阿曼高血压患者的药物依从性与健康信念之间的关系：试点研究。
Relationship Between Medication Adherence and Health Beliefs Among Patients with Hypertension in Oman: Pilot study.
作者信息
Al-Noumani Huda, Wu Jia-Rong, Barksdale Debra, Alkhasawneh Esra, Knafl George, Sherwood Gwen
机构信息
Departments of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman.
Department of Adult Health, School of Nursing, University of North Carolina, Chapel Hill, North Carolina, USA.
出版信息
Sultan Qaboos Univ Med J. 2017 Aug;17(3):e329-e333. doi: 10.18295/squmj.2017.17.03.012. Epub 2017 Oct 10.
OBJECTIVES
The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN.
METHODS
This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence Self-Efficacy Scale.
RESULTS
The mean MMAS score was 5.3 ± 2.0, with 48.9% of patients reporting high adherence. Higher self-efficacy and stronger beliefs regarding medication necessity were significantly related to adherence ( = 0.012 and 0.028, respectively).
CONCLUSION
The findings of this pilot study emphasise the role of health beliefs with regards to Omani patients' adherence to antihypertensive medications.
目的
阿曼高血压（HTN）的患病率高得惊人，患者对抗高血压药物的依从性不足。本研究旨在评估阿曼高血压患者的药物依从性与健康信念之间的关系。
方法
这项描述性横断面试点研究于2015年12月进行，纳入了从阿曼达希利亚省和马斯喀特省的四个初级卫生中心招募的45名高血压患者。使用Morisky药物依从性量表（MMAS）、药物信念问卷、简短疾病认知问卷和修订后的药物依从性自我效能量表评估药物依从性和健康信念。
结果
MMAS平均得分为5.3±2.0，48.9%的患者报告依从性高。较高的自我效能感和对药物必要性的更强信念与依从性显著相关（分别为=0.012和0.028）。
结论
这项试点研究的结果强调了健康信念在阿曼患者服用抗高血压药物依从性方面的作用。
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