1.34, 11.44]) were factors significantly associated with self-monitoring of BP. Conclusion: In this study, the proportion of knowledge of self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients on follow-up were low. Educational programs on self-monitoring of BP including teaching through demonstration may be needed to be in place.

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“…However, two studies that used pill counting reported that only 53.8% (95% CI: [49.3%, 58.2%]) of the prescribed medications were taken (Alhalaiqa et al, 2012; Khalil & Elzubier, 1997). One study reported results by asking participants about their behavior toward medication, which reported that 10.6% of patients stated that they stop their medications occasionally (Zalloum et al, 2015). A mean medication adherence score of 73.45% was reported in another study that measured medication adherence by asking the patients about the frequency, percentage, and use of the medication during the last month (Haddad et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

Medication Adherence Rate in Arab Patients With Cardiovascular Disease: A Systematic Review

et al. 2022

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Background: Cardiovascular disease (CVD) is one of the most common chronic illnesses in the Eastern Mediterranean. There have been few studies on medication adherence in Arab patients with CVD. Aim: To investigate the rates and the reasons for medication adherence in Arab patients with CVD. Methodology: The Joanna Briggs Institute methodology for prevalence systematic reviews was used. MEDLINE, EMCARE, CINAHL, Scopus, Science Direct, PsychINFO, and the Cochrane Central Register of Controlled Trials were searched. Results: Thirteen quantitative studies on medication adherence in Arab adult CVD patients were included. Pooled data from nine studies demonstrated that 53.2% (95% confidence interval = [51.2%, 55.1%]) of patients were adherent to their medications. Reasons for nonadherence to medication include personal factors, understanding, and complexity of treatment regimes, medication knowledge and structural barriers. Conclusion: Medication adherence appears to have a social gradient, and families should be actively involved in future strategies to increase medication adherence.

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Blood Pressure Home Monitoring in Hypertensive Patients Attending a Tertiary Health Facility in Amman, Jordan: Effect on Disease Control and Adherence Rate

Cited by 4 publications

References 25 publications

Blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up at South Wollo Zone Public Hospitals, Northeast Ethiopia

Blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up at South Wollo Zone Public Hospitals, Northeast Ethiopia

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

Medication Adherence Rate in Arab Patients With Cardiovascular Disease: A Systematic Review

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