Perceived Illness and Treatment Adherence to Hypertension Among Patients Attending a Tertiary Hospital in Kathmandu, Nepal
Autor: | Bhuvan Kc, Lalita Rai, Rajina Shakya, Sunil Shrestha, Sabindra Maharjan, Roshani Gautam, Mana Kumari Rai, Gita Kumari Satyal |
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Rok vydání: | 2020 |
Předmět: |
Control treatment
medicine.medical_specialty Treatment adherence business.industry Health Policy medicine.medical_treatment 05 social sciences Behaviour therapy Medicine (miscellaneous) Affect (psychology) 0506 political science Illness perceptions 03 medical and health sciences 0302 clinical medicine Blood pressure Internal medicine 050602 political science & public administration medicine Personal control cardiovascular diseases 030212 general & internal medicine Salt intake business Pharmacology Toxicology and Pharmaceutics (miscellaneous) Social Sciences (miscellaneous) |
Zdroj: | Patient Preference and Adherence. 14:2287-2300 |
ISSN: | 1177-889X |
Popis: | Introduction Hypertension (HTN) is a silent killer, accountable for life-threatening complications. An individual's illness perception may affect adherence to treatment which is crucial to prevent complications of HTN. The objective of this study was to identify illness perception and treatment adherence among patients with HTN in a tertiary hospital in Kathmandu, Nepal. Methods Descriptive correlational study was conducted in the out-patient department of Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu Nepal. Non-probability purposive sampling was used. A face-to-face interview was conducted from September to December 2018, using a structured questionnaire that included socio-demographic variables, illness perception questionnaire (revised) and Hill bone compliance to high blood pressure therapy scale. Data analysis was done by using descriptive and inferential statistics (chi-square test, Spearman rank correlation). Results Among 204 participants, 51% were male, 77% were literate, mean ± S.D. age was 60±12. About 72% experienced headache and 88% said that headache is related to HTN. Behavioural factors and psychological factors were regarded as the leading cause of HTN. Almost 63% participants believed HTN as highly threatening illness. Higher scores in timeline (acute/chronic), personal control, and treatment control revealed that patients believed HTN as a chronic disease with a higher rate of personal and treatment control. Regarding treatment adherence, the mean score was 16.58 (SD = 2.08), and only 14.7% had perfect adherence. Participants were more adherent to medication and appointment keeping rather than reduce salt intake. Duration of HTN diagnosis (p=0.027) and duration under HTN medication (p= 0.021) were found to be significantly associated with treatment adherence. There was a significant positive correlation between illness perception and treatment adherence (ρ = 0.282, p Conclusion Illness perception and treatment adherence are correlated. Hence, it is beneficial to improve illness perception to achieve perfect treatment adherence. Reinforcement is essential to maintain adherence to both medications and behaviour therapy. |
Databáze: | OpenAIRE |
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