Author/Authors :
Khezerloo، Somayeh نويسنده Lecturer, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran , , RAHMANI، ALIREZA نويسنده , , Jafarizadeh، Hossein نويسنده Lecturer, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran ,
Abstract :
BACKGROUND: Hypertension is one of the most common risk factors for cardiovascular
disease and premature mortality. Identifying of the factors that influence adherence to
medication regimens can improve the quality of care in patients with hypertension. The purpose
of this study is finding the relationship between cognitive self-concept and adherence to
medication regimens in patients with high blood pressure.
METHODS: Using a descriptive correlational design, a convenience sample of 108 hypertensive
patients were selected from Taleghani Hospital, affiliated with Urmia University of Medical
Sciences in Iran. The two validated and reliable questionnaires of Cognitive Perception of
Cardiovascular Healthy lifestyles and Adherence questionnaires were completed by each patient.
RESULTS: A direct relationship between challenges to self-concept and adherence to
prescribed medication regimen was noted (P < 0.01). Threat to self-concept had an inverse
relationship to adherence (P < 0.01). In other words patients who faced more challenge and less
threat to self-concept adhered more to their prescribed medication regimen.
CONCLUSION: Nurses should be looking for strategies and interventions such as education
and counseling to stop patients with hypertension from seeing their medication regimens as a
threat and empower their patients to perceive hypertension as a challenge to better adhere to
the prescribed medication regimen.
