Anti-Hypertensive Drug Treatment and Lifestyle Modifications among Patients with Hypertension: Factors Affecting Adherence | ||||
| Egyptian Journal of Health Care | ||||
| Article 9, Volume 6, Issue 1, March 2015, Page 134-150 PDF (528.49 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2015.223542 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Sherif S. Mohamed1; Nawal E. Hanna2; Hussin H. Kassem3; Amany S. Ayoub2 | ||||
| 1Medical surgical Nursing Department , Faculty of Nursing, Minia University. | ||||
| 2Medical surgical Nursing Department, Faculty of Nursing, Cairo University | ||||
| 3Cardiovascular Medicine Department, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Background: The adherence to antihypertensive drugs and life style modifications is a major mean to control hypertension. Aim: The current study aimed to; identify the level of adherence to both the antihypertensive drug treatment and lifestyle modifications among hypertensive patients and factors affecting adherence. Subject and Methods: Descriptive cross-sectional design was used. The study was conducted with convenient sample of 100 hypertensive patients in medical departments of two university hospitals, Cairo and Minia 50 patients from each hospital; using a structured interview questionnaire tool which developed by the investigator based on Modified Health Belief model (HBM). Results: patients in Cairo hospital only who had high level of adherence to drugs (77.17%) while all patients had low level of adherence to life style modification (˂75%), Individuals with high level of adherence were male, married, urban and aged between 45 and 64 years. HBM variables (perceived severity, perceived susceptibility, perceived benefit, perceived barrier, internal factors and health care provider factors) were statistically significant; the cues to action did not show statistical significance. Conclusion: the majority of patients had low levels of adherence, high levels of uncontrolled hypertension, obesity and The reported levels of perceptions to HBM variables support the interplay of other contributory factors to non-adherence. Recommendations: The study recommends Nurses/Doctors to educate patients about adherence necessity, benefits and behaviors and also, recommends policy makers to review and solve problems of cost for drug and medical advice. Further researches are needed in adherence behavior regarding barriers and factors for improvement. | ||||
| Keywords | ||||
| Hypertension; Adherence; Health belief model; treatment; Blood pressure control | ||||
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