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Factors Influencing Medication Adherence in Hypertensive Patients  

Seo, Yeong-Mi (Department of Nursing, Jinju Health College)
Publication Information
Research in Community and Public Health Nursing / v.21, no.1, 2010 , pp. 82-91 More about this Journal
Abstract
Purpose: The purpose of this study was to identify factors that influence medication adherence in patients with hypertension. Methods: One hundred sixty two patients with hypertension who visited the outpatient clinics of health centers in J City participated in the study. Data were collected through a questionnaire survey done from January 9 to February 25, 2008. To analyze the sample survey data, descriptive statistics, t-test, ANOVA, Scheffe's test, and multiple regression analysis were performed with SPSS/WIN 12.0. Results: Significant factors that affect medication adherence in patients with hypertension were autonomous motivation, competence, health status, and sex. These variables explained 24% of medication adherence (F=12.48, p<.001). Conclusion: The results indicate that in order to improve the medication adherence of patients with hypertension it is important to develop nursing programs that focus on autonomous motivation and competence and to give consideration to differences in health status and sex. Also further studies are needed to confirm autonomous motivation related to health behavior in patients with hypertension.
Keywords
Motivation; Medication adherence; Hypertension;
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1 Williams, G. C., Grow, V. M., Freedman, Z. R, Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115-126.
2 Williams, G. C., McGregor, H. A., King, D., Nelson, C. C., & Glasgow, R. E. (2005). Variation in perceived competence, glycemic control, and patient satisfaction: Relationship to autonomy support from physicians. Patient Education and Counseling, 57, 39-45.   DOI   ScienceOn
3 Williams, G. C., Rodin, G. C., Ryan, R. M., Grolnick, W. S., & Deci, E. L. (1998). Autonomous regulation and adherence to long-term medical regimens in adult outpatients. Health Psychology. 17, 269-276.
4 Williams, G. C., Patrick, H., Niemiec, C. P., Williams, L. K., Devine, G., Lafata, J. E., et al. (2009). Reducing the health risks of diabetes: How self-determination theory may help improve medication adherence and quality of life. Diabetes Educator, 35, 484-492.   DOI   ScienceOn
5 Williams, G. C., Freedman, Z. R., & Deci, E. L. (1998). Supporting autonomy to motivate glucose control in patients with diabetes. Diabetes Care, 1, 1644-1651.
6 Kennedy, S., Goggin, K., & Nollen, N. (2004). Adherence to HIV medications: Utility of the theory of self-determination. Cognitive Therapy and Research, 28, 611-628.
7 Kim, K. E. (2002). A study on health behaviors and medication compliances of hypertensive patients in rural area. The Journal of Korean Academy of Community Nursing, 13(1), 49-56.   과학기술학회마을
8 Kim, K. W. (2008). Social welfare research methodology. Seoul: MJ Media.
9 Korea Centers for Disease Control and Prevention (2008, December). 2007 Korea national health statistics: The forth korea national health and nutrition examination survey (Issue Brief No. 11702), Seoul: Korea Centers for Disease Control and Prevention.
10 Lee, M. J. (2006). The life-style and the self-care of the patients with hypertension and diabetes in Jinhae city. Unpublished master's thesis, Inje University, Busan.
11 Ministry for Health, Welfare and Family Affair (2009). Key chronic disease management guideline. 2009. Seoul: Ministry for Health, Welfare and Family Affair.
12 Nicholas, L. M. W. (2004). Determinants of adherence in women managing chronic health conditions. Unpublished doctoral dissertation, University of Rochester, New York, USA.
13 Pellitier, L. G., Dion, S. C., Slovenic-D'Angelo, M., & Reid, R. (2004). Why do you regulate what you eat? Relationship between forms of regulation, eating behaviors, sustained dietary behavior change, and psychological adjustment. Motivation and Emotion, 28, 245-277.
14 Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.
15 Sung, S. K. (2008), Medication adherence and the treatment-related factors in the patients initiating antihypertensive therapy. Unpublished doctoral dissertation, Chungnam National University, Daejeon.
16 Ha, Y. C., Chun, H. J., Hwang, H. G., Kim, B. S., & Kim J. R. (2003). The prevalence, awareness, treatment, and control of hypertension, and related factors' in rural korea. The Korean Joumal of Preventive Medicine, 33(4), 513-520.
17 Jeon, H. O. (2008). Influencing factors on self-care in the elderly with essential hypertension. The Journal of Korean Academy of Community Health Nursing, 19(1),66-75.   과학기술학회마을
18 Zoffmann, V., & Lauritzen, T. (2006). Guided self-determination improves life skills with Type1 diabetes and A1C in randomized controlled trial. Patient Education and Counseling, 64, 78-86.   DOI   ScienceOn
19 So, A. Y., Kim, Y. M., Kim, E. Y., Kim, C. Y., Kim, C. H., Kim, H. G., et al. (2008). Effects of communuty-based case management program for clients with hypertension. Journal of Korean Academic of Nursing, 38(6), 822-830.   과학기술학회마을   DOI
20 Suh, S. L., & Seo, Y. M. (2009). Exercise adherence and ifluenrial factors in adults. Journal of the Korean Data Analysis Society, 11(1), 199-212.
21 Yoo, W. S., Kim, Y. K., Kim, J. H., Choi, S. K., & Jeon, Y. B. (1991). A study on the compliance of patients with essential hypertension IV. Inje Medical Journal, 12(1), 67-71.
22 World Health Organization (2003, January). Adherence to long-term therapies. Evidence for action. Retrieved November 8, 2009, from http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf
23 Williams, G. C. (2002). Improving patients' health through supporting the autonomy of patients and providers. In E. L. Deci, & R. M. Ryan (Eds.), Handbook of self-determination research (pp. 233-254). Rochester, NY: University Of Rochester Press.
24 Chang, K. O. (2003). The Relationship among health habits, perceived health status and knowledge related to hypertension and medication compliances of hypertensive elderly. Unpublished mater's thesis, Busan Catolic University, Busan.
25 Sheldon, K. M., Williams, G. C., & Joiner, T. (2003). Self-determination theory in the clinic: Motivating physical and mental health, New Haven, CT: Yale University Press.
26 Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs. NJ: PrenceHall.
27 Bramley, T. J., Gerbino, P. P., Nightengale, B.S., & Frech-Tamas, F. (2006). Relationship of blood pressure control to adherence with antihypertensive monotheraphy in 13 managed care organization. Journal of Managed Care Pharmacy, 12, 239-245.
28 Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum.
29 Fawcett, J. (1995). Compliance: Definition and key issue. Journal of Clinical Psychiatry, 56(1), 4-10.