Key result
Formal education and good knowledge of hypertension were associated with self-care practice, which had an overall pooled prevalence of 41.55% in Ethiopia.
Why the study?
Hypertension is a leading cause of morbidity and mortality in Ethiopia, but no national-level study had assessed hypertensive self-care practice and associated factors.
Systematic Review (n=5,248)
Yes
More than half of hypertensive patients in Ethiopia have poor self-care practices, highlighting the need for targeted educational interventions to improve hypertension management.
Answers are grounded in this paper and cite their sources.
May warrant education programs to raise self-care in Ethiopia; extends observational associations but leaves causal benefit unproven.
Background . Hypertension is one of the leading causes of morbidity and mortality in developing countries including Ethiopia. Self‐care practice has been provided as one of the most important preventive mechanisms of hypertension and is considered as a basic treatment for hypertension. There is no national‐level study that assesses hypertensive self‐care practice in Ethiopia. Therefore, this study aimed to assess the pooled level of hypertensive self‐care practices and associated factors in Ethiopia. Methods . This study was carried out using published and unpublished articles accessed from databases: PubMed/MEDLINE, HENARI, Google Scholar, Web of Science, Scopus, African Journals, and university repositories. Data were extracted using a standard data extraction format. Data analysis was carried out using STATA version 11. Heterogeneity across the included studies was assessed using Cochrane’s Q statistics and I 2 test with its corresponding p values. Publication bias was determined using Egger’s test and presented with a funnel plot. The pooled level of hypertensive self‐care practice was estimated using a random‐effects meta‐analysis model. Results . This systematic review included 17 cross‐sectional studies with 5,248 study participants. The overall pooled level of self‐care practice among hypertensive patients in Ethiopia was 41.55% (95% CI 33.06, 50.05). Participant formal education (AOR = 2.82; 95% CI 2.18, 3.64) and good knowledge of hypertension (AOR = 4.04; 95% CI 2.19, 7.44) were significantly associated with self‐care practice among hypertensive patients in Ethiopia. Conclusion . In this study, more than half of hypertensive patients had poor hypertensive self‐care practice in Ethiopia. Participant’s formal education and good knowledge of hypertension were significantly associated with self‐care practice among people living with hypertension in Ethiopia. Therefore, based on the evidence of this study, we recommended that programmers and policymakers should enhance the awareness of hypertensive patients on self‐care practice domains and strengthen local programs working on noncommunicable diseases.
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Wondmieneh et al. (2021) conducted a systematic review in Hypertension (n=5,248). Formal education and good knowledge of hypertension vs. Lack of formal education and poor knowledge was evaluated on Pooled level of hypertensive self-care practice (95% CI 33.06-50.05). Formal education and good knowledge of hypertension were associated with self-care practice, which had an overall pooled prevalence of 41.55% in Ethiopia.
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