Assessment of Self-Care Management Practice among Hypertensive Patients Attending Teaching Hospital in Ondo State, Nigeria
Publication Date: 29/03/2020
Author(s): Oluwakemi Elizabeth Adeola, Rasidi Akinade Salawu, Modupe Motunrayo Adamolekun, Folasade Rukayat Adewoyin, Ibironke Cecilia Ojo.
Volume/Issue: Volume 3 , Issue 2 (2020)
Abstract:
Hypertension is a chronic disease and global public health problem which accounts for large proportion of cardiovascular deaths and complications. This study assessed the level of self-integration practice, self-monitoring and describing medication adherence of patient with hypertension in two Teaching Hospitals in Ondo State Nigeria. The study adopted a descriptive cross-sectional research design. Convenient sampling technique was used to select sample size of 298 respondents out of the total population of 920 in two Teaching Hospitals Ondo State. The research tool was a structured questionnaire which consists of Demographic, Socio economic characteristic, self-integration, self-monitoring and medication adherence. Face and content validity were determined by given the questionnaire to the supervisor and expert in the field necessary correction were made. Reliability was also ascertained using split half method result was analysed and the Cronbach alpha coefficient ranges from 0.861-0.938. Data obtained was analyzed using statistical package of social sciences SPSS version 23. Frequency, means, standard deviation was used to provide answer to the research questions while inferential statistic of ANOVA was utilised to provide answers to the three hypotheses generated at 0.05 level of significance. The result showed that majority 71.5% of the respondent are female with the age range of 31-50 years. 9.7% of the respondent had high level of self-integration as self-care management practice, 3.4% of the respondent had high level of self-monitoring as self-care management practice, minority 11.4% of the respondent adhere to medication 14.1 % had high practice of lifestyle modification. Findings also showed that respondent’s level of education, income and duration of diagnosis of hypertension had no statistically significant difference with self-care management with the p value of (p=0.923, p= 0.505, p= 0.227) respectively. In conclusion, self-care management practices were low among the respondents, socio-economic characteristic of the respondents had no statistically significant difference with self-care management. It was also observed that respondents who were diagnosed earlier had higher self-care management. Therefore, it is recommended that target intervention should be done in order to improve hypertension self-care practices. Also, health education on integrating health care into daily life through daily activities should be intensified by health professionals at the clinic regularly.
