Document Detail

Modeling adherence to therapeutic regimens in patients with hypertension.
MedLine Citation:
PMID:  16037729     Owner:  NLM     Status:  MEDLINE    
PURPOSE: This study was done to identify and test a model of the psychosocial variables that influence adherence to therapeutic regimens in patients with hypertension. METHOD: A convenience sample of 219 patients with hypertension who were enrolled in an outpatient clinic of a cardiovascular center in Korea participated in the study. They completed self-administered questionnaires anonymously. The questionnaire was based on the Social Action Theory model and a literature review. The explanatory model was constructed and tested using structural equation modeling in order to examine the effects within the model. RESULTS: The results of this study showed that perceived self-efficacy was the strongest factor influencing patient adherence in this sample. Adherence to therapeutic regimens in patients with hypertension was influenced by self-efficacy, patient-provider relationship, social support, and depression. CONCLUSIONS: Adherence to therapeutic regimens in patients with hypertension was most strongly influenced by self-efficacy. These findings suggest that nursing interventions to promote patient adherence should focus on the promotion of self-efficacy including improvement in patient-provider relationship and social support, and reduction in depression.
Young Sook Roh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Taehan Kanho Hakhoe chi     Volume:  35     ISSN:  1598-2874     ISO Abbreviation:  Taehan Kanho Hakhoe Chi     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-22     Completed Date:  2006-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101191388     Medline TA:  Taehan Kanho Hakhoe Chi     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  737-44     Citation Subset:  IM; N    
Red Cross College of Nursing, Seoul, South Korea.
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MeSH Terms
Depression / psychology
Factor Analysis, Statistical
Health Knowledge, Attitudes, Practice
Hypertension / drug therapy*
Middle Aged
Models, Psychological
Patient Compliance / psychology*
Self Efficacy
Social Support

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