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Adherence to the recommended lifestyle modification of the study participant at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia, 2019.
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Introduction:
Adherence to lifestyle modification in addition to medication adherence is very important in preventing complications. Nevertheless, lifestyle modification guidelines are not widely followed by patients with hypertension. The objective of the study was to explore the predictors of compliance with lifestyle modification among patients...
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Introduction
Mental health problems appear to be increasing in importance in Africa. Mental and substance use disorders were the leading cause of yearly lived with disability in Sub-Saharan Africa. Evidence from previous studies shows considerable variation in the prevalence of these disorders. The most acceptable explanation for this wide variatio...
Citations
... According to a study by Aynalem [25]. According to Alzahrani, Samer, et al., patients did not follow treatment programs because they did not grasp the benefits of continuing to take their drugs and because their general knowledge ratings were low. ...
Objectives: To assess engagement in heart-healthy lifestyle practices and adherence to antihypertensive medications with knowledge of hypertension, for more effective blood pressure control. Methodology: It was a cross-sectional study involving adults of more than 18 years diagnosed with hypertension as study participants. Total sample size was 381. Assessment of medication adherence, and responses were calculated using Malaysian Medicine Adherence Score 8 (MALMAS 8) scale. The scoring system utilized in the MALMAS questionnaire, aligned with the MMAS-8, aids in categorizing participants based on their medication adherence levels. Data were collected using a pre-tested, self-administered questionnaire. The data were analysed using the statistical software for social sciences (SPSS26). Results: The prevalence of hypertension among the selected study participants was found to be 71%. High level of adherence was found in 33% of the participants. The medication adherence of the patient was significantly associated with gender (p<0.05). 27% of the study participants belong to the age group of 25-40 years. Around 63% of the females were having high adherence and this association was found to be statistically significant, (p value < 0.05.). There was no statistically significant association between participants’ adherence to the age group they belong, marital status, educational level and their occupation. Conclusion: In conclusion, this cross-sectional study highlights the difficulty in adhering to treatment plans, with forgetfulness and trouble taking medications ranking as the biggest obstacles. Interestingly, adherence was higher in females than in males. Nevertheless, no statistically significant correlation was observed between medication adherence and other demographic variables, including age, income level, occupation, marital status, education, or occupation
... Male patients have shown good adherence to life-style modifications. This finding is also seen in the study by Aynalem et al. [29] [30] has shown that illiterate population had better understood information related to hypertension and observed the importance of life-style modifications along with medication in controlling the blood pressure. ...
Introduction
The burden of hypertension is expected to double by 2025 and adherence to treatment has a key role in disease outcome. The World Health Organization defines adherence as the extent to which a person's behaviour of taking medication, following a diet and/or exceeding life-style changes, corresponds with the agreed recommendations of health care providers. The study tries to assess the level of adherence to medication and life-style modifications in hypertensive patients.
Materials and Methods
It is a cross-sectional study among patients attending urban health centres of a teaching hospital. The study population included all hypertensive patients above 30 years. Based on the prevalence of non-adherence to hypertensive medication, 70% of the sample size is calculated as 182. A Morisky medication adherence scale is used to find adherence to treatment. Life-style modification was also assessed. Scoring was done based on their adherence to treatment and life-style modifications and quantified.
Results
The mean age of the study population was 55 years (38–80 years). In total, 58.33% were illiterate and 21% were retired from work. Around 87.5% had to spend money on medication. Mean weight, height, hip and waist circumference was 66 kg, 157 cm, 108 cm and 100 cm, respectively. Mean BMI was 26.6. Prevalence of good adherence to medication was 129 (70.83%) and that of good life-style modifications was 127 (70.17%).
Conclusion
The adherence to medication and life-style modification was satisfactory. Family physicians have a key role in Non communicable diseases (NCD) management and should focus on ongoing education programmes for treatment adherence and life-style modifications at a community level, and grass-root level workers should conduct regular follow-up activities.
... Penelitian di Etopia oleh Aynalem dkk (2019) juga didapatkan hasil yang serupa, pasien dengan durasi hipertensi ≥ 5 tahun cenderung lebih patuh dibandingkan dengan pasien dengan durasi < 5 tahun. Hal ini disebabkan karena pasien tidak melihat adanya kondisi mengancam jiwa atau belum mengalami komplikasi penyakit sehingga pasien lalai minum obat dan modifikasi gaya hidup (32). ...
