article · International Journal of Nursing Studies Advances
Self-care practices are vital for managing high blood pressure. Four systematic reviews and meta-analysis in Ethiopia have shown inconsistent prevalence rates and varying quality scores for hypertensive self-care. This umbrella review aims to unify these findings into a comprehensive document for better comparison. It is the first of its kind in Ethiopia and seeks to support clinicians and policymakers in preventing hypertension-related complications. This umbrella review incorporated four systematic reviews and meta-analyses identified through a literature search across PubMed, ScienceDirect, Web of Science, the Cochrane Database of Systematic Reviews, and the Database of Abstracts of Reviews of Effects, specifically targeting SRM studies on hypertension self-care practices in Ethiopia . Data from the included SRM studies were extracted using a standardized data abstraction form created in an Excel spreadsheet. The quality of all relevant systematic reviews and meta-analyses was assessed using the AMSTAR-2 (Assessment of Multiple Systematic Reviews) tool. R software version 4.3.2 was used to perform overall data synthesis and statistical analysis. The overall pooled prevalence and effect sizes were analyzed using a random-effects model. Four studies with 21479 hypertensive patients were included. The overall pooled prevalence of good self-care practice among hypertensive patients in Ethiopia is 41% (95% CI 38%, 44%, I 2 =96%, P=0.001). Attending formal education (OR=1.56, 95% CI: 1.23, 2.74), good knowledge of hypertension (OR=1.98, 95% CI: 1.45, 3.01) were significantly associated with self-care practice among hypertensive patients in Ethiopia. This umbrella review revealed low self-care practices among hypertensive patients in Ethiopia, with the poorest adherence in physical activity and the highest in smoking cessation. Education and knowledge about hypertension were key influences on self-care. The review suggests promoting physical activity, targeted education, and integrating these strategies into public health policies, alongside conducting nationwide studies to improve interventions.
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DOI: 10.1016/j.ijnsa.2025.100433
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