Volume 3, Issue 2 (Summer 2016)                   JECH 2016, 3(2): 9-15 | Back to browse issues page


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Taheri-Kharameh Z, Hazavehei S M M, Ramezani T, Vahedi A, Khoshro M, Sharififard F. The Assessment of Illness Perception and Adherence to Therapeutic Regimens among Patients with Hypertension. JECH. 2016; 3 (2) :9-15
URL: http://jech.umsha.ac.ir/article-1-219-en.html
1- MSc, Department of Operating Room, School of Paramedical Sciences, Qom University of Medical Sciences, Qom, Iran
2- Professor, Research Center for Health Sciences and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran , hazavehei@gmail.com
3- BSc, Student Research Committee, School of Public Health, Qom University of Medical Sciences, Qom, Iran
4- BSc, Kamkar Hospital, Qom University of Medical Sciences, Qom, Iran
Abstract:   (2645 Views)

Background and Objectives: Illness perception is an important predictor for adherence to therapeutic regimens. The aim of this study was to determine the relationship between illness perception and adherence to therapeutic regimens in patients with hypertension.

Materials and Methods: A cross-sectional survey was conducted at two teaching hospitals in Qom, Iran. A convenience sample of 140 patients was performed in this study in 2016. Data was collected using a questionnaire which included three parts: socio-demographic and clinical variables, brief illness perception questionnaire, and Hill-Bone Compliance to High Blood Pressure Therapy Scale. Descriptive and analytical analyses and linear regression analysis were performed for statistical assessment in SPSS-16.

Results: The mean age of the patients was evaluated 60.4 (SD = 11.21) years and 57% of them were female; 35% of patients showed higher than mean scores in adherence to therapeutic regimens. The results of multiple linear regression analysis showed that personal control and disease understanding were associated with more adherence to therapeutic regimens with β = 0.25 and 0.22, respectively.

Conclusions: According to the findings, it is to strengthen patients’ illness perceptions, especially personal control and disease understanding, as an important strategy in educational interventions in order to increase adherence to treatment.

Full-Text [PDF 270 kb]   (1103 Downloads)    
Type of Study: Research Article | Subject: Special
Received: 2016/06/19 | Accepted: 2016/09/10

References
1. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005; 365(9455): 217-23. [DOI] [PubMed]
2. Yadav G, Chaturvedi S, Grover VL. Prevalence, awareness, treatment and control of hypertension among the elderly in a resettlement colony of Delhi. Indian Heart J. 2008;60(4):313-7. [PubMed]
3. Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation. 2011;123(8):933-44. [DOI] [PubMed]
4. Esteghamati A, Etemad K, Koohpayehzadeh J, Abbasi M, Meysamie A, Khajeh E, et al. Awareness, Treatment and Control of Pre-hypertension and Hypertension among Adults in Iran. Arch Iran Med. 2016; 19(7): 456-64. [DOI] [PubMed]
5. Sotodehasl N, Neshatdost H, Kalantery M, Talebi H, Khosravi A. [Comparison of the effectiveness of cognitive behavioral therapy and medication on the quality of life in the patients with essential hypertension]. Koomesh. 2010;11(4):294-301.
6. Ross S, Walker A, MacLeod MJ. Patient compliance in hypertension: role of illness perceptions and treatment beliefs. J Hum Hypertens. 2004;18(9):607-13. [DOI]
7. Abbasi M, Salemi S, Fatemi N, Hosseini F. [Hypertensive patients, their compliance level and its’ relation to their health beliefs]. Iran J Nurs. 2005;18(41):61-8.
8. Leventhal H, Meyer D, Nerenz D. The common sense representation of illness danger. In: Rachman S, editor. Medical psychology. New York: Pergamon Press; 1980. p. 7-30.
9. Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006;60(6):631-7. [PubMed]
10. Rajpura J, Nayak R. Medication adherence in a sample of elderly suffering from hypertension: evaluating the influence of illness perceptions, treatment beliefs, and illness burden. J Manag Care Pharm. 2014;20(1):58-65. [DOI] [PubMed]
11. Chen SL, Tsai JC, Chou KR. Illness perceptions and adherence to therapeutic regimens among patients with hypertension: a structural modeling approach. Int J Nurs Stud. 2011;48(2):235-45. [PubMed]
12. Hsiao CY, Chang C, Chen CD. An investigation on illness perception and adherence among hypertensive patients. Kaohsiung J Med Sci. 2012;28(8):442-7. [DOI]
13. Chen SL, Tsai JC, Lee WL. The impact of illness perception on adherence to therapeutic regimens of patients with hypertension in Taiwan. J Clin Nurs. 2009;18(15):2234-44. [DOI] [PubMed]
14. Bazzazian S, Besharat MA. Reliability and validity of a Farsi version of the brief illness perception questionnaire. Procedia Soc Behav Sci. 2010; 962: 5-5. [DOI]
15. Kim MT, Hill MN, Bone LR, Levine DM. Development and testing of the Hill-Bone Compliance to High Blood Pressure Therapy Scale. Prog Cardiovasc Nurs. 2000;15(3):90-6. [PubMed]
16. Dehghan M, Nayeri N, Iranmanesh S. Validating the Persian Version of the Hill-Bone’s Scale of “Compliance to High Blood Pressure Therapy”. Br J Med Med Res. 2015;5(2):235-46. [DOI]
17. Kretchy IA, Owusu-Daaku FT, Danquah S. Locus of control and anti-hypertensive medication adherence in Ghana. Pan Afr Med J. 2014; 17: 13. [DOI] [PubMed]
18. Kang CD, Tsang PP, Li WT, Wang HH, Liu KQ, Griffiths SM, et al. Determinants of medication adherence and blood pressure control among hypertensive patients in Hong Kong: a cross-sectional study. Int J Cardiol. 2015;182:250-7. [PubMed]
19. Saarti S, Hajj A, Karam L, Jabbour H, Sarkis A, El Osta N, et al. Association between adherence, treatment satisfaction and illness perception in hypertensive patients. J Hum Hypertens. 2016;30(5):341-5. [DOI] [PubMed]

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