&lt;p&gt;Magnitude and Determinants of Uncontrolled Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Nekemte Referral Hospital, Western Ethiopia&lt;/p&gt;

Fekadu, Ginenus; Adamu, Abdi; Gebre, Mohammed; Gamachu, Busha; Bekele, Firomsa; Abadiga, Muktar; Mosisa, Getu; Oluma, Adugna

doi:10.2147/ibpc.s245068

Cited by 17 publications

(46 citation statements)

References 47 publications

(167 reference statements)

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“…The study conducted in Addis Ababa had some patients who smoke lower percentage of female patients than the present study. On the other hand, the result of the current study is lower than the findings of previous studies in Ethiopia [ 38 , 39 ]. The discrepancy of these findings may be justified by the difference in magnitude of co-morbidity, socio-demographic characteristics, and lifestyle practice of study participants.…”

Section: Discussioncontrasting

confidence: 99%

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Medication regimen complexity and its association with adherence and blood pressure control among hypertensive patients at selected hospitals of South Gondar Zone: A hospital based cross sectional study

et al. 2022

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Introduction Despite the availability of effective antihypertensive medications, blood pressure (BP) control is suboptimal. High medication regimen complexity index (MRCI) is known to reduce adherence and may be the reason for poor BP control. However, there is no data in the present study areas. Hence, the aim of this study was to assess MRCI and its association with adherence and BP control among hypertensive patients at selected hospitals of South Gondar Zone. Methods A hospital based cross sectional study was conducted from December 1, 2020 to February 30, 2021 at selected hospitals of South Gondar Zone. Medication regimen complexity and adherence was evaluated using 65-item validated tool called MRCI and eight items Morisky Medication Adherence, respectively. Multivariable logistic regression analysis was done to determine the association between predictive and outcome variables. Results About 3.3% of participants were classified as having high HTN specific MRCI whereas 34.75% of participants were classified as having high patient level MRCI. Among participants, 37.8% were adherent to their medications, and 52.2% of respondents were categorized as having controlled BP. Multivariate logistic regression showed being married, and having lower education level was more likely and less likely to be adherent, respectively. Being illiterate, and having low HTN MRCI were more likely to have controlled BP in adjusted analyses. On the contrary, being non-adherent, not having health insurance, and having lower monthly income were less likely to have controlled BP. Conclusion A considerable proportion of patients had high MRCI. Having low HTN MRCI was more likely to have controlled BP. Simplification of a complex medication regimen for patients with HTN should be sought by physicians and pharmacists to improve BP control.

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Section: Discussioncontrasting

confidence: 99%

“…Being non-adherent was found to be less likely to have controlled blood pressure compared to being adherent in the present study (AOR = 0.51, 95% CI: 0.324–0.79, P = 0.003). This finding is in line with the findings of other studies [ 24 , 38 , 39 ].…”

Section: Discussionsupporting

confidence: 94%

Medication regimen complexity and its association with adherence and blood pressure control among hypertensive patients at selected hospitals of South Gondar Zone: A hospital based cross sectional study

et al. 2022

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“…According to the current HTN management guidelines (51), clinic visits every 2-4 months should be conducted for patients who have achieved the target BP control. However, only 14.1% of our study participants had every three months follow-ups visits, while nearly three-quarters (72.1%) of them, and in other studies, the majority of hypertensives (52,53) had the visit follow-up clinic scheduled monthly and/or bimonthly for HTN that may suggest patients were being monitored more closely to achieve BP control that required medication adjustment (based on patients' adherence and possible drug side effects) and evaluation of target organ disease and the co-existence of comorbid conditions. Hypertensives-HCP visits should go beyond BP monitoring and medication refills.…”

Section: Discussioncontrasting

confidence: 57%

Low Cardiovascular Risk Reduction Behaviors Among Hypertensives Attending Follow-Up Care at a Tertiary-Level Hospital in Addis Ababa, Ethiopia

