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Ashoorkhani, Mahnaz, Majdzadeh, Reza, gholami, Jaleh, Eftekhar, Hassan, Bozorgi, Ali. (1397). Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study. سامانه مدیریت نشریات علمی, 6(4), 314-323. doi: 10.30476/ijcbnm.2018.40838
Mahnaz Ashoorkhani; Reza Majdzadeh; Jaleh gholami; Hassan Eftekhar; Ali Bozorgi. "Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study". سامانه مدیریت نشریات علمی, 6, 4, 1397, 314-323. doi: 10.30476/ijcbnm.2018.40838
Ashoorkhani, Mahnaz, Majdzadeh, Reza, gholami, Jaleh, Eftekhar, Hassan, Bozorgi, Ali. (1397). 'Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study', سامانه مدیریت نشریات علمی, 6(4), pp. 314-323. doi: 10.30476/ijcbnm.2018.40838
Ashoorkhani, Mahnaz, Majdzadeh, Reza, gholami, Jaleh, Eftekhar, Hassan, Bozorgi, Ali. Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study. سامانه مدیریت نشریات علمی, 1397; 6(4): 314-323. doi: 10.30476/ijcbnm.2018.40838

Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study

International Journal of Community Based Nursing & Midwifery
مقاله 5، دوره 6، شماره 4، دی 2018، صفحه 314-323    اصل مقاله (351.02 K)
نوع مقاله: Original article
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2018.40838
نویسندگان
Mahnaz Ashoorkhani1؛ Reza Majdzadeh2؛ Jaleh gholami3؛ Hassan Eftekhar4؛ Ali Bozorgi* 5
1Department of Health Education and Promotion, School of Public Health & Knowledge Utilization Research Center (KURC), Tehran University of Medical Sciences.
2Knowledge Utilization Research Center (KURC) & Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran
4Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5Tehran Heart Center, Tehran University of Medical Sciences. Tehran, Iran
چکیده
Background: Hypertension is a major public health issue. With regard to the current trend, it has been estimated that one out of three people will be suffering from hypertension by 2025. This study was designed to provide a better insight into the adherence to treatment and its underlying reasons. Methods: A directed qualitative content analysis approach was conducted in collaboration with 35 hypertensive patients and 3 cardiologists in the form of in-depth interviews and focused group discussions from October 2015 to February 2016. Sampling was carried out from patients with hypertension using purposeful and heterogeneous method. Some of the PRECEDE model structures were applied as the conceptual framework. Results: The reasons affecting adherence to hypertension treatment were analyzed in three general categories of predisposing, enabling and reinforcing factors based on the model structures. Factors such as “knowledge”, “belief and attitude”, “mental-personality traits”, “culture and lifestyle” were classified as the predisposing factors category. “Access to health service” and “access to facilities in the workplace, home and society” were fit in the enabling factor category. The reinforcing factors category addresses “individuals’ internal incentives” and “family and health service providers’ support”.Conclusion: Several reasons account for non-adherence to treatment in hypertensive patients. Diversity of these reasons is an indication that design and implementation of different kinds of interventions are required in order to increase the patients’ awareness, empower them and encourage self-efficacy.
کلیدواژه‌ها
Hypertension؛ Qualitative research؛ Patient compliance؛ Treatment adherence
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