Hypertension is a "silent killer". It is still one of the bigest challenges in Indonesia, where many cases are still found in primary health facilities. Hypertensive patients who require long-term therapy and adherence are very important factors to support the success of therapy. Based on the data from the Ministry of Health of the Republic of Indonesia (2018), 32.3% of hypertensive patients did not take medication regularly. Many factors influence medication adherence, such as level of knowledge, age, gender, working status, and length of illness. This study aimed to determine the effect of the level of knowledge and other factors on the level of medication adherence of hypertensive patients at the Dr. Mintohardjo Naval Hospital (RSAL). This research is a observasional study with a cross-sectional method and uses a questionnaire for data collection. Adherence level questionnaire uses MMAS-8. Analysis of the relationship between factors that influence the level of adherence uses logistic regression. The inclusion criteria of this study included hypertention outpatient aged ≤ 65 years old and are currently receiving antihypertensive therapy. The results of this study showed that out of 284 respondents, 92% of respondents had good knowledge regarding hypertension, while the level of adherence to taking medication was low at 47%. Factors that influence the level of patient adherence to taking medication in this study are gender (p-value = <0.001), education (p-value = <0.001), duration of hypertension (p-value = 0.033), and working status (p-value = <0.001). In contrast, the level of knowledge (p-value = 0.979) and age (p = 0.87) did not significantly influence the level of medication adherence. The Odds Ratio (OR) for working status was 5.73, OR for final education was 2.97, OR for the duration of hypertension was 2.24, and OR for gender was 0.34.
... Where assumption: with the assumption of a 95% confidence interval, 46.4% of the adherence rate to lifestyle modifications among hypertensive patients in Yekatit 12 Hospital in Addis Ababa. 20 With a 5% marginal error computed as follows: ...
... This result is much lower than the previous study done in the Amhara region of the Oromia special zone (52.7%), 28 and Addis Ababa Yekatite 12 Hospital 46.4%. 20 But higher in a study done in Addis Ababa public hospital 23%, 29 Dessie specialized hospital 23.6%, 18 and Nigeria (16.4%). 30 The possible discrepancy may be due to sociocultural differences, sample size variation, exposure to lifestyle information, and different lifestyle modification styles. ...
... 28 This could be a result of the research design being employed and some typical tool components being identical. But there was a lower finding in the Addis Ababa public hospital, which was 39.9%, 29 Yekatit 12 hospital at 33.9%, 20 and Nigeria was 16.3%. 30 There may not be enough open spaces for physical activity as a result of Addis Ababa's urbanization, which could account for this mismatch. ...
Background
Globally, hypertension affects 1.4 billion adults, accounting for 31% of the world population. The prevention and control of hypertension is not addressed only by pharmacological management. Even though the prevalence of uncontrolled hypertension and its complications is increasing every day, Adherence to lifestyle modification practice among diagnosed hypertensive individuals is low for a number of reasons. The study aims to assess adherence to lifestyle modification practices and associated factors among hypertensive patients at Bahir Dar city hospitals, in North West Ethiopia.
Methods
An institutional-based cross-sectional study design was conducted at Bahir Dar city from October 30 to November 30, 2022. A stratified sampling technique was used. For the data quality pre-test was done, the questionnaire was checked for completion, the assumption of binary logistic regression (VIF 1.8 and no outlier), and model fit using the Hosmer and Lemeshow’s test was checked. Binary logistic and multivariate logistic regression were used to find significant variables after the data were entered into EpiInfo and analyzed using SPSS version 23.
Results
The overall adherence to lifestyle modification practices was about 32.4%. From the independent factors, above secondary educational status (AOR = 0.201 95% CI (0.081–0.499)), good knowledge (AOR = 3.323 95% CI (1.79–6.168)), good self-efficacy (AOR = 3.553 95% CI (1.91–6.613)), good social support (AOR = 8.339 95% CI (4.251–16.357)), and good patient–physician relationship (AOR = 2.424 95% CI (1.309–4.490)) were statistically significant predictors of adherence to lifestyle modification practices.
Conclusion
Only one-third of the participants had adhered to the recommended lifestyle modifications. Educational status, knowledge, self-efficacy, social support, and patient–physician relationships were significant factors. Healthcare organizations should develop programs to raise hypertension patients’ awareness and degree of self-efficacy that aid in adherence to advised lifestyle changes.
