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Adherence to Lifestyle Modification among Hypertensive Clients: A Descriptive Cross-Sectional Study

DOI: 10.4236/oalib.1104375, PP. 1-13

Subject Areas: Internal Medicine

Keywords: Adherence, Lifestyle Modification, Hypertension

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Abstract

Background: Adoption of a life style modification is of critical importance for preventing and managing hypertension. This study determined the adherence to lifestyle modification among hypertensive clients at Juaso district hospital. Methodology: This was a descriptive cross-sectional study, conducted among hypertensive clients at Juaso district hospital, Kumasi, in the Ashanti Region of Ghana. A reviewed-structured questionnaire was used to collect data from the respondents. A total of 300 respondents were conveniently sampled for the study. Clients diagnosed of hypertension and who regularly met appointment dates at the Out Patient Department (OPD) for at least six months duration were included in this study. Statistical analysis was done using SPSS and p-value less than 0.05 was considered statistically significant. Results: The mean age (SD) of the participants was 63.6 years (±11.6) and median duration of having hypertension was 4 years. Out of the 300 participants, 72.0% of the participants were adherent to life style modification. The level of education (p < 0.0001), marital status (p < 0.0001) and duration of disease (p < 0.0001) statistically significant influenced the general rate of adherence. Participants who had secondary education [OR = 0.04 (0.005-3.1), p ≤ 0.0001)], tertiary education [OR = 0.8 (0.01-6.3), p = 0.003)], have had hypertension for a duration of 5 - 10 years [OR = 2.9 (1.5-5.8), p = 0.002)] and married [OR = 2.3 (1.1-4.9), p = 0.034)] were significantly associated with high rate of adherence to lifestyle modification. Participants who reported of being educated on the effect of smoking and alcohol consumption [OR = 2.2 (0.8-5.7), p ≤ 0.0001)] and exercise [OR = 58.9 (7.7-449.9), p ≤ 0.0001)] were significantly associated with high rate of adherence to lifestyle modification. Conclusion: The study showed that, the rate of adherence to lifestyle modification among hypertensive patients was high. Socio-demographic factors such as level of education, marital status and duration of disease significantly influenced the general rate of adherence.

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Obirikorang, Y. , Obirikorang, C. , Acheampong, E. , Anto, E. O. , Amoah, B. , Fosu, E. , Amehere, J. A. E. , Batu, E. N. , Brenya, P. K. , Amankwaa, B. , Adu, E. A. , Akwasi, A. G. and Asiwu, R. Y. (2018). Adherence to Lifestyle Modification among Hypertensive Clients: A Descriptive Cross-Sectional Study. Open Access Library Journal, 5, e4375. doi: http://dx.doi.org/10.4236/oalib.1104375.

