Volume 11, Issue 2 (6-2022)
JCHR 2022, 11(2): 82-90 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Zangiabadi A, Shah Esmaili A, ahmadi Tabatabaei S V, movahed E, Shankestani H. Factors Regarding Adherence to Medication in Patients with Hypertension Based on Health Belief Model in the South of Kerman,Iran. in 2019. JCHR 2022; 11 (2) :82-90
URL: http://jhr.ssu.ac.ir/article-1-686-en.html
URL: http://jhr.ssu.ac.ir/article-1-686-en.html
Abbas Zangiabadi1 
, Armita Shah Esmaili2 , Seyed vahid Ahmadi Tabatabaei * 3, Ehsan Movahed4 , Hamideh Shankestani5
, Armita Shah Esmaili2 , Seyed vahid Ahmadi Tabatabaei * 3, Ehsan Movahed4 , Hamideh Shankestani5
1- Msc of Health Education, School of Health, Kerman University of Medical Sciences, Kerman, Iran
2- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran , v.tabatabaei@gmail.com
4- Department of public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Ira
5- Msc student of Health Education, School of Health, Kerman University of Medical Sciences, Kerman, Iran
2- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran , v.tabatabaei@gmail.com
4- Department of public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Ira
5- Msc student of Health Education, School of Health, Kerman University of Medical Sciences, Kerman, Iran
Abstract: (1473 Views)
Introduction: hypertension is the most important public health problem in developing countries. It is a leading cause of stroke, kidney failure, premature death and a risk factor for cardiovascular disease. The aim of conducting this study was to investigate the factors associated medical Adherence of hypertension based on health belief model.
Method: The present study was a descriptive-analytical study. A total of 403 hypertensive patients with health records were enrolled in the study. Data collection questionnaire included demographic questions and health belief model structures. Data using logistic regression analysis using software was 23 SPSS.
Results: More than half of the patients (58.8%) had poor medication adherence. Most of the subjects (87.3%) used less than three drugs. Pearson test results showed a significant relationship between drug compliance with age, education and job. Among the constructs of HBM, the highest mean was related to perceived benefits (88.93 ± 10.92) and the lowest to self-efficacy constructs (51.97 ±31.55). In the logistic regression model, three factors of awareness, guides to action and perceived barriers, confidently influence drug compliance.
Conclusion: Effective interventions based on health belief model and with emphasis on raising awareness, practice guide and removing perceived barriers can increase medication adherence in patients with hypertension.
Method: The present study was a descriptive-analytical study. A total of 403 hypertensive patients with health records were enrolled in the study. Data collection questionnaire included demographic questions and health belief model structures. Data using logistic regression analysis using software was 23 SPSS.
Results: More than half of the patients (58.8%) had poor medication adherence. Most of the subjects (87.3%) used less than three drugs. Pearson test results showed a significant relationship between drug compliance with age, education and job. Among the constructs of HBM, the highest mean was related to perceived benefits (88.93 ± 10.92) and the lowest to self-efficacy constructs (51.97 ±31.55). In the logistic regression model, three factors of awareness, guides to action and perceived barriers, confidently influence drug compliance.
Conclusion: Effective interventions based on health belief model and with emphasis on raising awareness, practice guide and removing perceived barriers can increase medication adherence in patients with hypertension.
Review: Research |
Subject:
Health education
Received: 2020/09/24 | Accepted: 2021/12/29 | Published: 2022/07/5
Received: 2020/09/24 | Accepted: 2021/12/29 | Published: 2022/07/5
References
1. Hu HH, Li G, Arao T. The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community. Journal of human hypertension. 2015;29(3):198-203. [DOI:10.1038/jhh.2014.58]
2. Li G, Wang H, Wang K, Wang W, Dong F, Qian Y, et al. Prevalence, awareness, treatment, control and risk factors related to hypertension among urban adults in Inner Mongolia 2014: differences between Mongolian and Han populations. BMC public health. 2016;16(1):294. [DOI:10.1186/s12889-016-2965-5]
3. Fang L, Song J, Ma Z, Zhang L, Jing C, Chen D. Prevalence and characteristics of hypertension in mainland Chinese adults over decades: a systematic review. Journal of Human Hypertension. 2014;28(11):649-56. [DOI:10.1038/jhh.2014.5]
4. Cai L, Dong J, Cui WL, You DY, Golden AR. Socioeconomic differences in prevalence, awareness, control and self-management of hypertension among four minority ethnic groups, Na Xi, Li Shu, Dai and Jing Po, in rural southwest China. Journal of human hypertension. 2017;31(6):388-94. [DOI:10.1038/jhh.2016.87]
5. Zdrojewski T, Rutkowski M, Bandosz P, Gaciong Z, Jędrzejczyk T, Solnica B, et al. Prevalence and control of cardiovascular risk factors in Poland. Assumptions and objectives of the NATPOL 2011 Survey. Kardiologia polska. 2013;71(4):381-92. [DOI:10.5603/KP.2013.0066]
6. Musaiger AO, Al-Hazzaa HM. Prevalence and risk factors associated with nutrition-related noncommunicable diseases in the Eastern Mediterranean region. International journal of general medicine. 2012;5:199. [DOI:10.2147/IJGM.S29663]
7. Kaplan MS, Huguet N, Feeny DH, McFarland BH. Self-reported hypertension prevalence and income among older adults in Canada and the United States. Social science & medicine. 2010;70(6):844-9. [DOI:10.1016/j.socscimed.2009.11.019]
8. Borzecki AM, Oliveria SA, Berlowitz DR. Barriers to hypertension control. The American heart journal. 2005;149(5):785-94. [DOI:10.1016/j.ahj.2005.01.047]
9. Hyman DJ, Pavlik V. Medication adherence and resistant hypertension. Journal of human hypertension. 2015;29(4):213-8. [DOI:10.1038/jhh.2014.73]
10. Morowatisharifabad M-A, Movahed E, Nikooie R, Farokhzadian J, Bidaki R, Askarishahi M, et al. Adherence to medication and physical activity among people living with HIV/AIDS. Iranian journal of nursing and midwifery research. 2019;24(5):397. [DOI:10.4103/ijnmr.IJNMR_205_18]
11. Porter AK, Taylor SR, Yabut AH, Al-Achi A. Impact of a pill box clinic to improve systolic blood pressure in veterans with uncontrolled hypertension taking 3 or more antihypertensive medications. Journal of Managed Care Pharmacy. 2014;20(9):905-11. [DOI:10.18553/jmcp.2014.20.9.905]
12. Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2009;14(1):1.
13. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008.
14. Najimi A, Alidousti M, Moazemi GA. A survey on preventive behaviors of high school students about Influenza A based on health belief model in Shahrekord, Iran. 2010.
15. Moharamzad Y, Saadat H, Shahraki BN, Rai A, Saadat Z, Aerab-Sheibani H, et al. Validation of the Persian version of the 8-item Morisky Medication Adherence Scale (MMAS-8) in Iranian hypertensive patients. Global journal of health science. 2015;7(4):173. [DOI:10.5539/gjhs.v7n4p173]
16. Kamran A, Ahari SS, Biria M, Malpour A, Heydari H. Determinants of patient's adherence to hypertension medications: application of health belief model among rural patients. Annals of medical and health sciences research. 2014;4(6):922-7. [DOI:10.4103/2141-9248.144914]
17. Fernandez-Arias M, Acuna-Villaorduna A, Miranda JJ, Diez-Canseco F, Malaga G. Adherence to pharmacotherapy and medication-related beliefs in patients with hypertension in Lima, Peru. PloS one. 2014;9(12):e112875. [DOI:10.1371/journal.pone.0112875]
18. Yang S, He C, Zhang X, Sun K, Wu S, Sun X, et al. Determinants of antihypertensive adherence among patients in Beijing: application of the health belief model. Patient education and counseling. 2016;99(11):1894-900. [DOI:10.1016/j.pec.2016.06.014]
19. Aus BS, Kumar SN. Medication adherence and health belief model among hypertensive patients attending rural health centres of a tertiary care hospital in South India. International Journal of Community Medicine and Public Health. 2017;4(4):1159. [DOI:10.18203/2394-6040.ijcmph20171342]
20. Obirikorang Y, Obirikorang C, Acheampong E, Odame Anto E, Gyamfi D, Philip Segbefia S, et al. Predictors of noncompliance to antihypertensive therapy among hypertensive patients ghana: application of health belief model. International Journal of Hypertension. 2018;2018. [DOI:10.1155/2018/4701097]
21. MazloomyMahmoodabad SS, Agh Atabay R, Movahed M, Alizadeh S. Predictive control high blood pressure in patients with hypertension based on health belief model in Kerman in 2015. Tolooebehdasht. 2016;14(6):98-106.
22. Baskabadi MH, Hassanzade A. Evaluation of blood pressure in patients older than 18 years, residents of Mashhad. Physiology and Pharmacology. 2005;9(2):195-202.
23. Poormuhamad S, Jalili Z. Related factors to self-care behaviors in elderly with hypertension based on the Health Belief Model in Uremia County. Journal of Gerontology. 2017;2(1):41-50. [DOI:10.29252/joge.2.1.41]
24. Yue Z, Li C, Weilin Q, Bin W. Application of the health belief model to improve the understanding of antihypertensive medication adherence among Chinese patients. Patient education and counseling. 2015;98(5):669-73. [DOI:10.1016/j.pec.2015.02.007]
25. Mathew J, Krishnamoorthy S, Chacko L, Philip JH, Jacob JE, Jose JA, et al. Non Compliance to Anti-Hypertensive Medications and Associated Factors-Community Based Cross Sectional Study from Kerala. Scholars Journal of Applied Medical Sciences. 2016;4(6):1956-9. [DOI:10.21276/sjams.2016.4.6.18]
26. Parsa-Yekta Z, Zakeri Moghaddam M, Mehran A, Palizdar M. Study of medication compliance of patients with coronary heart diseases and associated factors. Journal of hayat. 2004;9(4):34-43.
27. Motlagh SFZ, Chaman R, Sadeghi E, Eslami AA. Self-care behaviors and related factors in hypertensive patients. Iranian Red Crescent Medical Journal. 2016;18(6). [DOI:10.5812/ircmj.35805]
28. Abed Y, Abu-Haddaf S. Risk factors of hypertension at UNRWA primary health care centers in Gaza governorates. ISRN Epidemiology. 2013;2013. [DOI:10.5402/2013/720760]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution 4.0 International License. |
