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A Path Model Predicting Medication Adherence and Self-care of Low-income Older Adults with Hypertension  

Suh, Soon-Rim (College of Nursing, Kyungpook National University)
Lee, Eun-Hyun (Graduate School of Public Health, Ajou University)
Publication Information
Korean Journal of Adult Nursing / v.23, no.4, 2011 , pp. 374-385 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the factors that influence medication adherence and self-care among low-income older adults with hypertension. Methods: A sample of 297 low-income older adults with hypertension was recruited from June 30 to July 30, 2010. Data collection was done using a face-to-face interview with structured questions. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis. Results: Subjective health status, duration of hypertension, number of drugs excluding antihypertensives, body mass index, knowledge about hypertension, sense of coherence, benefit, barrier, and self-efficacy were identified as significant predictors. Subjective health status and duration of hypertension, knowledge, depression, and self-care showed direct effects on medication adherence. Depression had the strongest direct influence on medication adherence. Body mass index, benefit, self-efficacy, and depression showed a direct effect on self-care. Sense of coherence was a strong predictor of depression which significantly influenced on medication adherence and self-care. Conclusion: For enhancing medication adherence and self-care, it is suggested that a psycho-education program reducing depression and increasing knowledge about hypertension should be provided into low-income older adults with hypertension.
Keywords
Poverty; Hypertension; Elderly; Medication adherence; Self-care;
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Times Cited By KSCI : 5  (Citation Analysis)
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