Browsing by Author "TEKETEL NEGASH"
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Item Uncontrolled hypertension And Associated Factors Among Adult Hypertensive Patients Attending on Follow up At Public Health Facilities Hawassa City Administration Hawassa, Sidama Region Ethiopia,(hawassa universty, 2024-05) TEKETEL NEGASHBackground: Uncontrolled hypertension refers to systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg, even when patients are on anti-hypertension medication. Repeatedly unrecognized risk factor that contributes to putting many people into various complex health problems. It can lead to kidney, heart disease, brain, and other diseases, and sudden death. Objective: To assess the magnitude of uncontrolled hypertension and associated factors among adult hypertensive patients attending in follow-up at public health facilities in Hawassa city administration Methods: A cross-sectional study was carried out, from March to April 2024 including 411 hypertensive patients older than 18 years. The study was carried out at public health facilities at Adare General Hospital, Motiti Fura Primary Hospital Millennium Health Centre, Alamura Health Centre in the chronic follow up unit in the Hawassa city administration. Data were collected through patient interviews and patients’ medication record reviews. Descriptive statistics, bivariable and multivariable logistic regression were used to assess the association between independent and dependent variables. The output of the analysis is presented using adjusted odds ratio with 95% confidence interval. Result: Out of the 422 hypertension patients who were selected, the study's direct participants, 411 of whom had a 2.6% refusal rate (n = 11), The prevalence of uncontrolled hypertension was 55.7% (n = 229) 95%CI= CI = 50.8–60.6) in the study were in the age group of <60 years57.9% (n=238) After adjusting for other determinants, age, ≥60 years (AOR=3.287 95% CI: 2.043-5.288). diet-nonadherence (AOR=2.95, 95% CI: 1.592 5.475) physical activity (AOR=1.803 95% CI: 1.079-3.014).and co-morbidity (AOR = 2.737, 95% CI: 1.612-4.647) are found to be statistically significant predictors of uncontrolled hypertension Conclusions and recommendation: There were, Age, diet non adherence, nonphysical exercise adherence and co-morbidity, which are independently predicted. Advise patients to follow suggestions for lifestyle adjustments to improve hypertension self-management.
