Effect of an Educational Program based on Health Belief Model on Medication Adherence in Elderly Patients with Hypertension

Yasaman Yazdanpanah, Amir Reza Saleh Moghadam, S. Mazlom, Reza Haji Ali Beigloo, Samira Mohajer
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引用次数: 16

Abstract

Background: Aging population growth is accompanied by the risk of cardiovascular diseases and hypertension. Medication nonadherence is one of the problems affecting patients, especially elderly individuals with high blood pressure. Aim: The present study aimed to determine the effect of an educational program based on the Health Belief Model (HBM) on medication adherence in older adults suffering from hypertension. Methods: This randomized controlled clinical trial was conducted on 60-year-old elderly people referring to health centers in Mashhad, Iran, during 2017. To this end, the intervention group received education on medication adherence while the control group was only subjected to typical routine services. The data were analyzed in SPSS Software (Version 20) through the independent t-test, Chi-square test, and Fisherâ��s exact test. Results: The mean ages of the participants in the intervention and control groups were 69.1±8.3 and 63.9±6.7 years, respectively. The post-test mean score of medication adherence obtained by the intervention group was 6.7±0.5 that was significantly higher than that of the control group (3.7±1.0) (PE�0.001). Moreover, the mean score of medication adherence in the intervention group had significantly increased in the post-test phase (PE�0.001) based on the within-group results of the paired t-test. Implications for Practice: The HBM might improve medication adherence in elderly individuals with hypertension by changing their beliefs. Therefore, it was recommended to use this model for teaching self-care to older adults suffering from chronic illnesses and also in other senior healthcare centers. Â
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基于健康信念模型的教育方案对老年高血压患者服药依从性的影响
背景:人口老龄化伴随着心血管疾病和高血压的风险。服药不依从是影响患者的问题之一,尤其是老年高血压患者。目的:本研究旨在探讨基于健康信念模型(HBM)的教育方案对老年高血压患者服药依从性的影响。方法:对2017年在伊朗马什哈德医疗中心就诊的60岁老年人进行随机对照临床试验。为此,干预组接受药物依从性教育,对照组仅接受典型的常规服务。采用SPSS软件(Version 20)对数据进行独立t检验、卡方检验和fisher精确检验。结果:干预组和对照组的平均年龄分别为69.1±8.3岁和63.9±6.7岁。干预组药物依从性测试后平均得分为6.7±0.5,显著高于对照组(3.7±1.0)(p < 0.001)。此外,根据配对t检验的组内结果,干预组的药物依从性平均评分在测试后阶段显著增加(PE 0.001)。实践意义:HBM可能通过改变老年高血压患者的信念来改善他们的药物依从性。因此,建议使用该模型对患有慢性疾病的老年人进行自我保健教学,也可用于其他老年保健中心。一个
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来源期刊
Evidence Based Care Journal
Evidence Based Care Journal Medicine-Health Policy
CiteScore
2.00
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.
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