FACTORS INFLUENCING COMPLIANCE TO LIFESTYLE MODIFICATIONS AMONG HYPERTENSIVE PATIENTS ATTENDING SPECIAL CLINIC IN NYAMIRA COUNTY REFERRAL HOSPITAL, KENYA
Ogega, Stephen Marita
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Compliance to lifestyle modification is essential in the management of hypertension. The aim of this study was to identify factors that influence compliance to lifestyle modification among hypertensive patients attending special clinic at Nyamira County Referral Hospital. A descriptive correlational study design was used to describe, determine and evaluate individual, family, health services and socio-cultural factors that influence compliance to lifestyle modification among these patients. A structured self-administered questionnaire was used to collect data from each of 224 hypertensive patients who participated in the study. The data acquired was analyzed using frequencies, means and correlation and regression were to determine the relationships. The findings revealed that most of the respondents were non-compliant (80%) while onl 20% were compliant to the lifestyle modifications. The inferential statistics findings indicated Pearson correlation scores as being; socio-cultural =(r=0.229, p=0.01), individual =(r=0.67, p=0.00), family (r=0.581 p=0.00) and health service = (.581, p=.000). The percentages of contribution to compliance to lifestyle modification by each of the factors are: individual factors – 43%, health service factors – 7.3%, family factors - .7%. In conclusion, there is very low level of compliance to lifestyle modifications mainly accounted for by the individual, family, and health service factors but weak with socio-cultural factors. Therefore, there is need to develop health programs that will assist the hypertensive patients control the factors contributing to the low compliance to their engagement in lifestyle modifications.