Zargar Fatemeh, Monzavi Parisa, Tarrahi Mohammad Javad, Salehi Sayed Arash
Associated Professor, Department of Health Psychology , Behavioral Science Research Centre, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Medical Practitionare ,School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
ARYA Atheroscler. 2023 Jan;19(1):17-24. doi: 10.48305/arya.2022.11811.2471.
One of the most severe problems that patients with Hypertension (HPN) face are lack of medication adherence, which is influenced by psychological factors. Thus, the current survey sought to compare medication beliefs, cognitive defusion and valued living in hypertensive patients with varying medication adherence.
A cross-sectional study with 162 HPN patients from three clinics at Isfahan University of Medical Sciences was conducted in 2019. Participants completed the BMQ (Beliefs about Medicines Questionnaire), MMAS (Morisky Medication Adherence Scale), CFQ (Cognitive Fusion Questionnaire), and VLQ (Valued Living Questionnaire). The data were analyzed using descriptive statistics, chi-square, and analysis of variance (ANOVA).
Only 22.2% of patients scored high in medication adherence (MA). MA levels increased with age in a significant correlation (P=0.03). ANOVA results revealed that the three MA levels (low, medium, and high) had substantial differences in both VLQ subscales (importance of person-valued living and allotted time for values; P=0.002 and P=0.023). However, no significant differences in MA levels were found in the CFQ (cognitive defusion and cognitive fusion) and BMQ subscales (specific necessity, specific concern, general overuse, and general harm).
This study discovered that a higher MA is associated with increasing age. In addition, patients with HPN who value living and devote more time to their values have higher MA.
高血压患者面临的最严重问题之一是缺乏药物依从性，这受到心理因素的影响。因此，本次调查旨在比较不同药物依从性的高血压患者的用药信念、认知解离和有价值的生活。
2019年对来自伊斯法罕医科大学三个诊所的162名高血压患者进行了一项横断面研究。参与者完成了药物信念问卷（BMQ）、莫里西药物依从性量表（MMAS）、认知融合问卷（CFQ）和有价值生活问卷（VLQ）。数据采用描述性统计、卡方检验和方差分析（ANOVA）进行分析。
只有22.2%的患者在药物依从性（MA）方面得分较高。MA水平与年龄呈显著正相关（P=0.03）。方差分析结果显示，三个MA水平（低、中、高）在VLQ的两个子量表（个人有价值生活的重要性和为价值观分配的时间；P=0.002和P=0.023）上存在显著差异。然而，在CFQ（认知解离和认知融合）和BMQ子量表（特定必要性、特定关注、普遍过度使用和普遍危害）中，MA水平没有显著差异。
本研究发现，较高的MA与年龄增长有关。此外，重视生活并为其价值观投入更多时间的高血压患者具有更高的MA。
