Medication Beliefs, Cognitive Defusion, and Valued Living in Hypertensive Patients with Varying Medication Adherence.

IF 0.5 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS ARYA Atherosclerosis Pub Date : 2023-01-01 DOI:10.48305/arya.2022.11811.2471

Fatemeh Zargar, Parisa Monzavi, Mohammad Javad Tarrahi, Sayed Arash Salehi

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Abstract

Background: One of the most severe problems that patients with Hypertension (HPN) face are lack of medication adherence, which is influenced by psychological factors. Thus, the current survey sought to compare medication beliefs, cognitive defusion and valued living in hypertensive patients with varying medication adherence.

Method: A cross-sectional study with 162 HPN patients from three clinics at Isfahan University of Medical Sciences was conducted in 2019. Participants completed the BMQ (Beliefs about Medicines Questionnaire), MMAS (Morisky Medication Adherence Scale), CFQ (Cognitive Fusion Questionnaire), and VLQ (Valued Living Questionnaire). The data were analyzed using descriptive statistics, chi-square, and analysis of variance (ANOVA).

Results: Only 22.2% of patients scored high in medication adherence (MA). MA levels increased with age in a significant correlation (P=0.03). ANOVA results revealed that the three MA levels (low, medium, and high) had substantial differences in both VLQ subscales (importance of person-valued living and allotted time for values; P=0.002 and P=0.023). However, no significant differences in MA levels were found in the CFQ (cognitive defusion and cognitive fusion) and BMQ subscales (specific necessity, specific concern, general overuse, and general harm).

Conclusions: This study discovered that a higher MA is associated with increasing age. In addition, patients with HPN who value living and devote more time to their values have higher MA.

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服药依从性不同的高血压患者的用药信念、认知消解和有价值的生活。

背景：高血压（HPN）患者面临的最严重问题之一是缺乏用药依从性，而这又受到心理因素的影响。因此，本次调查旨在比较不同服药依从性的高血压患者的用药信念、认知障碍和生活价值：2019 年对伊斯法罕医科大学三个诊所的 162 名高血压患者进行了横断面研究。参与者填写了 BMQ（关于药物的信念问卷）、MMAS（莫里斯基用药依从性量表）、CFQ（认知融合问卷）和 VLQ（生活价值问卷）。数据分析采用描述性统计、卡方差分析和方差分析（ANOVA）：结果：只有 22.2% 的患者在服药依从性（MA）方面得分较高。MA水平随年龄的增长而增加，且相关性显著（P=0.03）。方差分析结果显示，三种 MA 水平（低、中、高）在 VLQ 的两个分量表（个人价值生活的重要性和分配给价值的时间；P=0.002 和 P=0.023）中均有显著差异。然而，在 CFQ（认知化解和认知融合）和 BMQ 分量表（特定必要性、特定关注、一般过度使用和一般伤害）中，MA 水平没有发现明显差异：本研究发现，较高的 MA 值与年龄增长有关。此外，重视生活并投入更多时间实现自身价值的 HPN 患者的 MA 值更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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