Factors Affecting Medication Adherence among Older Adult Patients with Hypertension In Sam Roi Yot District, Prachuap Khiri Khan Province
Abstract
This descriptive research aims to study 1) the level of medication adherence, health belief model, social support and health literacy of the older adult patients with hypertension, and 2) factors affecting medication adherence among older adult patients with hypertension in Sam Roi Yot District, Prachuap Khiri Khan Province. The sample group consisted of 104 older adult with hypertension selecting by stratified random sampling. The research instrument was a questionnaire. Data were analyzed by using descriptive statistics and multiple regression analysis. The results found that:
1`. The mean scores of medication adherence, health belief model, social support were at a moderate level (M = 10, SD = 0.45; M= 3.39, SD = 0.59; M=3.05, SD= 0.61, respectively). The health literacy was at a low level (M = 2.35, SD = 0.45).
2. Health belief was the highest factor affecting to medication adherence (beta= .613, p< .01). The 3 Variables can statistically significantly predict medication adherence at 55.30% (R2adj = .553 , p<.01.)
Therefore, the promoting medication adherence among older adult patients with hypertension should focus on adjusting health beliefs and social support to give the older adult encouragement to change their medication adherence in an appropriate way.
References
Becker, M.H. 1974. The health belief model and personal health behavior. Michigan: Charles B. Slack.
Bloom B S. (1956). Taxonomy of educational objectives, the classification of educational goals –Handbook I: cognitive domain. New York: McKay.
Department of Disease Control. (2023). The report of the situation of NCD (DM HT and risk factors in 2022). http://www.ddc.moph.go.th/uploads/publish/1035820201005073556.pdf. (in Thai)
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
House, J. S. (1981). Work stress and social support (addison-wesley series on occupational stress). Boston: Addison-Wesley Educational Publishers Inc.
Jankowska-Polawska, B., Uchmanowicz, I., Dudek, K., & Mazur, G. (2016). Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient preference and adherence, 2437-2447.
Jamkrajang, T., Boonchun, N., & Mala, J. (2017). The effectiveness of the self-efficacy and social support enhancement program on medication adherence and blood pressure among hypertensive elderly in community. Journal of The Royal Thai Army Nurses, 18(special issues), 270-279.
Khankaew, W., Thanaboonpuang, P., Intana, J. (2021). Selected factors affecting medication adherence among older patient with type 2 diabetes in Mueang District, Ratchaburi Province. Journal of Research for Health Improvement and Quality of Life, 1(1), 1-12. (in Thai)
Ministry of Public Health .(2023). Hypertension patient report, fiscal year 2021-2023. https://hdcservice.moph.go.th/hdc/reports/report.php?&cat_id=6a1fdf282fd28180eed7d1cfe0155e11&id=6b9af46d0cc1830d3bd34589c1081c68
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078.
Nutbeam, D. (2009). Defining and measuring health literacy: What can we learn from literacy studies?. International Journal of Public Health, 54(5), 303-305.
Pipatsombat, P., Kwanyuen, R., Jariyarattanakul, J. (2022). Effects of health literacy promotion program on medication adherence in Thai Ageing. Kuakarun Journal of Nursing, 29(1), 89-102. (in Thai)
Poulter, N. R., Borghi, C., Parati, G., Pathak, A., Toli, D., Williams, B., & Schmieder, R. E. (2020). Medication adherence in hypertension. Journal of hypertension, 38(4), 579-587.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health education quarterly, 15(2), 175-183.
Sam Roi Yod Hospital .(2023). Diabetes patient report, fiscal year 2021-2023. Sam Roi Yod Hospital. (in Thai)
Sisaaad, B. (2013). Introduction to research (9th ed.). Bangkok : Suwiriyasan Publisher. (in Thai)
Sorensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J, Slonska Z, & et al. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(80),1-13.
Tachavijitjaru, C., Srisupornkornkul, A., & Changtej, S. (2018). Selected factors related with the health literacy of village health volunteer. Journal of The Royal Thai Army Nurses, 19(special issue), 320-332. (in Thai).
Thongyoo, C., & Dangdomyouth, P. (2017). The effect of health belief enhancement program on medication compliance behavior of schizophrenic patients. The Journal of Psychiatric Nursing and Mental Health, 31(1), 75-87.
Wise, M., & Nutbeam, D. (2015). Improving the health of communities by increasing critical health literacy. Health Voices, (17), 23-24.
World Health Organization .(2003). Adherence to long-term therapies: evidence for action: World Health Organization.
World Health Organization. (2021). The world health organization report. WHO: Geneva, Switzerland.
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