Clinical trials code: IR.UMSHA.REC.1398.540
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Esna-Ashari F, Heidari M, Faiba F, Pirdehghan A, Sangestani M. Examining Beliefs About Medicines and Drug Regimen Adherence Among Hypertensive Patients in Hamadan City, Iran. Qom Univ Med Sci J 2023; 17 : 2860.1
URL: http://journal.muq.ac.ir/article-1-3707-en.html
URL: http://journal.muq.ac.ir/article-1-3707-en.html
1- Social Determinants of Health Research Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. , esna_f@yahoo.com
2- School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
3- Department of Cardiology, School of Medicine, Hamadan University of Medical Science, Hamadan. Iran.
4- Social Determinants of Health Research Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
5- Provincial Hamadan Health Center, Hamadan University of Medical Sciences, Hamadan, Iran.
2- School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
3- Department of Cardiology, School of Medicine, Hamadan University of Medical Science, Hamadan. Iran.
4- Social Determinants of Health Research Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
5- Provincial Hamadan Health Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (589 Views)
Background and Objectives: Hypertension is one of the most important but modifiable risk factors for cardiovascular diseases. However, treatment adherence is an important factor in controlling hypertension and preventing its complications. This study examined the relationship between beliefs about medicines and drug regimen adherence among hypertensive patients living in Hamadan City, Iran, in 2019.
Methods: A total of 570 patients with hypertension covered by comprehensive centers of urban health services in Hamadan from non-privileged, semi-privileged, and privileged areas were selected by multi-stage sampling method. Patients' treatment adherence was assessed with the Morisky medication scale and beliefs about medicines questionnaire (BMQ). The findings were analyzed using the Chi-square, Kruskal-Wallis, and Spearman correlation coefficient.
Results: Of 570 patients, 45.7% had poor, 33.2% had moderate, and 21% had good drug adherence. Their mean score of medication belief was 57.99±7.40. Low medication adherence was significantly related to being divorced and widowed, low economic status, low physical activity, and coexistence of other diseases. However, better adherence was associated with blood pressure complications and shorter disease duration (P<0.05). A significant relationship was observed between medication adherence score and treatment harm belief (P=0.022) and drug-specific final belief (P=0.012).
Conclusion: Most patients with hypertension lack good medication compliance. Beliefs related to drug therapy are effective only in the area of treatment harm and drug-specific beliefs on drug compliance of hypertensive patients
Methods: A total of 570 patients with hypertension covered by comprehensive centers of urban health services in Hamadan from non-privileged, semi-privileged, and privileged areas were selected by multi-stage sampling method. Patients' treatment adherence was assessed with the Morisky medication scale and beliefs about medicines questionnaire (BMQ). The findings were analyzed using the Chi-square, Kruskal-Wallis, and Spearman correlation coefficient.
Results: Of 570 patients, 45.7% had poor, 33.2% had moderate, and 21% had good drug adherence. Their mean score of medication belief was 57.99±7.40. Low medication adherence was significantly related to being divorced and widowed, low economic status, low physical activity, and coexistence of other diseases. However, better adherence was associated with blood pressure complications and shorter disease duration (P<0.05). A significant relationship was observed between medication adherence score and treatment harm belief (P=0.022) and drug-specific final belief (P=0.012).
