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Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China
Chi Zhou1, Jingchun Chen1, Fang Tan2
1Department of Health Management, School of Public Health, Hangzhou Normal University, Hangzhou, China.
Insights
Patient trust directly improves hypertension self-care compliance. Satisfaction mediates this link in males, while females show direct trust-compliance links. Findings guide gender-specific interventions for better hypertension management.
Area of Science:
- Public Health
- Health Psychology
- Medical Sociology
Background:
- Hypertension is a significant global health issue, contributing to mortality and severe complications like cardiovascular disease and kidney failure.
- Poor patient compliance is a major obstacle in managing hypertension effectively, particularly noted among Chinese populations.
- Enhancing self-care compliance among hypertensive patients is crucial for effective blood pressure control.
Purpose of the Study:
- To analyze the status of self-care compliance, trust, and satisfaction in Chinese hypertensive patients.
- To investigate the interrelationships between trust, satisfaction, and compliance, examining gender differences.
- To explore the mediating role of satisfaction in the relationship between trust and compliance.
Main Methods:
- Cross-sectional study utilizing data from hypertensive patients in Zhejiang Province, China.
- Application of structural equation modeling (SEM) to analyze relationships between variables.
- Multi-group structural equation modeling (MGSEM) employed to compare gender-specific pathways.
Main Results:
- Average scores: Trust (3.92 ± 0.55), Satisfaction (3.98 ± 0.61), Compliance (3.33 ± 0.41).
- Female patients reported higher average trust and compliance scores than male patients.
- Trust positively associated with compliance (β=0.242) and satisfaction (β=0.260). Satisfaction did not directly link to compliance. Trust indirectly influenced male compliance via satisfaction (β=0.051), but directly influenced female compliance (β=0.319) and satisfaction (β=0.235).
Conclusions:
- Trust is a key driver for self-care compliance and satisfaction in hypertensive patients.
- Gender influences the pathways: satisfaction mediates trust-compliance in males, while trust directly impacts females' compliance and satisfaction.
- Findings support tailored, gender-specific interventions to improve hypertension self-care and management.
Introduction:
Hypertension is a growing public health concern worldwide. It is a leading risk factor for all-cause mortality and may lead to complications such as cardiovascular disease, stroke, and kidney failure. Poor compliance of hypertensive patients is one of the major barriers to controlling high blood pressure. Compliance is not ideal among Chinese patients, and increasing patient self-care compliance with hypertension is necessary.
Methods:
This article analyzes the status of self-care compliance, trust, and satisfaction among Chinese hypertensive patients using cross-sectional data from Zhejiang Province. We use a multi-group structural equation model (MGSEM) to compare the interrelationships across genders.
Results:
The study's findings show that the average trust, satisfaction, and compliance scores are 3.92 ± 0.55, 3.98 ± 0.61, and 3.33 ± 0.41, respectively. Female patients exhibit higher average total scores for trust and compliance than male patients. The SEM results indicate that trust has a direct positive association with compliance [β = 0.242, 95% CI: (0.068, 0.402)] and satisfaction [β = 0.260, 95% CI: (0.145, 0.367)], while their satisfaction is not directly associated with compliance. The results of MGSEM show that trust has an indirect effect on compliance in the male group through satisfaction [β = 0.051, P < 0.05, 95% CI: (0.012, 0.116)]. In the female group, trust has a direct effect on satisfaction [β = 0.235, P < 0.05, 95% CI: (0.041, 0.406)] and compliance [β = 0.319, P < 0.01, 95% CI: (0.086, 0.574)].
Discussion:
This study reveals the mechanisms of self-care compliance, trust, and satisfaction among Chinese hypertensive patients. Its findings may serve as a reference for guiding primary healthcare providers to improve hypertension patients' compliance and implement gender-targeted health interventions.
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