Factors Related to Treatment Adherence in Older Persons with Hypertension

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Dalima Samdaengsarn
Tippamas Chinnawong
Ploenpit Thaniwatthananon


This descriptive research aimed to identify factors related to treatment adherence in older persons with hypertension. The samples were 197 older persons with hypertension receiving care at the out patient clinic, Maharaj Nakhon Si Thammarat Hospital, during February to May 2017. Research instruments used for data collection were questionnaires consist of 5 parts: 1) Personal information, 2) Health information and access to health service, 3) Social support, 4) Perceived severity and risk of complications from hypertension, and 5) Treatment adherence to hypertension. The reliability of instruments part 2-5 were tested using Cronbach’s alpha coefficient, showed 0.81, 0.82, 0.85, and 0.85 respectively. The statistics used for data analysis were percentage, mean, standard deviation, Chi-Square, and Pearson’s product moment correlation coefficient. The test statistic is statistically significant at the .05 level.

The result revealed the following: 1) Treatment adherence to hypertension of older persons with hypertension was at a high level (M = 1.63, SD = .29). 2) Occupation, marital status and social support were related to treatment adherence in older persons with hypertension significantly (gif.latex?x2 = 4.77, p < .05, gif.latex?x2 = 5.34, p < .05 and r = .27, p < .01 respectively). However, education, access to health services, illness duration and severity of illness were not related to treatment adherence in older persons with hypertension

The results of this study can be used as a basis data for encouraging of family and social support in older persons with hypertension to maintain treatment adherence.



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Samdaengsarn, D., Chinnawong, T., & Thaniwatthananon, P. (2019). Factors Related to Treatment Adherence in Older Persons with Hypertension. Songklanagarind Journal of Nursing, 39(3), 51–66. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/218933
Research Articles


Foundation for Thai Gerontology research and development institute. Situation of the Thai elderly 2015. Bangkok: Amarin Printing & Publishing; 2016. Thai.

Ekplakorn W, Editor. Thai National Health Examination Survey Report, NHES V. Nonthaburi: Health Systems Research Institute; 2014. Thai.

Bureau of Epidemiology Department of Disease Control, Ministry of Public Health. Annual Report on Disease Surveillance 2015 [Internet]. Nonthaburi: Information Center for Epidemiology; 2015 [cited 2017 June 10]. Available from: http://www.boe.moph.go.th/Annual/AESR2015/aesr2558/Part%201/11/hypertension.pdf

Thai Hypertension society. Thai guidelines on the treatment of hypertension 2012 Update. [Internet]. Bangkok: Thai Hypertension society; 2015 [cited 2016 Jan 13]. Available from: http://www.thaihypertension.org/files/GL%20HT%202015.pdf.

James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014; 311(5): 507–20.

Chitpulkuso P. Factors related to blood pressure controls in patients with hypertension of Thabsakae Hospital Prachupkhirikhan Province. JHSR. 2008; 2(3): 1336-43. Thai.

World Health Organization. Adherence to long-term therapies: Evidence for action. Switzerland: Sabate E, ed. Geneva; 2003.

Thongtang P, Seesawang J. Lived experience of Thai older people living with hypertension. JRTAN. 2014; 15(3): 288-95. Thai.

Chaichana W, Niyamas H. Study of self-care behavior of hypertensive patients in a community in Padad district, Chiang Rai Province. Health Systems Research Institute (HSRI). 2007, 1(2): 2-8. Thai.

Intana J, Chaiyayoyingyong R., Wongyara N, Khumtana P, Sriyothin B. Self - health care behaviours of elderly with hypertension Ratchaburi. [Research]. Boromarajonani College of Nursing, Ratchaburi. 2010. 87 p. Thai.

Wungthanakorn S, Phatidumrongkul C, Khomchan P. Factors affecting medication taking behaviors in hypertensive patients. Songkla Med J 2008, 26(6): 39-47. Thai.

Huangtong S, Piaseu N, Kaveevivitchai C. Case study: Behaviors, problems, and barriers of blood pressure control in persons with severe hypertension in a community. Rama Nurs J. 2013, 19(1): 29-41. Thai.

Andersen, RM. Revisiting the behavioral model and access to medical care: Does it matter?. JHSB. 1995; 36(1): 1-10.

Tepsuriyanont S. A Causal model of medication adherence behavior in the elderly with hypertension Somluk Tepsuriyanont. [Thesis]. [Bangkok]: Chulalongkorn University; 2010. 260 p. Thai.

Jaiyungyuen U. Factors influencing health-promoting behaviors of patients with hypertension. JONAE. 2009; 2(1): 39-47. Thai.

Namwong A. Relationships between selected factors and adherence to therapeutic regimens among older adults with hypertension. JONAE. 2015, 8(4): 78-93. Thai.

Sowapak P. Factors related to drug adherence among elders with hypertension. [Thesis]. [Songkla]: Prince of Songkla University; 2006. Thai.

Sangkhlawan P. Factors affecting medication taking behaviours in hypertensive patients at Maenawang Subdistrict, MaeaiI District, Chiangmai Province. [Thesis]. [Phayao]: University of Phayao, 2012. 79 p.

Laloon P, Madhyamankura N, Malarat A. Self – care behavior of hypertensive patients at out patients department of HRH Princess Maha Chakri Sirindhorn Medical Center. J Med Health Sci. 2011, 18(3): 160-69. Thai

Polit DF, Hungler BP. Nursing research: Principle and method. 6 th ed. Philadelphia: Lippincott; 1999.

Juntanon N, Singchai B, Worawong W. Self-care behavior of hypertension patients who live in Muang District, Chumphon Province. KKU Res J. 2011; 16(6): 749-58. Thai.

Promsena Y. Self-care behavior among hypertensive patients at hypertension clinic, Nakornping hospital, Chiang Mai Province. [Thesis]. [Chiang Mai]: Chiang Mai University; 2007. Thai.

National statistical office. The 2014 survey of the older persons in Thailand [Internet]. Bangkok: National statistical office, Ministry of Information and Communication Technology; 2014 [cited 2016 Apr 12]. Available from: http://www2.dop.go.th/upload/knowledge/knowledge_th_20162508144025_1.pdf

National Health Security Office. National Health Security System budget report for the year 2017 [Internet]. Bangkok: National Health Security Office; 2017 [cited 2016 Apr 12]. Available from: https://www.nhso.go.th/frontend/page-about_result.aspx

Lahkaew A, Chaleekroa T. Health literacy and factors related to medication among patients with hypertension, Ban Piang Luang Subdistrict health promoting hospital, Chiang Mai Province. The 6th National and International Conference 2018 (CASNIC 2018). 2015, 1(6): 635-49. Thai.

Limrungsan S, Suwanprom P. Explanatory model of hypertension and antihypertensive use among patients at Hangdong Hospital, Chiang Mai Province. Thai Pharm Health Sci J. 2013, 8(2), 66-77. Thai.