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Knowledge and practice of lifestyle modification among hypertensive patients in selected hospitals in Akure south Local Government

Adamolekun Patience Arinola, Adebayo Damilola Daniel, Ehimigbai Aishatu Ese

Abstract


Background: Hypertension (HTN) which is a known as “silent killer” is a global public health issue that affects all countries and is one of the leading causes of morbidity and mortality accounting for 7.5 million premature deaths worldwide.

Aim: The study investigated the knowledge and practice of lifestyle modification among hypertensive patients in selected hospitals in Akure South Local Government.

Methodology: A descriptive study design was conducted among 160 hypertensive patients in selected hospitals in Akure South Local government Akure (University of Medical Sciences Teaching Hospital Complex, Arakale comprehensive health centre and Federal Medical centre, Annex). Data were collected through a pretested questionnaire. Analysis was done by using SPSS version 23.0.

Results: The mean age ± SD is 51.14± 15.72 with majority of respondent within the age range of 44-64. Findings of this study revealed that above average 61.6% of the respondents had good knowledge while only 38.4% had poor knowledge on lifestyle modifications of hypertension. Also, only 34.4% had high practice and a larger percentage of the participants 65.6% had low practice of lifestyle modification on hypertension. In addition, health beliefs 50.4%, medical conditions other than hypertension 46.4%, advance age 44.8%, lack of social /spouse support 44%, lack of knowledge about healthy eating 43.2%, family belief 41.6% and hereditary 40.8% were the major factors affecting adherence to lifestyles medication.

Conclusion: The fact remains that, across the globe, lifestyle modifiable factors are not easily embraced by clients with hypertension. Hence, there should be increase awareness on practice of lifestyle modification among hypertensive patients to promote adoption of healthy lifestyle. This could be achieved through regular jingle and mass media.

[1]

G. Fetensa , N. Milkiyas, M. Besho, T. Hasen, M. Teshoma, B. Wakuma, W. Etefa and L. Fayisa, "Assessment of Knowledge and Practice of Lifestyle Modification among Hypertensive Patients at Nekemte Specialized Hospital, Western Oromia, Ethopia: A Cross- sectional Design," Journal of Cardiovascular Diseases and Diagnosis, pp. 6-9, 2019.

[2]

Machaalani, S. Houssam, A. Abdallah, B. Oukba, B. Hassan and N. C. Mirna, "Knowledge, Attitude, and Practice Toward Hypertension Among Hypertensive Patients Residing in Lebanon," Vascular Health and Risk Management Dovepress, pp. 541-553, 2022.

[3]

C. Payel , G. Anjali and . B. Dr. Bibi, "A Study to Assess the Knowledge, Attitude and Practice of Life Style Modification among Hypertensive Patient at the Selected Hospital of Kamrup Metro Assam," International Journal of Science and Research (IJSR), pp. 2319-

 

 

7064, 2020.

[4]

S. B. Babangida, S. Aishat, M. N. Jibril, G. S. Farida, A. A. Aisha and M. Jibril, "Prevalence and correlates of undiagnosed hypertension among staff of a nigerian university community," Pan African medical jornal, pp. 442-80, 2022.

[5]

C. Y. H. Nadège, S. A. Ariyoh, J. D. S. Arnaud, G. Gwladys, I. Latifath, L. Philippe and H. Dismand , "Knowledge, Attitudes and Practices towards Hypertension among Hypertensive Patients in Rural Area, Tanvè (Benin)," Universal Journal of Public Health , pp. 120-126, 2020.

[6]

Azuka S, . Adeke , Babangida S and D. N. Chori , "Socio-demographic and lifestyle factors associated with hypertension in Nigeria: results from a country-wide survey," Journal of Human Hypertension, 2020.

[7]

S. A. Azuka, S. C. Babangida, N. Dinesh, E. S. James and N. O. Augustine, "Socio- demographic and lifestyle factors associated with hypertension in nigeria: results from a country-wide survey," Journal of human hypertension, pp. 20-54, 2022.

[8]

O. A. Rachael, A. O. Ngozi and C. O. Ibironke, "Knowledge and Practice of Lifestyle Modification among Hypertensive Patients in a General Hospital Lagos management south- east Nigeria," IOSR Journal of Nursing and Health sciences (IOSR-JNHS), pp. 40-45, 2020.

[9]

O. Yaa, O. Christian, A. Emmanuel, O. A. Enoch, A. Beatrice, F. Eva, A. E. A. Joseph, N.

B. Emmanuella, K. B. Peter, A. Bright, A. A. Evans, G. A. Adjei and Y. A. Roberta, "Adherence to Lifestyle Modification among Hypertensive Clients: A Descriptive Cross- Sectional Study," Open Access Library Journal, pp. 2333-9721, 2018.

[10]

M. Armour, K. Parry, N. Manohar, K. Holmes, T. Ferfolja, C. Curry, F. MacMillan and C. Smith, "The prevalence and academic impact of dysmenorrhea in 21573 young women," Women's Health, 2019.

