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KMID : 1164520100280020093
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Journal of Military Nursing Research
2010 Volume.28 No. 2 p.93 ~ p.112
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Relationships between Psychosocial Factors and Hypertension-related Lifestyle and Medication Adherence among Hypertensive Military Personnel
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Kim Hye-Hyun
Lee Hyeon-Kyeong
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Abstract
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Purpose : The purpose of this study was to measure the relationships between psychosocial factors and hypertension-related lifestyle behaviors and medication adherence based on Cox’s Interaction model of client health behaviors.
Methods : Descriptive correlational study was conducted among 202 hypertensive military personnel. The data were collected from patients with previously diagnosed of hypertension and had taken the antihypertensive medication in 9 army hospitals and one army medical clinic. The data were analyzed by SPSS12 and STATA.
Results : The mean score of hypertension-related lifestyle was 63.39±8.85 from total of 92 points and only 37.1% practiced good medication adherence. 15.5% of variance of hypertension-related lifestyle was accounted for perceived health status, co-morbidity and patient-provider relationship. The predictors for medication adherence were found to be the length of having hypertension and patient-provider relationship.
Conclusion : Hypertensive military personnel need more drinking restrictions and weight management, and improving medication adherence is most important factor. Collaborative patient-provider relationship will be a effective strategy to improve hypertension-related lifestyle and medication adherence, and these factors should be considered when designing programs.
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KEYWORD
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Cox’s interaction model of client health behaviors, Hypertension-related lifestyle, Medication adherence, Patient-provider relationship
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