... As the invisible agents of promoting healthy behaviors in day-to-day life, families are considered essential assets to health professionals [52][53][54]. Conversely, in comparison to the high-income countries (HIC), the inverse relation of sustaining a healthy lifestyle and failure to implement a clinically acceptable S.C. in post-PCI patients has led to a more significant burden of hospitalizations events to the healthcare system in middle-upper middle-and low-income countries (MICs, UMICs, LICs) [55][56][57][58][59][60][61][62]. Current knowledge about multi-level collaborative approaches, to hospital-based S.P., in CHD patients is mainly based on research conducted at HIC Populations [63][64][65][66]. ...
Objectives: This study aimed to assess the effectiveness of a family-centered health program in promoting healthier lifestyles and improving self-care behavior among patients who had undergone percutaneous coronary intervention. We hypothesized that the family-centered health program would significantly enhance self-care and health-promoting lifestyle in this patient population. The current study was conducted to investigate the effectiveness of the family-centered health program on health-promoting lifestyle and self-care behavior in post-percutaneous coronary intervention patients. Materials and Methods: A randomized controlled clinical trial was conducted from October 2021 to March 2022 at the Shaheed Rajaie Cardiovascular, Medical & Research Center in Tehran. The study population included patients aged 40 to 65 who had undergone percutaneous coronary intervention. Sixty eligible participants were selected through purposive sampling and randomly assigned to either an experimental group that underwent the family-centered health program (n=30) or a control group (n=30). Data were collected using a demographic information questionnaire, Walker's health-promoting lifestyle questionnaire (1987), and Miller's self-care behavior questionnaire (1982) at three time points: baseline, post-intervention, and three-month follow-up. The intervention's effectiveness was assessed using variance analysis with repeated measurements in SPSS-21 software. Results: Preliminary analyses revealed no significant differences between the groups in self-care, health-promoting lifestyle, or blood pressures, indicating the two groups were homogeneous at baseline. However, post-test comparisons revealed significant differences, suggesting the family-centered health program was effective (P < 0.001). Conclusions: Given the demonstrated effectiveness of the family-centered health program, prioritizing such interventions could significantly improve secondary prevention outcomes in patients surviving coronary heart disease.
... Hypertension is a major risk factor for cardiovascular diseases which cause 7.5 million (12.8%) of all deaths, per year (Mouhtadi et al., 2018;Aynalem et al., 2021). Its prevalence moved from being the fourth in rank among women and first amid men worldwide in 1990 and 2017 respectively (Gakidou et al., 2017). ...
... In 2015, one in four men and one out of five women had hypertension with only a few people being able to control it while majority developed complications which later led to death and this made it a major cause of untimely deaths globally then (WHO, 2019). The silent killer is more prevalent in developed countries, but the severity is higher in developing countries because of major changes in lifestyles (Aynalem, et al., 2021). ...
... The diagnosis of hypertension (HTN) is made, when blood pressure is measured on two different occasions and the systolic blood pressures are ≥140 mmHg and/or the diastolic blood pressures come out to be ≥90 mmHg (Win et al., 2021). Therefore, adherence to the prescribed healthy treatment protocols for effective control is key in the management of hypertension at all times by those who live with the disease (Aynalem, et al., 2021). Individuals' adherence behaviours are usually influenced by multiple factors (Liu et al., 2020). ...
Hypertension is one of the leading causes of disabilities and deaths in both developed and developing countries. Proven and evidenced-based strategies are needed to implement interventions to control it effectively. Appropriate lifestyle changes often called non-pharmacological approaches that are overlooked many times are the cornerstones of its prevention and control. The study examined the factors that influenced adherence to treatment protocols among patients with hypertension at Federal Medical Centre, Owo, Ondo State, Nigeria. The study employed a descriptive cross-sectional research design. Purposive sampling technique was used to select a sample size of 129 from the target population. Questionnaires were used to collect data. The results were analyzed using descriptive and inferential statistics and they were presented in frequency tables and chart. The study revealed that less than half of the respondents 57(44.2%) had good level of knowledge while 30(23.3%) had poor knowledge level of hypertension and its treatment protocols. It was also revealed that expensive drugs, long duration of treatment regimen, forgetfulness of checkups , beliefs and values, attitudes of doctors and nurses in the hospital, side effects of anti-hypertensive drugs and level of knowledge about the disease and its treatment protocols were important factors that influenced adherence to treatment regimens among respondents. The findings further revealed that there was significant relationship (p= 0.0021) between patients' level of education and level of adherence to treatment protocols. Adherence to treatment protocols among hypertensive patients was low in this study, hence, patients should be educated and given necessary supports to imbibe the recommended lifestyle modifications that can help them to control their blood pressures and live optimally.