Conclusion: Most patients with hypertension lack good medication compliance. Beliefs related to drug therapy are effective only in the area of treatment harm and drug-specific beliefs on drug compliance of hypertensive patients
Article number: 2860.1
Type of Study: Original Article |
Subject:
بهداشت عمومی
Received: 2023/04/7 | Accepted: 2023/04/30 | Published: 2023/08/1
Received: 2023/04/7 | Accepted: 2023/04/30 | Published: 2023/08/1
References
1. ness of non-communicable diseases in women: A cross-sectional study. Arch Gynecol Obstet. 2022; 306(3):801-10. [DOI:10.1007/s00404-022-06546-9] [PMID] [DOI:10.1007/s00404-022-06546-9]
2. Vareta G, Georgianos PI, Vaios V, Sgouropoulou V, Roumeliotis S, Georgoulidou A, et al. Epidemiology of hypertension among patients on peritoneal dialysis using standardized office and ambulatory blood pressure recordings. Am J Nephrol. 2022; 53(2-3):139-47. [DOI:10.1159/000521861] [PMID] [DOI:10.1159/000521861]
3. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020; 16(4):223-37. [DOI:10.1038/s41581-019-0244-2] [PMID] [DOI:10.1038/s41581-019-0244-2]
4. Choudhry NK, Kronish IM, Vongpatanasin W, Ferdinand KC, Pavlik VN, Egan BM, et al. Medication adherence and blood pressure control: A scientific statement from the American Heart Association. Hypertension. 2022; 79(1):e1-14. [DOI:10.1161/HYP.0000000000000203] [PMID] [DOI:10.1161/HYP.0000000000000203]
5. Gallagher BD, Muntner P, Moise N, Lin JJ, Kronish IM. Are two commonly used self-report questionnaires useful for identifying antihypertensive medication nonadherence? J Hypertens. 2015; 33(5):1108-13. [DOI:10.1097/HJH.0000000000000503] [PMID] [DOI:10.1097/HJH.0000000000000503]
6. Tam HL, Wong EML, Cheung K. Effectiveness of educational interventions on adherence to lifestyle modifications among hypertensive patients: An integrative review. Int J Environ Res Public Health. 2020; 17(7):2513. [DOI:10.3390/ijerph17072513] [PMID] [PMCID] [DOI:10.3390/ijerph17072513]
7. Dhakal A, KC T, Neupane M. Adherence to lifestyle modifications and its associated factors in hypertensive patients. J Clin Nurs. 2022; 31(15-16):2181-8. [DOI:10.1111/jocn.16033] [PMID] [DOI:10.1111/jocn.16033]
8. Chao C, Berlowitz DJ, Howard ME, Rautela L, McDonald LA, Hannan LM. Measuring adherence to long-term noninvasive ventilation. Respir Care. 2021; 66(9):1469-76. [DOI:10.4187/respcare.08745] [PMID] [DOI:10.4187/respcare.08745]
9. Bocale R, Desideri G, Barini A, D'Amore A, Boscherini M, Necozione S, et al. Long-term adherence to levothyroxine replacement therapy in thyroidectomized patients. J Clin Med. 2022; 11(15):4296. [DOI:10.3390/jcm11154296] [PMID] [DOI:10.3390/jcm11154296]
10. Bartoli-Abdou JK, Patel JP, Vadher B, Brown A, Roberts LN, Patel RK, et al. Long-term adherence to direct acting oral anticoagulants and the influence of health beliefs after switching from vitamin-K antagonists: Findings from the switching study. Thromb Res. 2021; 208:162-9. [DOI:10.1016/j.thromres.2021.11.003] [PMID] [DOI:10.1016/j.thromres.2021.11.003]
11. Lorizio W, Woo H, McCormack MC, Liu C, Putcha N, Wood M, et al. Patterns and predictors of air cleaner adherence among adults with COPD. Chronic Obstr Pulm Dis. 2022; 9(3):366-76. [DOI:10.15326/jcopdf.2022.0309] [PMID] [DOI:10.15326/jcopdf.2022.0309]
12. Ghanei Gheshlagh R, Ebadi A, Veisi Raygani AK, Nourozi Tabrizi K, Dalvandi A, Mahmoodi H. [Determining concurrent validity of the morisky medication adherence scale in patients with type 2 diabetes (Persian)]. Iran J Rehabil Res Nurs. 2015;1(3):24-32. [Link]
13. Mostafavi F, Najimi A, Sharifirad G, Golshiri P. Beliefs about medicines in patients with hypertension: The instrument validity and reliability in Iran. Mater Sociomed. 2016; 28(4):298-302. [DOI:10.5455/msm.2016.28.298-302] [PMID] [DOI:10.5455/msm.2016.28.298-302]
14. Kamran A, Sadeghieh Ahari S, Biria M, Malepour A, Heydari H. Determinants of patient's adherence to hypertension medications: Application of health belief model among rural patients. Ann Med Health Sci Res. 2014; 4(6):922-7. [DOI:10.4103/2141-9248.144914] [PMID] [DOI:10.4103/2141-9248.144914]
