Adherence to lifestyle modifications and its associated factors among adult hypertensive patients attending their follow-up at public hospitals in West Shoa, Oromia, Ethiopia, 2023

IF 2.7 4区医学 Q2 PERIPHERAL VASCULAR DISEASE

Journal of Human Hypertension Pub Date : 2025-02-17 DOI:10.1038/s41371-025-00991-0

Demessie Diriba, Dereje Guta

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Abstract

Hypertension is a serious public health concern, disturbing millions of lives worldwide. Effective lifestyle modifications are the foundation for the prevention and control of hypertension. The aim of this study is to assess adherence to lifestyle modifications and associated factors among adult hypertensive patients in West Shoa, Oromia, Ethiopia. An institutional-based cross-sectional study design was employed from August 20 to September 20, 2023. A systematic random sampling technique was employed to select study participants. A binary logistic regression model was used to check the association between independent and outcome variables. The strength of the association was stated using an adjusted odds ratio with a 95% confidence interval and a p-value of < 0.05. The study included 316 study participants, with a 98.8% response rate. The magnitude of adherence to lifestyle modifications was 31% (95%CI: 25.7–36.1%). Age (AOR = 2.71, 95% CI: 1.19–6.19), residence (AOR = 0.19, 95%CI: 0.09–0.39), duration of treatment (AOR = 2.17, 95%CI: 1.14–4.13), attitude (AOR = 2.14, 95%CI: 1.06–4.30), perceived social support (AOR = 6.23, 95%CI: 3.18–12.22) and self-efficacy (AOR = 2.66, 95%CI: 1.25–5.69) were the independent predictors of lifestyle modifications adherence. This study found that adherence to lifestyle modifications was low among hypertensive patients.

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2023年在埃塞俄比亚奥罗米亚州西绍阿公立医院接受随访的成年高血压患者的生活方式改变依从性及其相关因素

高血压是一个严重的公共卫生问题，困扰着全世界数百万人的生命。有效的生活方式改变是预防和控制高血压的基础。本研究的目的是评估埃塞俄比亚奥罗米亚州西绍阿的成年高血压患者对生活方式改变的依从性及其相关因素。于2023年8月20日至9月20日采用基于机构的横断面研究设计。采用系统随机抽样技术选择研究对象。采用二元logistic回归模型检验自变量与结果变量之间的相关性。使用校正的优势比（95%置信区间，p值< 0.05）表示相关性的强度。该研究包括316名研究参与者，反应率为98.8%。坚持改变生活方式的比例为31% （95%CI: 25.7-36.1%）。年龄（AOR = 2.71, 95%CI: 1.19-6.19）、居住地（AOR = 0.19, 95%CI: 0.09-0.39）、治疗持续时间（AOR = 2.17, 95%CI: 1.14-4.13）、态度（AOR = 2.14, 95%CI: 1.06-4.30）、感知社会支持（AOR = 6.23, 95%CI: 3.18-12.22）和自我效能（AOR = 2.66, 95%CI: 1.25-5.69）是生活方式改变依从性的独立预测因子。这项研究发现，高血压患者坚持改变生活方式的比例较低。

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来源期刊

Journal of Human Hypertension 医学-外周血管病

CiteScore

5.20

自引率

3.70%

发文量

126

审稿时长

6-12 weeks

期刊介绍： Journal of Human Hypertension is published monthly and is of interest to health care professionals who deal with hypertension (specialists, internists, primary care physicians) and public health workers. We believe that our patients benefit from robust scientific data that are based on well conducted clinical trials. We also believe that basic sciences are the foundations on which we build our knowledge of clinical conditions and their management. Towards this end, although we are primarily a clinical based journal, we also welcome suitable basic sciences studies that promote our understanding of human hypertension. The journal aims to perform the dual role of increasing knowledge in the field of high blood pressure as well as improving the standard of care of patients. The editors will consider for publication all suitable papers dealing directly or indirectly with clinical aspects of hypertension, including but not limited to epidemiology, pathophysiology, therapeutics and basic sciences involving human subjects or tissues. We also consider papers from all specialties such as ophthalmology, cardiology, nephrology, obstetrics and stroke medicine that deal with the various aspects of hypertension and its complications.