摘要：Background: Adoption of a life style modification is of critical importance for preventing and managing hypertension. This study determined the adherence to lifestyle modification among hypertensive clients at Juaso district hospital. Methodology: This was a descriptive cross-sectional study, conducted among hypertensive clients at Juaso district hospital, Kumasi, in the Ashanti Region of Ghana. A reviewed-structured questionnaire was used to collect data from the respondents. A total of 300 respondents were conveniently sampled for the study. Clients diagnosed of hypertension and who regularly met appointment dates at the Out Patient Department (OPD) for at least six months duration were included in this study. Statistical analysis was done using SPSS and p-value less than 0.05 was considered statistically significant. Results: The mean age (SD) of the participants was 63.6 years (±11.6) and median duration of having hypertension was 4 years. Out of the 300 participants, 72.0% of the participants were adherent to life style modification. The level of education (p < 0.0001), marital status (p < 0.0001) and duration of disease (p < 0.0001) statistically significant influenced the general rate of adherence. Participants who had secondary education [OR = 0.04 (0.005-3.1), p ≤ 0.0001)], tertiary education [OR = 0.8 (0.01-6.3), p = 0.003)], have had hypertension for a duration of 5 - 10 years [OR = 2.9 (1.5-5.8), p = 0.002)] and married [OR = 2.3 (1.1-4.9), p = 0.034)] were significantly associated with high rate of adherence to lifestyle modification. Participants who reported of being educated on the effect of smoking and alcohol consumption [OR = 2.2 (0.8-5.7), p ≤ 0.0001)] and exercise [OR = 58.9 (7.7-449.9), p ≤ 0.0001)] were significantly associated with high rate of adherence to lifestyle modification. Conclusion: The study showed that, the rate of adherence to lifestyle modification among hypertensive patients was high. Socio-demographic factors such as level of education, marital status and duration of disease significantly influenced the general rate of adherence.
