Najimi Arash, Mostafavi Firoozeh, Sharifirad Gholamreza, Golshiri Parastoo
Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2018 Feb 9;7:24. doi: 10.4103/jehp.jehp_65_16. eCollection 2018.
Barriers to medication adherence in patients with hypertension can have significant differences that made researchers confute to conclude that medication adherence is required to be more explored, and then, beneficial interventions develop to decrease these barriers. Thus, the current study was aimed to identify barriers to adherence in Iranian society.
A qualitative content analysis was carried out. Participants were as follow: Patients with hypertension who had clinic records in the health centers of Isfahan University of Medical Science. Purposive sampling method was conducted and continued until data saturation, as well. Semi-structured interview was selected as the best-qualified technique to select data. Data were analyzed using qualitative content, constant comparative analysis, and MAXQDA (Ver 10) software.
After study and separation of basic concepts, 1620 basic codes were extracted from interviews. Classes were made based on codes and after multiple reviews, summarizing as well as similarity. Primary themes were identified using more explorations and comparison of classes. Based on the nature, the conceptual themes were named. These themes include (1) environmental challenges of life, (2) incompatibility of patients; (3) forget to take medicine, and (4) inefficient recommendations of family.
Findings revealed that barriers to patient adherence to the treatment had four dimensions that may be likely useful for managers and planners in the health field to plan and intervene regarding medication adherence as the most critical preventing factor for patients with hypertension.
高血压患者药物治疗依从性的障碍可能存在显著差异，这使得研究人员难以得出结论，即需要进一步探索药物治疗依从性，进而开发有益的干预措施来减少这些障碍。因此，本研究旨在确定伊朗社会中药物治疗依从性的障碍。
进行了定性内容分析。参与者如下：在伊斯法罕医科大学健康中心有临床记录的高血压患者。采用目的抽样法，持续进行直至数据饱和。选择半结构化访谈作为最合适的数据收集技术。使用定性内容分析、恒定比较分析和MAXQDA（版本10）软件对数据进行分析。
在研究和分离基本概念后，从访谈中提取了1620个基本代码。根据代码进行分类，经过多次审查、总结和相似性分析。通过对类别进行更多的探索和比较，确定了主要主题。根据其性质，对概念主题进行了命名。这些主题包括：（1）生活环境挑战；（2）患者不适应；（3）忘记服药；（4）家人的无效建议。
研究结果表明，患者治疗依从性的障碍有四个维度，这可能对卫生领域的管理人员和规划人员在规划和干预药物治疗依从性方面很有用，因为药物治疗依从性是高血压患者最关键的预防因素。
