The Effect of Self-Management Program on Adherence to Treatment Regimen in Patients with Hypertension

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KHALEDI SHAHNAZ; Bagheri Saveh Mohammad Iraj; DEHVAN FAZEL; KARIMI PARISA; Mahmoodi Parvin

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Journal Paper

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Journal: Scientific Journal of Kurdistan University of Medical Sciences Year:2023 | Volume:28 | Issue:2 (125) Page(s): 110-121

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Title

The Effect of Self-Management Program on Adherence to Treatment Regimen in Patients with Hypertension

Author(s)

Keywords

Blood pressure

Adherence to treatment

Self-management training

Hypertension

Abstract

Background and Aim: Hypertension is a common challenge in many parts of the world. Medical reports have indicated that failure to control Blood pressure is due to patients' non-compliance with treatment. One of the health related behaviors which can lead to successful treatment and reduce the negative side effects and severity of the disease is patients' adherence to the treatment regimen. Using a self-management program is one of the ways to manage the disease by the individual. Therefore, this study aimed to investigate the effect of self-management program on Adherence to treatment regimen in the pateints with Hypertension. Material and Methods: This was a semi-experimental study, which included 70 patients with Hypertension in Imam Mohammad Ghazali Clinic in Sanandaj City in 2020. The samples were selected using available sampling method and randomly assigned to two groups, intervention (n=35) and control groups (n=35). The intervention group participated in Blood pressure self-management skills training for 2 sessions (45 minutes each session) and the control group was placed in the waiting list. Data collection tools included a demographic information form and a questionnaire of adherence to the treatment regimen of Madanloo patients. Using SPSS-22 software, data were analyzed by Chisquare, Fisher's exact test and repeated measurements. Results: There was no significant difference between the two groups in terms of demographic characteristics (p<0. 05). The results of the repeated measures analysis showed a significant difference between the two groups in the different aspects of treatment i. e., diligence in treatment (P=0. 039) commitment to treatment (P=0. 003) and Adherence to treatment (P=0. 041). Also, the interaction effects of time and group on diligence in treatment (P=0. 000), commitment to treatment (P=0. 001) and Adherence to treatment (P=0. 000) were significant. Comparison between intervention and control groups showed Self-management training in the intervention group led to increase in the average scores of Adherence to treatment aspects, including diligence in treatment, commitment to treatment, and the overall score of Adherence to treatment (P<0. 05). Conclusion: The designed and evaluated self-care educational interventions in the present study increased adherence to the treatment and improved its components in the intervention group. Therefore, improving self-care in the patients with Hypertension, can possibly help maintain Blood pressure in the normal range and reduce its related complications.

Cites

A comprehensive review of the diagnosis and treatment of hypertension in pregnancy based on the latest guidelines of the American Association of Obstetrics and Gynecology

References

Lifestyle interventions for the prevention and treatment of hypertension

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APA: Copy

KHALEDI, SHAHNAZ, Bagheri Saveh, Mohammad Iraj, DEHVAN, FAZEL, KARIMI, PARISA, & Mahmoodi, Parvin. (2023). The Effect of Self-Management Program on Adherence to Treatment Regimen in Patients with Hypertension. SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES, 28(2 (125) ), 110-121. SID. https://sid.ir/paper/1083920/en

Vancouver: Copy

KHALEDI SHAHNAZ, Bagheri Saveh Mohammad Iraj, DEHVAN FAZEL, KARIMI PARISA, Mahmoodi Parvin. The Effect of Self-Management Program on Adherence to Treatment Regimen in Patients with Hypertension. SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2023;28(2 (125) ):110-121. Available from: https://sid.ir/paper/1083920/en

IEEE: Copy

SHAHNAZ KHALEDI, Mohammad Iraj Bagheri Saveh, FAZEL DEHVAN, PARISA KARIMI, and Parvin Mahmoodi, “The Effect of Self-Management Program on Adherence to Treatment Regimen in Patients with Hypertension,” SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES, vol. 28, no. 2 (125) , pp. 110–121, 2023, [Online]. Available: https://sid.ir/paper/1083920/en

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