LEVEL OF ADHERENCE TO LIFESTYLE CHANGES AND MEDICATIONS AMONG MALE HYPERTENSIVE PATIENTS IN TWO HOSPITALS IN TAIF; KINGDOM OF SAUDI ARABIA
Keywords:
Adherence, Diet, Exercise, Medications, HypertensionAbstract
Objective: The main aims were to measure adherence to diet, exercise and medications among hypertensive patients and to identify determinants of adherence if any.
Methods: A cross-sectional study was conducted during October-December 2013 at Al-Hada Armed Forces Hospital and Princess Mansour Community Hospital; Taif; Kingdom of Saudi Arabia. All adult patients (>18 year) diagnosed with essential hypertension were recruited. A convenience method of sampling was adopted. Data was processed using the software Statistical Package for Social Science (SPPS). P values of<0.05 were considered as statistically significant.
Results: Overall, 144 patients were included. Of them 92 (63.9%) were recruited from Princess Mansour Hospital and 52 (36.1%) others from Al-Hada Hospital. Rates of adherence to exercise, a healthy diet and medications were 20.1%, 11.8% and 34.7% respectively. The level of monthly income was found to be strongly associated with adherence to both a healthy diet (*PÂ =0.046) and regular exercise (*PÂ = 0.004). Presence of other co-morbidity was found to be an important factor in the commitment to a healthy diet (*PÂ = 0.012), regular exercise (*PÂ = 0.028) and medications (*PÂ = 0.002). Patients of ages <65 year were found to be more adherent to a healthy diet compare to elderly ones (*PÂ = 0.007). Only 6 (4.2%) patients were found to be adherent to all studied domains. Adherence to all domains increased significantly with educational level (*P= 0.002).
Conclusions: Adherence to all studied domains was sub-optimal. Well-organized and individualized patient-oriented education is needed.
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