15. Zare S, Shams M, Fararouei M, hariatinia S. [Antihypertensive drugs adherence in heart disease patients referring to the Imam Reza Clinic in Shiraz (Persian)]. Sadra J Med Sci. 2018; 6(2):151-60. [Link]
16. Asayeshi F, Mostafavi F, Hassanzadeh A. [The relation between medication-related beliefs and treatment adherence in patients with hypertension in urban health care centers in Isfahan, Iran (Persian)]. Health Syst Res. 2017; 13(1):32-7. [DOI:10.22122/jhsr.v13i1.2555]
17. Hadi N, Rostami-Gooran N. Determinant factors of medication compliance in hypertensive patients of Shiraz, Iran. Arch Iran Med. 2004; 7(4):292-6. [Link]
18. Yang S, He C, Zhang X, Sun K, Wu S, Sun X, et al. Determinants of antihypertensive adherence among patients in Beijing: Application of the health belief model. Patient Educ Couns. 2016; 99(11):1894-900. [DOI:10.1016/j.pec.2016.06.014] [PMID] [DOI:10.1016/j.pec.2016.06.014]
19. Venkatachalam J, Abrahm SB, Singh Z, Stalin P, Sathya GR. Determinants of patient's adherence to hypertension medications in a rural population of Kancheepuram District in Tamil Nadu, South India. Indian J Community Med. 2015; 40(1):33-7. [DOI:10.4103/0970-0218.149267] [PMID] [PMCID] [DOI:10.4103/0970-0218.149267]
20. Joho AA. Factors affecting treatment compliance among hypertension patients in Three District hospitals-Dar es Salaam [PhD dissertation]. Dar es Salaam: Muhimbili University of Health and Allied Sciences; 2012. [Link]
21. Yue Z, Li C, Weilin Q, Bin W. Application of the health belief model to improve the understanding of antihypertensive medication adherence among Chinese patients. Patient Educ Couns. 2015; 98(5):669-73. [DOI:10.1016/j.pec.2015.02.007] [PMID] [DOI:10.1016/j.pec.2015.02.007]
22. Peltzer K. Health beliefs and prescription medication compliance among diagnosed hypertension clinic attenders in a rural South African Hospital. Curationis. 2004; 27(3):15-23. [DOI:10.4102/curationis.v27i3.994] [DOI:10.4102/curationis.v27i3.994]
23. Al-Noumani H, Wu JR, Barksdale D, Sherwood G, AlKhasawneh E, Knafl G. Health beliefs and medication adherence in patients with hypertension: A systematic review of quantitative studies. Patient Educ Couns. 2019; 102(6):1045-56. [DOI:10.1016/j.pec.2019.02.022] [PMID] [DOI:10.1016/j.pec.2019.02.022]
24. Shahin W, Kennedy GA, Cockshaw W, Stupans I. The role of medication beliefs on medication adherence in Middle Eastern Refugees and migrants diagnosed with hypertension in Australia. Patient Prefer Adherence. 2020; 14:2163-73. [DOI:10.2147/PPA.S274323] [PMID] [DOI:10.2147/PPA.S274323]
25. Larki A, Tahmasebi R, Reisi M. Factors predicting self-care behaviors among low health literacy hypertensive Patients based on health belief model in Bushehr District, South of Iran. Int J Hypertens. 2018; 2018:9752736. [DOI:10.1155/2018/9752736] [PMID] [DOI:10.1155/2018/9752736]
26. Khorsandi M, Fekrizadeh Z, Roozbahani N. Investigation of the effect of education based on the health belief model on the adoption of hypertension-controlling behaviors in the elderly. Clin Interv Aging. 2017; 12:233-240. [DOI:10.2147/CIA.S117142] [PMID] [DOI:10.2147/CIA.S117142]
27. Horvat O, Popržen J, Tomas A, Paut Kusturica M, Tomić Z, Sabo A. Factors associated with non-adherence among type 2 diabetic patients in primary care setting in eastern Bosnia and Herzegovina. Prim Care Diabetes. 2018; 12(2):147-54. [DOI:10.1016/j.pcd.2017.10.002] [PMID] [DOI:10.1016/j.pcd.2017.10.002]
28. Uchmanowicz B, Chudiak A, Uchmanowicz I, Rosińczuk J, Froelicher ES. Factors influencing adherence to treatment in older adults with hypertension. Clin Interv Aging. 2018; 13:2425-2441. [DOI:10.2147/CIA.S182881] [PMID] [DOI:10.2147/CIA.S182881]
29. Nelson EC, Stason WB, Neutra RR, Solomon HS, McArdle PJ. Impact of patient perceptions on compliance with treatment for hypertension. Med Care. 1978; 16(11):893-906.[DOI:10.1097/00005650-197811000-00001] [PMID] [DOI:10.1097/00005650-197811000-00001]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Owned by Qom University of Medical Sciences
Published by Qom University of Medical Sciences Press
eISSN: 2008-1375
pISSN: 1735-7799
Email: journal[at]muq.ac.ir
j.mua.ac[at]gmail.com
