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KMID : 0607720120230020189
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Journal of Korean Community Nursing
2012 Volume.23 No. 2 p.189 ~ p.200
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Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension
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Byeon Young-Soon
Kim Soon-Ock
Cho Jeong-Hyun
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Abstract
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Purpose: The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension.
Methods: Participants were 323 patients with hypertension. Sociodemographic/ medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered.
Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and selfliberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence.
Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.
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KEYWORD
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Hypertension, Medication adherence
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