Abstract

Retrospective Study

Lifestyle modification practice and associated factors among diagnosed hypertensive patients in selected Hospitals in West Arsi Zone, Oromia Regional State, Ethiopia

Hika Wakjira*, Tesfaye Gobena and Hirbo Shore

Published: 01 February, 2022 | Volume 7 - Issue 1 | Pages: 006-012

Background: Globally 1.13 billion people were living with hypertension, Out of this two-thirds of them were living in low and middle-income countries. In Ethiopia, Non-Communicable Disease deaths are estimated at around 42%. However, it remains widely undetected and poorly controlled. To resolve these, lifestyle modification approaches that are often overlooked are the cornerstone of the prevention and management of hypertension. 
Objective: To assess lifestyle modification practice and associated factors among hypertensive patients in selected hospitals in West Arsi Zone, Oromia Regional, Ethiopia December 7 to 21, 2019. 
Method: Hospital-based cross-sectional study was conducted in the selected public hospital among 299 hypertensive patients. Systemic random sampling methods were used to select the study participants. Data were collected by face-to-face interviews using a structured questionnaire by trained data collectors. Data were analyzed using descriptive statistics and multivariate logistic regression method to identify predictors of the outcome (p < 0.05). 
Results: Of the total participants, only 25.2% (95% CI: 18.8-32.9) of the patients were practiced recommended lifestyle modifications. Patients Age older than 65 years (AOR = 2.9, 95% CI: 1.17 - 7.0), the patients with 2-5 years’ time since diagnosed hypertension (AOR = 0.26, 95% CI: 0.07 - 0.9), multiple co-morbidity (AOR = 2.7, 95% CI: 1.25 - 5.8,) and their knowledge on hypertension management (AOR = 14.6, 95% CI: 4.6 - 45.9) have an independently associated with recommended lifestyle modification. 
Conclusion: Lifestyle modification practices among hypertensive patients were low in this study. Age, comorbidity, time since diagnoses of hypertension, and knowledge of lifestyle were identified as predictors of the outcome.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001124 Cite this Article Read Full Article PDF

Keywords:

Lifestyle modification; Hypertension; Practices; Ethiopia

References

  1. American Heart Association. Guideline for the Prevention, detection, evaluation and management of high Blood Pressure in adults. 2017.
  2. Clinical guidelines for the management of hypertension. 2005.
  3. Joint TS. prevention, detection, evaluation, and treatment of high blood pressur. National Institutes of Health, U.S. Department of Health and Human Services.
  4. World Health Organization. A global brief on hypertension. 2013.
  5. National strategic action plan for the prevention and control of NCDs in Ethiopia 2014 - 2016. 2014.
  6. Abu H, Aboumatar H, Carson K, Goldberg R, Cooper LA. Hypertension knowledge, heart healthy lifestyle practices and medication adherence among adults with hypertension. Eur J Pers Cent Healthc. 2018; 6: 108-114. PubMed: https://pubmed.ncbi.nlm.nih.gov/32405420/
  7. Mengistu D, Tibebu A. Negesa L. Adherence to recommended lifestyle modifications and factors associated for hypertensive patients attending chronic follow-up units of selected public hospitals in Addis Ababa, Ethiopia. Patient Prefere Adherence. 2017; 11: 323-330. PubMed: https://pubmed.ncbi.nlm.nih.gov/28280305/
  8. WHO STEP wise Approach to Chronic Disease Risk-Factor Surveillance. 2016.
  9. Siyum E, Kelbiso L, Olana R. Lifestyle modification practice and associated factors among diagnosed hypertensive patients in selected hospitals, South Ethiopia. Clin Hypertens. 2017; 23: PubMed: https://pubmed.ncbi.nlm.nih.gov/29214054/
  10. Afia FAM, Owusu-Daaku FT, Addo MO, Saana II. Ghanaian hypertensive patients understanding of their medicines and life style modification for managing hypertension. Int J Pharm Pharmaceut Sci. 2014; 6: 165-170.
  11. Tahmina, Habib N, Kailash K, Rashid M. Lifestyle modification practice in rural community at Kedah in Malaysia. J Basic, Clin Appl Health Sci. 2018; 1: 19-26.
  12. Lipilekha P, Kalyan K, Sumitra P, Trilochan S. Lifestyle Pattern and Hypertension Related Knowledge, Attitude and Practices among Diagnosed Patients of Hypertension Attending a Tertiary Care Hospital. J Cardiovasc Dis Res. 2017; 8: 108-111.
  13. Zahid HM, Most L, Satya P, Marif. Knowledge, attitude and practice of life style modification in the management of hypertension. Obese Eat Disorder.2017; 3:
  14. Lama A, Alshimaa A, Maradi A, Rana M. Awareness and Knowledge on Hypertension and its Self-Care Practices Among Hypertensive Patients in Saudi Arabia. Ann Int Med Dent Res. 2017; 3: 58-63.
  15. Abubaker E. Level of Adherence to Lifestyle Changes And Medications Among Male Hypertensive Patients In Two Hospitals In Taif; Kingdom Of Saudi Arabia. Int J Pharm Pharmaceut Sci. 2015; 7: 168-172.
  16. Yirga L, Seid I, Kassa TD, Asgedom SW. Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia. PLoS ONE. 2019; 14: 1-16. PubMed: https://pubmed.ncbi.nlm.nih.gov/31242265/
  17. Durai V, Rani MA. Knowledge and Practice on lifestyle modifications among males with hypertension. Indian J Commun Health. 2015 27: 143-149.

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?