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Treatment adherence of Chinese patients with hypertension: a longitudinal study
Chunhua Ma1, Shaoxian Chen, Ying Zhou
1School of Nursing, Guangzhou Medical College, Guangzhou 510180, China.
Background:
There is no research concerning treatment adherence and correlated factors using longitudinal design in China.
Aim:
This article investigated the treatment adherence of patients with hypertension and examined determinants of adherence, with a focus on changes of adherence and psychosocial factors over 1 year.
Methods:
A longitudinal design was adopted to facilitate the survey of patients with hypertension across two time points.
Results:
The results demonstrated that treatment adherence of hypertensive patients improved over 1 year follow-up. The blood pressure values of hypertensive patients decreased at time 2. The regression analysis found that time 1 treatment adherence, social support, education and duration of diagnosis were significant predictors of treatment adherence at time 2, accounting for 26% of the total variance. Time 1 treatment adherence explained 15% of the variance, social support 7%, education 3% and duration of diagnosis 1%.
Conclusions:
The effective strategies targeted patients at risk are suggested to be necessary and should be designed according to the factors affecting adherence.
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