Background: Proper adherence to recommended lifestyle change is a nonpharmacological option and plays great role to decrease comorbidity and expenditure of healthcare assets. Data regarding practices of recommended lifestyle change among hypertensive patients in Ethiopia is scarce. Therefore, this study aimed to assess practices of lifestyle change and its associated factors among diagnosed hypertensive patients.
Methods: This hospital-based cross-sectional study was conducted among 299 hypertensive patients in Hawassa University comprehensive, specialized hospital, Southern-Ethiopia from April to August 2019. A pre-structured interviewer-administered questionnaire was used to collect sociodemographic and clinical related data and study subjects were selected by systematic random sampling technique.
Results: The study indicated that only 37.8% (95% CI: 31.9-43.1) of the patients practiced recommended lifestyle changes. The study revealed the duration since the diagnosis of hypertension (Adjusted Odds Ratio (AOR)=2.3, 95% Confidence Interval (CI): 1.2-4.4), home blood pressure check-up (AOR=3.5, 95% CI: 1.7-7.1), hypertension controlling status (AOR=2.8, 95% CI: 1.6-5.4) and counseling (AOR=4.5, 95% CI: 1.7-11.7) were significantly associated with practice of lifestyle modification. Besides selfefficacy (AOR=2.4, 95% CI: 1.2-4.7), appointment follows up status (AOR=29.8, 95% CI: 1.8-52.2) and knowledge on hypertension and related consequences (AOR=4.3, 95% CI: 2.1-9.3) also were significantly associated with the practice of lifestyle change.
Conclusion: In general, this study revealed that the practices of lifestyle change among hypertensive patients were very low. Therefore, proper awareness creation and health education on the recommended lifestyle modifications might support patients to control their hypertension and to prevent comorbidity with different diseases.
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