| Summary: | 碩士 === 長榮大學 === 護理學系碩士班 === 105 === Abstract
Background: Hypertension ranks 8th among the top 10 causes of death in Taiwan, 2015. Also poor control of blood pressure is a high risk factor that may lead to heart disease and cerebrovascular disease. Currently there has been few papers discussing the related factors of medication adherence.
Purpose: The aim of the study was to explore the factors associated with medication adherence of the community elderly with the hypertensive disorders in Taiwan.
Method: The study was designed as a cross-sectional and correlational study conducted. In the southern Taiwan, The inclusive criterion was : (1) be aged 65 or over, (2) diagnosed with the hypertensive disorders, (3) has visited medical clinics and is currently taking drugs, (4)can communicate in Chinese or Taiwanese. The exclusion criteria was be: (1)be terminally ill (e.g. kidney failure or heart failure), (2) be mentally ill (e.g., schizophrenia or depression), (3) cannot communicate in Chinese or Taiwanese. The data was collected by one-to -one interview. A total of 215 participants were recruited. The structured questionnaire included medication adherence, perceived susceptibility to specific diseases, perceived susceptibility in general, beliefs about causes of hypertension, health perceptions of western medications, health perceptions of Chinese herbs, beneficial self-care behaviors, health-related social support and social support in general. The statistical method included descriptive statistics, the t-test, the Chi-square test and Pearson’s correlation using SPSS 20.0 statistic software.
Results: The results of this study showed that diet habits about favor edible pickled barbecue was associated with medication adherence (χ²=8.14, p< .01). The adherence was respectively associated with perceived susceptibility of specific diseases (t=3.74, p< .01), perceived susceptibility in general (t=3.46, p< .01), beneficial self-care behaviors (t=4.21, p< .01), and health-related social support (t=3.47, p< .01).
Conclusion: The results did not meet our research hypothesis. Social expectations may result in participants’ estimation regarding their hypertension disease susceptibility, hypertension causes and Health Perceptions, knowledge, and changes in Health-Related Social Support. Future research will be conducted in community centers to reduce the influence of social expectations.
Keywords: Hypertension, medication adherence, the aged
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