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HOME > J Korean Acad Community Health Nurs > Volume 23(2); 2012 > Article
Original Article
Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension
Young Soon Byeon, Soon Ock Kim, Jeong-Hyun Cho
Journal of Korean Academy of Community Health Nursing 2012;23(2):189-200.
DOI: https://doi.org/10.12799/jkachn.2012.23.2.189
Published online: June 30, 2012

1Professor, Division of Nursing Science, College of Health Science, Ewha Womans University, Seoul, Korea.

2Assistant Professor, Department of Nursing, Kyungbok University, Pocheon, Korea.

3Doctoral Student, College of Nursing, Korea University, Seoul, Korea.

• Received: March 10, 2012   • Accepted: June 25, 2012

Copyright © 2012 Korean Academy of Community Health Nursing

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  • Purpose
    The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension.
  • Methods
    Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered.
  • Results
    Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence.
  • Conclusion
    The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.
Table 1
Socio-demographic and Medication related Characteristics of Participants (N=323)
jkachn-23-189-i001.jpg

Note. Numbers are excluded no response.

Table 2
Socio-demographic and Medication related Characteristics by Stages of Change in Medication Adherence (N=323)
jkachn-23-189-i002.jpg

Note. Numbers are excluded no response.

PC=precontemplation; C=contemplation; PA=preparation; AT=action, MA=maintenance.

Fisher's exact test.

Table 3
Differences of Processes of Change, Self-efficacy and Decisional Balance by Stages of Change in Medication Adherence (N=323)
jkachn-23-189-i003.jpg

PC=precontemplation; C=contemplation; PA=preparation; AT=action, MA=maintenance; PROS=advantage of exercise, CONS=disadvantages of exercise.

Table 4
Influencing Factors on Stages of Change in Medication Adherence (N=323)
jkachn-23-189-i004.jpg

Model : -2 log likelihood=652.87, χ2=212.05, df=68, p<.001; Pseudo R2 (Nagelkerke R2)=.520.

Reference group: living with others.

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    Citations

    Citations to this article as recorded by  
    • Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
      Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
      Journal of Korean Public Health Nursing.2016; 30(1): 105.     CrossRef
    • Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
      Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
      Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419.     CrossRef

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