... We used hypertension self-care activity level effects (H-SCALE) for self-care assessment of hypertensive patients, H-SCALE consists of JNC7 recommended hypertension self-care activities. The H-SCALE has six subscales, namely, medication adherence (items 1-3), DASH dietary compliance (items 4-15), physical activity adherence (items [16][17], adherence to avoid smoking (items [18][19], weight management adherence (items [20][21][22][23][24][25][26][27][28][29], and adherence to avoid alcohol consumption (items 30). Medication adherence score was 21, DASH diet adherence score was ≥72, physical activity adherence score was ≥8, tobacco exposure score was 0, and weight management adherence score was ≥40 [9], [13]. ...
... This can be used to provide health education related to diet in patients with hypertension. The notion of the treatment can eliminate complaints and symptoms of hypertension to ignore the regulation of a healthy lifestyle [23]. Another found that most respondents knew that heart problems, strokes, and death could occur from hypertension. ...
... The study reported that most respondents had hypertension diagnosed for less than 5 years. Another study stated that nonadherence to weight management was 1.86 times worse in hypertensive patients <5 years [23], it is due to the opportunity to gain deeper knowledge of self-care practices for those diagnosed with <5 years compared to >5 years. The study also reported that knowledge was associated with adherence to weight management. ...
BACKGROUND: Hypertension contributes significantly to the increase in cardiovascular disease cases, especially in the elderly. Knowledge and self-care compliance are needed, but in reality, awareness and regularity of control are still lacking in hypertensive patients in urban communities. AIM: The aim of the study was to determine the relationship of knowledge with self-care and get an overview of existing knowledge and self-care in the elderly with hypertension. METHODS: This is a quantitative and cross-sectional design recruited 383 hypertensive patients in three community health centers. Sampling with proportional random sampling from three health centers that have the highest cases of hypertension in the city of Padang. Knowledge instrument using hypertension knowledge-level scale. Moreover, hypertension self-care adherence using hypertension self-care activity level effects. Analysis using Chi-square test RESULTS: The sample of this study was 383 respondents. About 66.3% are women, 88.3% have low education, and 86.9% do not work. 51.2% had duration of hypertension 0–5 years and the average age was 60.89 ± 8.072 years. About 94.8% of respondents have poor knowledge. Self-care practice showed 64% non-adherence to medication, 88.5% non-adherence to the DASH diet, and 82.5% non-adherence to weight management. However, 78.6% indicated non-smoking adherence and 100% alcohol avoidance adherence. There was a relationship between knowledge and adherence to weight management (p=0.000; odds ratio [OR] 6.7 (95% confidence interval [CI] for Exp B; 2.65–16.91)) and physical activity (p=0.000; OR 14.99 (95% CI for Exp B; 5.65–39.79)). CONCLUSION: Providing comprehensive and repeated health education for the elderly with hypertension can increase their knowledge. The involvement of patients and families is needed to improve self-care behavior.
Background
Hypertension is one of the most common health problems in the world and considered as the most common risk factor for different heart diseases such as coronary heart disease, stroke, renal disease, and peripheral vascular diseases. Adherence to healthy lifestyle and medications plays an important role in controlling hypertension among hypertensive patients and in preventing the long-term complications of hypertension.
Objectives
The study aimed to assess the adherence to healthy lifestyle and medications in controlling hypertension among hypertensive patients in Al-Hilla city, Iraq.
Materials and Methods
This study was a “descriptive cross-sectional study” involving about 303 hypertensive patients who visited healthcare centers and hospitals above 18 years by a designed questionnaire through the interview method. The data were collected from April to July 2021.
Results
The mean age of hypertensive patients was 54.89 ± 10.42 years, females represent 51.2%, males represent 48.8%, adherence of hypertensive patients to healthy lifestyle was 65.3%, and adherence to medications was 55.4%. There was no significant association between adherence to healthy lifestyle and medications and variables in our study (age, sex, marital status, educational level, residence, employment status, socio-economic level, duration of hypertension, family history of hypertension, and measurement of hypertension).
Conclusion
In this study in Babylon Province, the highest proportions of hypertensive patients adhere to healthy lifestyle (65.3%) and medications (55.4%), and there is no significant association between adherence to healthy lifestyle and medications and variables in our study (age, sex, marital status, educational level, residence, employment status, socio-economic level, duration of hypertension, family history of hypertension, and measurement of hypertension).
