| Chen SL |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=1.027 ------>paper_class3=2 ------>paper_class2=1 ------>vol=18 ------>confirm_bywho=clin ------>insert_bywho=jenchent ------>Jurnal_Rank=15.6 ------>authors4_c= ------>comm_author=1 ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=2244 ------>medlineContent= ------>unit=H0100 ------>insert_date=20081127 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=Journal of Clinical Nursing ------>paper_name=The impact of illness perception on adherence to therapeutic regimens of patients with hypertension in Taiwan ------>confirm_date=20090929 ------>tch_id=086003 ------>pmid=19583655 ------>page1=2234 ------>fullAbstract=AIMS: To examine the predictive effects of illness perception on adherence to therapeutic regimens of patients with hypertension. BACKGROUND: Illness perception is an important predictor for adherence to therapeutic regimens. Hypertension is asymptomatic. How the lay views, especially identity and causal attribution, affect the patients~ adherence to therapeutic regimens need to be further explored. DESIGN: A cross-sectional survey. METHODS: Purposive sampling was conducted at the cardiovascular clinics of two teaching hospitals in central Taiwan. A sample of 277 patients was included in this study. Guided by the Self Regulation Model, a series of variables including socio-demographic variables, clinical variables, illness representations, identity and causes were evaluated for their relationships with adherence to the antihypertensive regimen and recommendations of self-management. RESULTS: Predictors of adherence to prescribed medications in the hierarchical logistic regressions were treatment control, risk factors and psychological attribution. In the self-management model, we found that symptoms experienced after a hypertension diagnosis, symptoms for blood pressure prediction, personal control, balance and cultural causal attribution were significant predictors of adherence to self-management, adding an additional 21% of the variance. The results of analysis of variance showed that those who were unsure if they had experienced symptoms after a hypertension diagnosis were more likely to self-regulate (increase or decrease) prescribed medications than those without symptoms. CONCLUSIONS: The findings suggest that the Self Regulation Model may provide a useful framework for understanding and explaining adherence to therapeutic regimens of patients with hypertension across cultures. RELEVANCE TO CLINICAL PRACTICE. Factors that affect the patients~ adherence to prescribed medications and self-management recommendations differ greatly. Despite its subjectivity, identity showed significantly predictive effects on adherence to self-management. Understanding patients~ lay views on hypertension allows health professionals providing effective care for better adherence to therapeutic regimens. ------>tmu_sno=None ------>sno=19940 ------>authors2=Tsai JC ------>authors3=Lee WL ------>authors4= ------>authors5= ------>authors6= ------>authors6_c= ------>authors=Chen SL ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=The impact of illness perception on adherence to therapeutic regimens of patients with hypertension in Taiwan. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=15 ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2009 ------>submit_flag=None ------>publish_month=1 |