[11]

R. Amir and N. Lushiku , "Hypertensive patients’ knowledge and practice on lifestyle modification in Extension 6, Middelburg," South African Family Practice, pp. 2078-6204, 2022.

[12]

X. L. Wei , V. Abhijit and Ø. Truls , "Prevalence and correlates of use of digital technology for managing hypertension among older adults," Journal of Human Hypertension, 2020.

[13]

B. Saron, M. M. Kirubel, T. Assefa, N. M. Abraham and A. Yohanes, "Knowledge, Attitude and Practice of Lifestyle Modification recommended for Hypertension management and associated factors among adult Hypertensive Patients in Harar, Eastern Ethopia," Original Article, pp. 1-9, 2019.

[14]

B. Deepa and F. S. Farzana, "The Knowledge, Attitude and Practice of Lifestyle Modification among Hypertensive Patients at Rajshahi Medical College Hospital," Scholars

 

 

 

Journal of Medical Case Reports, pp. 96-100, 2021.

[15]

S. B. Eyasu, K. H. Lolemo, O. F. Robera and S. B. Alula, "Lifestyle modification practice and associated factors among hypertensive in selected hospitals, South Ethopia," Clinical Hypertension, pp. 23-26, 2017.

[16]

B. I. Godfrey and I. I. Sarah, "Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community," Journal of Public Health and Epidemiology, pp. 71-77, 2010.

[17]

M. I. Idris, J. W. Samuel, A. Brkti, A. Daniel, N. Filmawit, M. Habtom and M. Solomon, "Factors Influencing Lifestyle Modification Practice among Hypertensive Patients: A Cross- Sectional Study in two Selected Eritrean Hospitals," Global Journal of Medical Research: I

Surgeries And Cardiovascular System, pp. 2249-4618, 2020.

 

[18]

A. A. Lailah, S. B. Hassan, A. A. Mashael, F. . A. D. Asem, Z. . Z. Mohammad, A. T. Khalid, A. B. A. A. Jamaan Bin, M. B. B. Faisal and A. MajdiSaad, "Knowledge, attitude and practice of hypertensive patients towards hypertension," European Journal of Molecular & Clinical Medicine, pp. 2515-8260, 2019.

[19]

S. Moges, F. M. Melkitu, A. Azeb and K. B. Aysheshim, "Lifestyle Modification Practice and Associated Factors Among Diagnosed Hypertensive Patients in Selected Hospitals in Central Gondar Zone," Nutrition and Mtabolic Insights, pp. 1-9, 2022.

[20]

E. Osuala, O. A. Oluwatosin and S. Kadiri, "Knowledge, attitude to hypertension and lifestyle habits of rural dwellers in Owerre-Nkwoji, Imo State," Journal of Public Health and Epidemiology, pp. 2006-9723, 2014.

[21]

C. Payel, G. Anjali and B. B. Dr., "A Study to Assess the Knowledge, Attitude and Practice of Life Style Modification among Hypertensive Patient at the Selected Hospital of Kamrup Metro Assam," International Journal of Science and Research (IJSR), pp. 2319-7064, 2022.

[22]

U. Thomas, B. Claudio, C. Fadi, A. K. Nadia, R. P. Neil, P. Dorairaj, R. Agustin, S. Markus,

S. S. George, T. Maciej, D. W. Richard, W. Bryan and E. S. Aletta, "2020 International

Society of Hypertension Global Hypertension Practice Guidelines," Clinical Practice Guidelines, pp. 1334-1357, 2020.

 


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References


G. Fetensa , N. Milkiyas, M. Besho, T. Hasen, M. Teshoma, B. Wakuma, W. Etefa and L. Fayisa, "Assessment of Knowledge and Practice of Lifestyle Modification among Hypertensive Patients at Nekemte Specialized Hospital, Western Oromia, Ethopia: A Cross- sectional Design," Journal of Cardiovascular Diseases and Diagnosis, pp. 6-9, 2019.

Machaalani, S. Houssam, A. Abdallah, B. Oukba, B. Hassan and N. C. Mirna, "Knowledge, Attitude, and Practice Toward Hypertension Among Hypertensive Patients Residing in Lebanon," Vascular Health and Risk Management Dovepress, pp. 541-553, 2022.

C. Payel , G. Anjali and . B. Dr. Bibi, "A Study to Assess the Knowledge, Attitude and Practice of Life Style Modification among Hypertensive Patient at the Selected Hospital of Kamrup Metro Assam," International Journal of Science and Research (IJSR), pp. 2319-

, 2020.

S. B. Babangida, S. Aishat, M. N. Jibril, G. S. Farida, A. A. Aisha and M. Jibril, "Prevalence and correlates of undiagnosed hypertension among staff of a nigerian university community," Pan African medical jornal, pp. 442-80, 2022.

