Modeling Adherence to Therapeutic Regimens in Patients with Hypertension.
10.4040/jkan.2005.35.4.737
- Author:
Young Sook ROH
1
Author Information
1. Red Cross College of Nursing, 85-15 Pyoung-dong Chongro-gu, Seoul, South Korea. aqua@redcross.ac.kr
- Publication Type:Original Article
- Keywords:
Patient adherence;
Self-efficacy;
Hypertension
- MeSH:
Social Support;
Self Efficacy;
Patient Compliance/*psychology;
Models, Psychological;
Middle Aged;
Male;
Korea;
Hypertension/*drug therapy;
Humans;
Health Knowledge, Attitudes, Practice;
Female;
Factor Analysis, Statistical;
Depression/psychology;
Aged
- From:
Journal of Korean Academy of Nursing
2005;35(4):737-744
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study was done to identify and test a model of the psychosocial variables that influence adherence to therapeutic regimens in patients with hypertension. METHOD: A convenience sample of 219 patients with hypertension who were enrolled in an outpatient clinic of a cardiovascular center in Korea participated in the study. They completed self-administered questionnaires anonymously. The questionnaire was based on the Social Action Theory model and a literature review. The explanatory model was constructed and tested using structural equation modeling in order to examine the effects within the model. RESULTS: The results of this study showed that perceived self-efficacy was the strongest factor influencing patient adherence in this sample. Adherence to therapeutic regimens in patients with hypertension was influenced by self-efficacy, patient-provider relationship, social support, and depression. CONCLUSIONS: Adherence to therapeutic regimens in patients with hypertension was most strongly influenced by self-efficacy. These findings suggest that nursing interventions to promote patient adherence should focus on the promotion of self-efficacy including improvement in patient-provider relationship and social support, and reduction in depression.
