Factors predicting therapeutic behaviors of middle-aged adults with hypertension in Binh Dinh Province, Vietnam

  • Thuy Thi Ha Faculty of Nursing, Burapha University

บทคัดย่อ

Inadequate adherence behaviors to therapeutic treatment cause failure of controlled hypertension and increased death and disability in hypertensive patients. Based on the Health Promotion model, this cross-sectional design aimed to investigate therapeutic behaviors of Vietnamese middle-aged adults with hypertension, and examine influences of participants’ perceived benefits, perceived barriers, perceived self-efficacy, and perceived nurse support to the therapeutic behaviors. Eighty two participants were randomly recruited. They were diagnosed as having primary hypertension and have visited the Out-patient Clinic of Cardiovascular Department at Binh Dinh General Hospital during the past three months. Self-report questionnaires were utilized for data collection. Descriptive analysis and standard multiple regression were used for research hypotheses testing.

               Results showed high levels of therapeutic behaviors, perceived benefits, and perceived self-efficacy. Additionally, moderate levels of perceived barriers and perceived nurse support were also found. Regression analysis disclosed predicting power of perceived self-efficacy (β = .48, p < .001), perceived barriers = -.29, p < .01), and perceived benefits (β = .19, p < .05), which could explain up to 60% the variances of the therapeutic behaviors (R2 = .60, F[4,77] = 29.16, p < .001). Perceived nurse support was not significant in explaining the outcome (β = -.03, p > .05), although Pearson correlation was significant.

               The findings clarify motivation for therapeutic behaviors among hypertensive middle-aged adults. These results will beneficial to clinical interventions as well as further research to approach hypertension control and promote optimal health in the population.

Downloads

Download data is not yet available.

ประวัติผู้แต่ง

Thuy Thi Ha, Faculty of Nursing, Burapha University
Nursing teacher, Nursing Department, Binh Dinh Medical College, Vietnam

เอกสารอ้างอิง

Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study [editorial]. Lancet 2012; 380(9859): 2224-2260.

World Health Organization. World Health Statistics 2012: The global health observatory. Geneva: World Health Organization; 2012.

Mendisi S. Hypertension: A silent contributor to the global cardiovascular epidemic. Regional Health Forum 2013; 1(17): 1-6.

Valderrama AL, Gillespie C, King SC, George MG, Hong Y, Gregg E. Vital signs: Awareness and treatment of uncontrolled hypertension among adults United States, 2003-2010. Morb Mortal Wkly Rep. 2012; 61(35): 703-709.

Friedrich, MJ. High hypertension rates in low- and middle-income countries. JAMA. 2014; 311(11): 1101.

Tran, TL. (2012). Assessment of treatment adherence of outpatient with hypertension at Thai Nguyen C hospital, 2012 [thesis]. Hanoi, Vietnam: Public Health Univ.; 2012. (Vietnamese)

Nguyen QN, Pham TS, Nguyen LV, Weinehall L, Bonita R., Byass P, et al. Time trends in blood pressure, body mass index and smoking in the Vietnamese population: A meta-analysis from multiple cross-sectional surveys. PLoS ONE 2012; 7(8): 42825.

Pham TS, Nguyen NQ, Nguyen LV, Pham GK, Wall S, Weinehall L, et al. Prevalence, awareness, treatment and control of hypertension in Vietnam-Results from a national survey. J Hum Hypertens. 2012; 26(4): 268-280.

Nguyen MP. (2011). Reality of adherence to treatment of hypertension at the community and the related factors among patients 25-60 age in four wards of Hanoi city, 2011 [thesis] Hanoi, Vietnam: Public Health Univ.; 2011. (Vietnamese)

Ha DA, Goldberg RJ, Allison JJ, Chu TH, Nguyen HL. Prevalence, awareness, treatment, and control of high blood pressure: A population-based survey in Thai Nguyen, Vietnam. PLoS ONE. 2013; 8(6): 66792.

Ramli A, Ahmad NS, Paraidathathu T. Medication adherence among hypertensive patients of primary health clinics in Malaysia. Patient Prefer Adherence. 2012; 6: 613-622.

Thomas D, Meera NK, Binny K, Sonal Sekhar M, Kishore G, Sasidharan S. Medication adherence and associated barriers in hypertension management in India. Cardiovascular Disease Prevention and Control. 2011; 6: 9-13.

Joho AA. Factors affecting treatment compliance among hypertension patients in three District hospitals - Dar Es Salaam, Tanzania [thesis]. Critical Care & Trauma, Muhimbili Health and Allied Sciences Univ.; 2012. Available from http://ihi.eprints.org/1584/1/ Angelina_Alphonce_Joho.pdf

Kamran A, Azadbakht L, Sharifirad G, Mahaki B, Sharghi A. Sodium intake, dietary knowledge, and illness perceptions of controlled and uncontrolled rural hypertensive patients. Int J Hypertens. 2014; 2014: 1-7.

