{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:40:32Z","timestamp":1790246432769,"version":"4.1.0"},"reference-count":29,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2023,2,13]]},"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Hypertension is a silent killer that causes serious health issues in all parts of the world. It is risk factor for cardiovascular disease, stroke and kidney disease. Self-monitoring practice has been identified as an important component of hypertension management. Hence, this study aimed to assess blood pressure (BP) self-monitoring practice and associated factors among adult hypertensive patients on follow-up in South Wollo Zone public hospitals, Northeast Ethiopia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Hospital-based cross-sectional study was conducted from 1 June 2022 to 30 June 2022, among 336 adult hypertensive patients on follow-up at selected South Wollo Zone public hospitals. Data were collected by using self-administered pretested structured questionnaires; the collected data were entered into Epi-data V.4.6 and then exported to SPSS V.25 software for analysis. Descriptive statistics such as frequency and percentage were used to describe the study participants. Tables and texts were used for data presentation. Binary logistic regression was conducted to test the association between the independent and dependent variables. Adjusted OR (AOR) with 95%\u2009CI was estimated to identify the factors associated with BP self-monitoring and the level of significance was declared at p&lt;0.05.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The proportion (95%\u2009CI) of BP self-monitoring practice among hypertensive patients in South Wollo Zone Public Hospitals was 8.93% (95% CI 6.3% to 12.5%). In the multivariable analysis, urban residence (AOR 3.97, 95%\u2009CI (1.11 to 14.20)), comorbidity (AOR 4.80, 95%\u2009CI (1.23 to 18.69)), regular healthcare professional visit (AOR 4.64, 95%\u2009CI (1.02 to 21.14)), advice on the type of devices used for BP self-monitoring (AOR 5.26, 95%\u2009CI (1.49 to 18.58)) and knowledge on hypertension self-care (AOR 13.13, 95%\u2009CI (4.21 to 40.99)) were positively associated with BP self-monitoring practice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The proportion of BP self-monitoring practice was low. Living in urban areas, comorbidity, regular healthcare professional visits, advice on the type of devices used for BP self-monitoring, and knowledge of hypertension self-care were positively associated with BP self-monitoring practice.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2023-002274","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T11:31:10Z","timestamp":1679571070000},"page":"e002274","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Blood pressure self-monitoring practice and associated factors among adult hypertensive patients on follow-up at South Wollo Zone Public Hospitals, Northeast Ethiopia"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1001-7466","authenticated-orcid":false,"given":"Afework","family":"Edmealem","sequence":"first","affiliation":[{"name":"Department of Nursing, Debre Markos University, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esmael","family":"Geleta","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tropical College of Medicine, Dessie, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zemen","family":"Mengesha","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wollo University, Dessie, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belachew","family":"Tegegne","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wollo University, Dessie, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sewunet","family":"Ademe","sequence":"additional","affiliation":[{"name":"Department of Nursing, Injibara University, Injibara, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiliksew","family":"Liknaw","sequence":"additional","affiliation":[{"name":"Department of Nursing, Debre Markos University, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,3,23]]},"reference":[{"key":"2025081709360050000_10.1.e002274.1","unstructured":"Mulatu G , Mengistu D , Ataro BA . Compliance with guideline of hypertension management among health practitioners in illubabor and buno bedelle zones. South West Ethiopia, 2020."},{"key":"2025081709360050000_10.1.e002274.2","unstructured":"Smeltzer SCC , Bare BG . Suddarth\u2019s textbook of medical-surgical nursing. JB Lippincott Philadelphia, 1992."},{"key":"2025081709360050000_10.1.e002274.3","unstructured":"Monitoring, C.S.-M.B.P . Actions steps for public health practitioners. Atlanta, Georgia: CDC, 2013."},{"key":"2025081709360050000_10.1.e002274.4","unstructured":"Zieme CLD . Barriers to self-monitoring; A study among hypertensive patients in accra metroplis. University of Ghana, 2015."},{"key":"2025081709360050000_10.1.e002274.5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-3-12-1177"},{"key":"2025081709360050000_10.1.e002274.6","unstructured":"Qi L , Qiu Y , Zhang W . Home blood pressure monitoring is a useful measurement for patients with hypertension: a long-term follow-up study. 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Self-care practices and associated factors among adult hypertensive patients attending at debre berhan referral hospital in north shoa, amhara regional state. 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