Determinants of medication adherence among hypertensive patients using the Pender’s health promotion model
نویسندگان
1 Department of Public Health, School of Health, Hamadan University of Medical Sciences
2 Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3 Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4 Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
doi
چکیده
BACKGROUND: Poor adherence in treatment and medication is a global issue in curing the chronicdiseases such as hypertension. The present study was conducted to identify the factors related withmedication adherence among hypertensive patients referred to the health centers of Borujerd basedon the Pender’s Health Promotion Model (HPM).MATERIALS AND METHODS: This cross‑sectional study was conducted on 463 patients who werereferred to the comprehensive health centers of Borujerd city by cluster sampling method in 2019.The data were collected using a questionnaire including demographic variables and Pender’s HPMconstructs. Data were analyzed by SPSS 18 software using Pearson correlation coefficient andlinear regression.RESULTS: The mean and standard deviation of the participants’ age was 63.29 ± 11.2 years. Theresults showed that hypertensive patients had a relatively desirable level of medication adherencebehavior. Perceived barriers (β = −0.169), perceived self‑efficacy (β = 0.196), activity related affect(β = 0.232), and following medication regimen (β = 0.225) were the best predictors of performingthe medication adherence behavior. In total, different structures of the HPM explained 42.2% of thevariation of medication adherence behavior changes.CONCLUSIONS: According to the findings, the design of educational programs using HPM isrecommended to increase the medication adherence among hypertensive patients.
