Dataset Information

Shared decision making among hypertensive clients in public hospitals of West Shoa, central Ethiopia, 2020: Institution based cross sectional study.

ABSTRACT:

Background

Patient involvement in health care empowers patients to choose treatment and improves the quality of care and treatment outcomes. Despite its purpose, shared decision-making in clinical encounters was not given attention. So, this study aims to assess the level of shared decision-making among hypertensive patients.

Objective

To study the level of shared decision-making among hypertensive patients.

Method

The institution-based cross-sectional study method was used to collect data in three randomly selected public hospitals in the West Shoa Zone. A simple random sampling method was used for the selection of study participants. A pretested and structured shared decision-making questionnaire was used to measure patient engagement in decision-making. A descriptive analysis was done to determine the individual patient's level of involvement in shared decision-making. A 95% confidence interval (95% CI) was used to determine the level of shared decision-making.

Results

A total of 406 patients with hypertension participated in the study, yielding a response rate of 96.2%. Totally, 45.3% [CI (43.28-46.75)] of the participants have actively participated in shared decision-making. On the other hand, 53.6% [CI (49.42-56.7)] of participants reported they have been understood by their caregivers, and 52.9% [CI (46.2-58.9)] of the participants reported their caregiver helped them understand all the treatment options. On the other hand, only 121 patients, i.e., 34.7% [CI [28.86-37.8]] of the participants, have jointly chosen one type of treatment with their care provider.

Conclusion

The level of involvement in shared decision-making among hypertensive patients is low in the study area compared to the expected standard of shared decision-making. So enhanced patient involvement in health care decisions is important.

SUBMITTER: Emana D

PROVIDER: S-EPMC10279814 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Shared decision making among hypertensive clients in public hospitals of West Shoa, central Ethiopia, 2020: Institution based cross sectional study.

Emana Desalegn D Kitaba Mulu M Regea Firaol F Lekasa Shalama S

Heliyon 20230601 6

<h4>Background</h4>Patient involvement in health care empowers patients to choose treatment and improves the quality of care and treatment outcomes. Despite its purpose, shared decision-making in clinical encounters was not given attention. So, this study aims to assess the level of shared decision-making among hypertensive patients.<h4>Objective</h4>To study the level of shared decision-making among hypertensive patients.<h4>Method</h4>The institution-based cross-sectional study method was used ...[more]

PMID: 37346352

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Project description:BackgroundDespite the importance of patient engagement in health care decision-making in the care of patients with chronic diseases, there is limited information about it and the factors affecting it in Ethiopia and in the Public Hospitals of West Shoa in particular. Thus, this study was designed to assess the engagement of patients with selected chronic non-communicable diseases in health care decision-making and associated factors in public hospitals of West Shoa Zone, Oromia, Ethiopia.MethodsWe used an institution -based cross-sectional study design. We used systematic sampling for the selection of study participants from June 7-July 26, 2020. Standardized, pretested, and structured Patient Activation Measure was used to measure patient engagement in healthcare decision-making. We did descriptive analysis to determine the magnitude of patient engagement in health care decision-making. Multivariate logistic regression analysis was used to determine factors associated with patients' engagement in the health care decision-making process. Adjusted odds ratio with a 95% confidence interval was calculated to measure the strength of association. We declared statistical significance at p<0.05. we presented the results in tables and graphs.Results406 patients with chronic diseases took part in the study, yielding a response rate of 96.2%. Less than a fifth [19.5% (95% CI: 15.5, 23.6)] of participants in the study area had a high engagement in their health care decision-making. Educational level (college or above) [AOR = 5.2, 95% CI (1.76-15.46)], duration of diagnosis >5 years [AOR = 1.8, 95% CI (1.03-3.2)], health literacy [AOR = 1.15, 95% CI (1.06-1.24)], autonomy preference in decision making [AOR = 1.35, 95% CI (1.03-1.96)] were factors significantly associated with participants' engagement in health care decision making among patients with chronic diseases.ConclusionA high number of respondents had a low engagement in their health care decision-making. Preference for autonomy in decision making, educational level, health literacy, duration of diagnosis with the disease were factors associated with patient engagement in health care decision making among patients with chronic diseases in the study area. Thus, patients should be empowered to be involved in decision making to increase their engagement in the care.

Project description:Birth asphyxia is one of the leading causes of death in low and middle-income countries and the prominent cause of neonatal mortality in Ethiopia. Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. A hospital-based unmatched case-control study was conducted from May to July 2020. Cases were newborns with APGAR (appearance, pulse, grimaces, activity, and respiration) score of <7 at first and fifth minute of birth and controls were newborns with APGAR score of ≥ 7 at first and fifth minute of birth. All newborns with birth asphyxia during the study period were included in the study while; two comparable controls were selected consecutively after each birth asphyxia case. A pre-tested and structured questionnaire was used to collect maternal socio-demographic and antepartum characteristics. The pre-tested checklist was used to retrieve intrapartum and fetal related factors from both cases and controls. The collected data were entered using Epi-Info and analyzed by SPSS. Bi-variable logistic regression analysis was done to identify the association between each independent variable with the outcome variable. Adjusted odds ratio (AOR) with a 95% CI and a p-value of <0.05 was used to identify determinants of birth asphyxia. In this study, prolonged labor (AOR = 4.15, 95% CI: 1.55, 11.06), breech presentation (AOR = 5.13, 95% CI: 1.99, 13.21), caesarean section delivery (AOR = 3.67, 95% CI: 1.31, 10.23), vaginal assisted delivery (AOR = 5.69, 95% CI: 2.17, 14.91), not use partograph (AOR = 3.36, 95% CI: 1.45, 7.84), and low birth weight (AOR = 3.74, 95% CI:1.49, 9.38) had higher odds of birth asphyxia. Prolonged labor, breech presentation, caesarean and vaginal assisted delivery, fails to use partograph and low birth weights were the determinants of birth asphyxia. Thus, health care providers should follow the progress of labor with partograph to early identify prolonged labor, breech presentation and determine the mode of delivery that would lower the burden of birth asphyxia.

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Dataset Information

Shared decision making among hypertensive clients in public hospitals of West Shoa, central Ethiopia, 2020: Institution based cross sectional study.

Background

Objective

Method

Results

Conclusion

Publications

Shared decision making among hypertensive clients in public hospitals of West Shoa, central Ethiopia, 2020: Institution based cross sectional study.

Similar Datasets

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