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Experiences and Perceptions of Medication Non-Adherence Among Hypertensive Patients: A Descriptive Qualitative Study
Ziqiang Yao1,2, Yu Wang1,2, Haoqi Liu2
1Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Journal of Evaluation in Clinical Practice
|May 15, 2026
Summary
Hypertension medication non-adherence stems from emotional burdens and cognitive factors. Addressing these through psychological support and self-regulation strategies can improve blood pressure control.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Medication non-adherence is a significant issue in hypertension management.
- It leads to poor blood pressure control and increased cardiovascular risk.
- Understanding patient experiences is crucial for improving adherence.
Purpose of the Study:
- To explore hypertensive patients' experiences and perceptions of medication non-adherence.
- To identify factors contributing to non-adherence.
Main Methods:
- Descriptive qualitative design utilizing semi-structured interviews.
- Data collected from March to June 2024.
- Analysis based on the Common-Sense Model of Self-Regulation.
Main Results:
- Identified three key themes: emotional representations, cognitive representations, and medication-taking coping behavior.
- Uncovered an interplay between emotional burden, cognitive factors, and coping strategies.
- Highlighted specific subthemes within these main categories.
Conclusions:
- Emotional burden and cognitive representations significantly influence medication non-adherence in hypertension.
- Coping behaviors are strategies patients use to manage their medication regimens.
- Interventions focusing on psychological support, cognitive restructuring, and self-regulation are recommended to enhance adherence.
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