Factors Related to Adherence to Treatment in Essential Hypertensive Patients with Early Renal Insufficiency

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Kittima Taengsakha
Wantana Maneesriwongul
Panwadee Putawatana


ABSTRACT: This descriptive study examine relationships between demographic factors, knowledge about hypertension, social support, disease characteristics, medication factors, and clinical setting with adherence to treatment among essential hypertensive patients with early renal insufficiency. A sample comprising of 376 essential hypertensive patients was purposively recruited at the hypertension clinic of Luang Phor Pern Hospital in Nakhon Pathom Province. Descriptive statistics, Pearson's Product Moment Correlation and Spearman's Correlation. The research tools included questionnaire on demographic characteristics treatment and clinic characteristics, the Adherence to hypertensive treatment questionnaire, the Hypertension knowledge questionnaire and the Social support questionnaire. These findings revealed that the patients knowledge about hypertension and social support had significantly positive relationships with adherence to treatment. Patients were significant less likely to adhere to treatment, if they had comorbidity or side effects of medications, such as frequent urination or dry coughing. In addition, convenient access and convenient hypertension clinic both had significant relationships with adherence to treatment. However, adherence to treatment did not show significant relationship with demographic factors examined. These findings emphasize the need for educating patients about medication and hypertension treatment, and for ensuring that they have social support from family, friends and health providers, in order to help patients adhere to treatment and thereby control blood pressure and preserve renal functions.


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Taengsakha K, Maneesriwongul W, Putawatana P. Factors Related to Adherence to Treatment in Essential Hypertensive Patients with Early Renal Insufficiency. Rama Nurs J [Internet]. 2019Apr.22 [cited 2020Jul.8];25(1):87-101. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/125605


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