References

[1]  Mendis, S. (2013) Hypertension: A Silent Contributor to the Global Cardiovascular Epidemic. Regional Health Forum, 2013, 1-6.
[2]  WHO (2013) A Global Brief on Hypertension: Silent Killer, Global Public Health Crisis: World Health Day 2013. WHO, Geneva.
[3]  Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K. and He, J. (2005) Global Burden of Hypertension: Analysis of Worldwide Data. The Lancet, 365, 217-223.
https://doi.org/10.1016/S0140-6736(05)70151-3
[4]  Edwards, R., Unwin, N., Mugusi, F., Whiting, D., Rashid, S., Kissima, J., Aspray, T.J. and Alberti, K.G.M. (2000) Hypertension Prevalence and Care in an Urban and Rural Area of Tanzania. Journal of Hypertension, 18, 145-152.
https://doi.org/10.1097/00004872-200018020-00003
[5]  Amoah, A.G., Owusu, S.K. and Adjei, S. (2002) Diabetes in Ghana: A Community Based Prevalence Study in Greater Accra. Diabetes Research and Clinical Practice, 56, 197-205.
https://doi.org/10.1016/S0168-8227(01)00374-6
[6]  Stamler, J., Neaton, J.D. and Wentworth, D.N. (1989) Blood Pressure (Systolic and Diastolic) and Risk of Fatal Coronary Heart Disease. Hypertension, 13, I2.
https://doi.org/10.1161/01.HYP.13.5_Suppl.I2
[7]  Borhani, N.O., Applegate, W.B., Cutler, J.A., Davis, B.R., Furberg, C.D., Lakatos, E., Page, L., Perry, H.M., Smith, W.M. and Probstfield, J.L. (1991) Systolic Hypertension in the Elderly Program (SHEP). Part 1: Rationale and Design. Hypertension, 17, II2.
https://doi.org/10.1161/01.HYP.17.3_Suppl.II2
[8]  Chobanian, A.V., Bakris, G.L., Black, H.R., Cushman, W.C., Green, L.A., Izzo Jr., J.L., Jones, D.W., Materson, B.J., Oparil, S. and Wright Jr., J.T. (2003) The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. JAMA, 289, 2560-2571.
https://doi.org/10.1001/jama.289.19.2560
[9]  Bosu, W.K. (2010) Epidemic of Hypertension in Ghana: A Systematic Review. BMC Public Health, 10, 418.
https://doi.org/10.1186/1471-2458-10-418
[10]  Addo, J., Agyemang, C., Smeeth, L., Aikins, A.D.G., Adusei, A. and Ogedegbe, O. (2012) A Review of Population-Based Studies on Hypertension in Ghana. Ghana Medical Journal, 46, 4-11.
[11]  Cooper, R.S., Amoah, A.G. and Mensah, G.A. (2003) High Blood Pressure: The Foundation for Epidemic Cardiovascular Disease in African Populations. Ethnicity and Disease, 13, 2-48.
[12]  Cochran, W.G. (1977) Sampling Techniques. 3rd Edition. John Wiley and Sons Inc., New York.
[13]  Tibebu, A., Mengistu, D. and Negesa, L. (2017) 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 Preference and Adherence, 11, 323.
https://doi.org/10.2147/PPA.S126382
[14]  Elbur, A.I. (2015) Level of Adherence to Lifestyle Changes and Medications among Male Hypertensive Patients in Two Hospitals in Taif; Kingdom of Saudi Arabia. International Journal of Pharmacy and Pharmaceutical Sciences, 7, 168-172.
[15]  Okwuonu, C., Emmanuel, C. and Ojimadu, N. (2014) Perception and Practice of Lifestyle Modification in the Management of Hypertension among Hypertensives in South-East Nigeria. International Journal of Medicine and Biomedical Research, 3, 121-131.
https://doi.org/10.14194/ijmbr.3.2.8
[16]  Shrestha, S. (2016) Barriers and Facilitators to Treatment among Newly Diagnosed Hypertensive Patients in Nepal: A Qualitative Study.
[17]  Lutfey, K.E. and Wishner, W.J. (1999) Beyond Compliance Is Adherence. Improving the Prospect of Diabetes Care. Diabetes Care, 22, 635-639.
https://doi.org/10.2337/diacare.22.4.635
[18]  Trief, P.M., Ploutz-Snyder, R., Britton, K.D. and Weinstock, R.S. (2004) The Relationship between Marital Quality and Adherence to the Diabetes Care Regimen. Annals of Behavioral Medicine, 27, 148-154.
https://doi.org/10.1207/s15324796abm2703_2
[19]  Parajuli, J., Saleh, F., Thapa, N. and Ali, L. (2014) Factors Associated with Non-Adherence to Diet and Physical Activity among Nepalese Type 2 Diabetes Patients: A Cross Sectional Study. BMC Research Notes, 7, 758.
https://doi.org/10.1186/1756-0500-7-758
[20]  Thomas, N., Alder, E. and Leese, G. (2004) Barriers to Physical Activity in Patients with Diabetes. Postgraduate Medical Journal, 80, 287-291.
https://doi.org/10.1136/pgmj.2003.010553
[21]  Yosefy, C., Jafari, J., Klainman, E., Brodkin, B., Handschumacher, M.D. and Vaturi, M. (2006) The Prognostic Value of Post-Exercise Blood Pressure Reduction in Patients with Hypertensive Response during Exercise Stress Test. International Journal of Cardiology, 111, 352-357.
https://doi.org/10.1016/j.ijcard.2005.07.039
[22]  Grove, C. and Laennec, N. (2005) Harrison’s Principles of Internal Medicine.
[23]  Owusu, I. (2007) Causes of Heart Failure as Seen in Kumasi, Ghana. Internet Journal of Third World Medicine, 5, 1538-4646.
[24]  Plange-Rhule, J., Phillips, R., Acheampong, J., Saggar-Malik, A., Cappuccio, F. and Eastwood, J. (1999) Hypertension and Renal Failure in Kumasi, Ghana. Journal of Human Hypertension, 13, 37-40.
https://doi.org/10.1038/sj.jhh.1000726
[25]  Wiredu, E. and Nyame, P. (2001) Stroke-Related Mortality at Korle Bu Teaching Hospital, Accra, Ghana. East African Medical Journal, 78, 180-184.
https://doi.org/10.4314/eamj.v78i4.9059
[26]  Asmar, R. (2003) Benefits of Blood Pressure Reduction in Elderly Patients. Journal of Hypertension, 21, 25-30.
https://doi.org/10.1097/00004872-200307006-00005

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