Hypertensive patients compliance for clinician counseling in dessie city, Ethiopia

Zinabu Fentaw; Kidist Adamu

doi:10.1016/j.heliyon.2022.e11645

Hypertensive patients compliance for clinician counseling in dessie city, Ethiopia

Heliyon. 2022 Nov 15;8(11):e11645. doi: 10.1016/j.heliyon.2022.e11645. eCollection 2022 Nov.

Authors

Zinabu Fentaw¹, Kidist Adamu²

Affiliations

¹ Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
² Department of Health Service Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Abstract

Introduction: Clinicians counsel patients on medication adherence and behavioral risk factors to achieve optimal blood pressure levels and reduce the risk of hypertension-related complications. There has been little research on the risk of health-related quality of life and perceived social support in hypertensive patients' compliance with clinician counseling. As a result, the purpose of this study is to assess hypertensive patients' compliance to clinician counseling.

Methods: A cross-sectional study was conducted of 384 hypertensive patients during their clinical visit using simple random sampling. An interview-administered questionnaire was employed as a means of data collection tools. The poor compliance status of hypertensive patients was computed from poor medication adherence, sedentary lifestyle, smoking, drinking alcohol, 'Khat' chewing, and high salt intake. The adjusted odds ratio with a 95% confidence interval was used to calculate the strength of the association between poor compliance with clinicians' counseling and independent predictors using logistic regression analysis. In multivariable logistic regression analysis, a P-value of less than 0.05 was judged statistically significant.

Findings: A total of 368 study participants were included in this study. The prevalence of poor compliance towards clinicians counseling in hypertensive patients with a 95% CI was 83.2% [78.93-86.83]. In a multivariable analysis adjusted odds ratio with 95% CI being self-employed 2.68 (1.19-6.03), the psychological domain of health-related quality of life 0.89 (0.83-0.96) and low social support 3.85 (1.34-10.64) were the predictors of poor compliance towards clinician counseling.

Conclusion: Most hypertensive patients on antihypertensive treatment had poor compliance towards clinician counseling. Self-employed, psychological domains, and social support are the factors that affect poor compliance towards clinician counseling.

Keywords: Compliance; Counseling; Ethiopia; Healthy behaviors; Hypertension.