C. Y. H. Nadège, S. A. Ariyoh, J. D. S. Arnaud, G. Gwladys, I. Latifath, L. Philippe and H. Dismand , "Knowledge, Attitudes and Practices towards Hypertension among Hypertensive Patients in Rural Area, Tanvè (Benin)," Universal Journal of Public Health , pp. 120-126, 2020.

Azuka S, . Adeke , Babangida S and D. N. Chori , "Socio-demographic and lifestyle factors associated with hypertension in Nigeria: results from a country-wide survey," Journal of Human Hypertension, 2020.

S. A. Azuka, S. C. Babangida, N. Dinesh, E. S. James and N. O. Augustine, "Socio- demographic and lifestyle factors associated with hypertension in nigeria: results from a country-wide survey," Journal of human hypertension, pp. 20-54, 2022.

O. A. Rachael, A. O. Ngozi and C. O. Ibironke, "Knowledge and Practice of Lifestyle Modification among Hypertensive Patients in a General Hospital Lagos management south- east Nigeria," IOSR Journal of Nursing and Health sciences (IOSR-JNHS), pp. 40-45, 2020.

O. Yaa, O. Christian, A. Emmanuel, O. A. Enoch, A. Beatrice, F. Eva, A. E. A. Joseph, N.

B. Emmanuella, K. B. Peter, A. Bright, A. A. Evans, G. A. Adjei and Y. A. Roberta, "Adherence to Lifestyle Modification among Hypertensive Clients: A Descriptive Cross- Sectional Study," Open Access Library Journal, pp. 2333-9721, 2018.

M. Armour, K. Parry, N. Manohar, K. Holmes, T. Ferfolja, C. Curry, F. MacMillan and C. Smith, "The prevalence and academic impact of dysmenorrhea in 21573 young women," Women's Health, 2019.

R. Amir and N. Lushiku , "Hypertensive patients’ knowledge and practice on lifestyle modification in Extension 6, Middelburg," South African Family Practice, pp. 2078-6204, 2022.

X. L. Wei , V. Abhijit and Ø. Truls , "Prevalence and correlates of use of digital technology for managing hypertension among older adults," Journal of Human Hypertension, 2020.

B. Saron, M. M. Kirubel, T. Assefa, N. M. Abraham and A. Yohanes, "Knowledge, Attitude and Practice of Lifestyle Modification recommended for Hypertension management and associated factors among adult Hypertensive Patients in Harar, Eastern Ethopia," Original Article, pp. 1-9, 2019.

B. Deepa and F. S. Farzana, "The Knowledge, Attitude and Practice of Lifestyle Modification among Hypertensive Patients at Rajshahi Medical College Hospital," Scholars

Journal of Medical Case Reports, pp. 96-100, 2021.

S. B. Eyasu, K. H. Lolemo, O. F. Robera and S. B. Alula, "Lifestyle modification practice and associated factors among hypertensive in selected hospitals, South Ethopia," Clinical Hypertension, pp. 23-26, 2017.

B. I. Godfrey and I. I. Sarah, "Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community," Journal of Public Health and Epidemiology, pp. 71-77, 2010.

M. I. Idris, J. W. Samuel, A. Brkti, A. Daniel, N. Filmawit, M. Habtom and M. Solomon, "Factors Influencing Lifestyle Modification Practice among Hypertensive Patients: A Cross- Sectional Study in two Selected Eritrean Hospitals," Global Journal of Medical Research: I

Surgeries And Cardiovascular System, pp. 2249-4618, 2020.

A. A. Lailah, S. B. Hassan, A. A. Mashael, F. . A. D. Asem, Z. . Z. Mohammad, A. T. Khalid, A. B. A. A. Jamaan Bin, M. B. B. Faisal and A. MajdiSaad, "Knowledge, attitude and practice of hypertensive patients towards hypertension," European Journal of Molecular & Clinical Medicine, pp. 2515-8260, 2019.

S. Moges, F. M. Melkitu, A. Azeb and K. B. Aysheshim, "Lifestyle Modification Practice and Associated Factors Among Diagnosed Hypertensive Patients in Selected Hospitals in Central Gondar Zone," Nutrition and Mtabolic Insights, pp. 1-9, 2022.

E. Osuala, O. A. Oluwatosin and S. Kadiri, "Knowledge, attitude to hypertension and lifestyle habits of rural dwellers in Owerre-Nkwoji, Imo State," Journal of Public Health and Epidemiology, pp. 2006-9723, 2014.

C. Payel, G. Anjali and B. B. Dr., "A Study to Assess the Knowledge, Attitude and Practice of Life Style Modification among Hypertensive Patient at the Selected Hospital of Kamrup Metro Assam," International Journal of Science and Research (IJSR), pp. 2319-7064, 2022.

U. Thomas, B. Claudio, C. Fadi, A. K. Nadia, R. P. Neil, P. Dorairaj, R. Agustin, S. Markus, S. S. George, T. Maciej, D. W. Richard, W. Bryan and E. S. Aletta, "2020 International Society of Hypertension Global Hypertension Practice Guidelines," Clinical Practice Guidelines, pp. 1334-1357, 2020.


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