Mengistu

Gary

Goshu

et al. 2022

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Introduction: Cardiovascular disease (CVD) outcomes in hypertensives are substantially influenced by risk-reduction behaviors. Even though hypertensives in Ethiopia have a high prevalence of behavioral risks for negative CVD outcomes, little is known about risk-reduction behaviors in this population. Therefore, this study aimed to investigate the CVD risk reduction behaviors among adult hypertensives in Addis Ababa, Ethiopia. Method: A cross-sectional design was used. A sample of 384 hypertensives was selected using a systematic random sampling technique from the hypertension clinic registry. Epi data version 3.10 was used to clean the data, and SPSS version 25.0 was used for analysis. Descriptive statistic was used to determine participants’ CVD risk reduction behavioral status. Bivariate chi-square test and ordinal logistic regression analyses were run to identify variables associated with participants' ranked CVD risk reduction behavioral status at the p-value < .05 cutoff for statistical significance. Results: The mean (± standard deviation) age of participants was 53.61 (± 12.34) years, (range, 30-82 years), and 51.2% were males. The majority (56.5%) of them were at low CV risk reduction practices. Only 45.1% were at target BP control. The absence of comorbidities (p < .001), clinic visits every 3 months for hypertension (p = .041), normal body mass index (p = .008), hypertension duration of 5–9 years (p = .034), and young age adults (p = .041) were the characteristics significantly associated with the high CVD risk reduction practice. Conclusion: Hypertensives' adoption of CVD risk reduction behaviors was low, with a variety of unmanaged risk factors and a few cardioprotective behaviors. Healthcare providers may improve patients’ CV risk-reduction behavior through teaching lifestyle changes and more frequent clinic visits.

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“…Alcohol consumers: male who drink more than two units of alcohol/day and female patients who drink more than one unit of alcohol/day were considered as alcohol consumers. 18 …”

Section: Methodsmentioning

confidence: 99%

Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study

et al. 2022

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Objective: This study aimed to assess uncontrolled blood pressure and contributing factors among patients with hypertension. Methods: Hospital-based cross-sectional study was conducted from January to April 2021 at Bedele General Hospital. Data were collected using the semi-structured questionnaire. All patients with hypertension were included using consecutive sampling technique unless ineligible. EpiData 4.4.2 was used for data entry, and SPSS 24.0 was employed for analysis. Binary logistic regression analysis was performed to identify factors associated with uncontrolled blood pressure. Results: A total of 219 patients with hypertension were included in the study. About 60.3% of participants were male. The mean age of the study participants was 48.54 ± 12.93 years. The prevalence of uncontrolled blood pressure among the study participants was 56.2%. The factors significantly associated with uncontrolled blood pressure were age >60 years (adjusted prevalence ratio = 4.42; 95% confidence interval = (1.71, 11.46); p = 0.002) and the presence of comorbidity (adjusted prevalence ratio = 2.16; 95% confidence interval = (1.22, 3.82); p = 0.008). Conclusion: More than half of the study participants had uncontrolled blood pressure. Older age and comorbidity were the predictors of uncontrolled blood pressure. Attaining controlled blood pressure is important to avoid consequences of high blood pressure. So, healthcare provider should focus on achieving target blood pressure goal.

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<p>Magnitude and Determinants of Uncontrolled Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Nekemte Referral Hospital, Western Ethiopia</p>

Cited by 17 publications

References 47 publications

Medication regimen complexity and its association with adherence and blood pressure control among hypertensive patients at selected hospitals of South Gondar Zone: A hospital based cross sectional study

Medication regimen complexity and its association with adherence and blood pressure control among hypertensive patients at selected hospitals of South Gondar Zone: A hospital based cross sectional study

Low Cardiovascular Risk Reduction Behaviors Among Hypertensives Attending Follow-Up Care at a Tertiary-Level Hospital in Addis Ababa, Ethiopia

Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study

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