Nguyen TN. Factors related to eating behavior of patients with hypertension in Hanoi, Vietnam [thesis]. Chonburi, Thailand: Burapha Univ.; 2009.

Epstein DE, Sherwood A, Smith PJ, Craighead L, Caccia C, Lin PH, et al. Determinants and consequences of adherence to the dietary approaches to stop hypertension diet in African-American and white adults with high blood pressure: Results from the ENCORE trial. J. Acad. Nutr. Diet. 2012; 112(11): 1763-1773.

Pender NJ, Murdaugh C, Parsons MA. Health promotion in nursing practice. 4th ed. New Jersey: Julie Alexander; 2002.

Pinprapapan E, Panuthai S, Vannarit T, Srisuphan W. Casual model of adherence to therapeutic regimens among Thais with hypertension. Pacific Rim Int J Nurs Res. 2013; 17(3): 268-281.

Edo TA. Factors affecting compliance with anti-hypertensive drug treatment and required lifestyle modification among diagnosed hypertension patients on the Island of Praslin [thesis]. Public Health, South Africa Univ.; 2009. Available from http://uir.unisa.ac.za/

bitstream/handle/10500/3249/dissertation_edo_t.pdf

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. JAMA. 2003; 289(19): 2560-2571.

Ma C, Chen S, Zhou Y, Luo Z, Xing C. Development and psychometric evaluation of the Treatment Adherence Questionnaires for Patients with Hypertension. J Adv Nurs. 2012; 68(6):1402-1413.

Saleem F, Hassali MA, Shafie AA, Atif M. (2012). Drug attitude and adherence: A qualitative insight of patients with hypertension. J Young Pharm. 2012; 4(2): 102-107.

Newell MA. Knowledge, perceptions, beliefs and behaviors related to the prevention of hypertension among Black Seventh-Day Adventist living in London [dissertation]. California: Loma Linda Univ.; 2008.

Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. J Pers Soc Psychol. 1996; 70(1): 115-126.

Cha E, Kim K, Erlen J. Translation of scales in cross-cultural research: Issues and techniques. J Adv Nurs. 2007; 58(4): 386-395.

Macnee CL, McCabe S. Understanding nursing rerearch: Reading and using research in evidence-based practice. 2nd ed. Philadelphia: Wolters Kluwer Health/Lippincott William & Wilkins; 2008.

Tran AV. Factors related to health behaviors or Vietnamese patients with hypertension [thesis]. Chonburi, Thailand: Burapha Univ.; 2014.

Ho TN. Factors influencing health promoting behaviors of Vietnamese patients with hypertension [thesis]. Chonburi, Thailand: Burapha Univ.; 2012.

Uzun S, Kara B, Yokuşoğlu M, Arslan F, Yilmaz MB, Karaeren H. The assessment of adherence of hypertensive individuals to treatment and lifestyle change recommendations. Anadolu Kardiyoloji Dergisi. 2009; 9(2):102-109.

Hareri HA, Gedefaw M, Simeng B. Assessment of prevalence and associated factors of adherence to antihypertensive agents among adults on follow up Adama Referal hospital, East Shoa, Ethiopia-cross sectional study. Int J Curr Microbiol Appl Sci. 2014; 3(1): 760-770.

Donahue KE, Vu MB, Halladay JR, Miller C, Garcia BA, Cummings DM, et al. Patient and practice perspectives on strategies for controlling blood pressure, North Carolina, 2010–2012. Prev Chronic Dis. 2014;11: 1-12.

Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008;10: 348-354.

Hinkle JL, Guanci M. Acute ischemic stroke review. J Neurosci Nurs. 2007; 39(5): 285-293.

Trivedi RB, Ayotte B, Edelman D, Bosworth H. The association of emotional well-being and marital status with treatment adherence among patient with hypertension. J Behav Med. 2008; 31(6): 489-497.

AlGhurair SA, Hughes CA, Simpson SH, Guirguis LM. A systematic review of patient self-reported barriers of adherence to antihypertensive medications using the World Health Organization Multidimensional Adherence Model. Official Journal of the American Society of Hypertension, Inc. J Clin Hypertens. 2012; 14(12): 877-886.

American Mobiles Nurse Healthcare Education Services. Age-specific considerations in patient care. RN.com. [Internet]. [update 2015 April 21; cited 2015 April 27]. Available from http://lms.rn.com

/getpdf.php/2019.pdf

Peila-Shuster JJ. Retirement self-efficacy: The effects of a pre-retirement strengths-based intervention on retirement self-efficacy and an exploration of relationships between positive affect and retirement self-efficacy [dissertation]. School of Education, Colorado State Univ.; 2011.

Nguyen TMH. Factors predicting physical activity among persons with type 2 diabetes in Thai Nguyen hospital, Vietnam [thesis]. Chonburi, Thailand: Burapha Univ.; 2014.

เผยแพร่แล้ว
2015-09-02
การอ้างอิงบทความ
1.