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The Effect of Health Literacy and Self-efficacy on Treatment Adherence of Hypertensive Elders

Affiliations

  • Department of Nursing, Chungnam National University, Korea, Republic of

Abstract


Background/Objectives: To investigate how and how much health literacy and self-efficacy can make an influence on treatment adherence of hypertensive elders. Methods/Statistical Analysis: Participants were those aged 65 or older who regularly visited one of five seniors welfare centers hosted by D metropolitan ward offices, were diagnosed with hypertension, and voluntarily agreed to participate in this study after. In total, the questionnaires of 190 respondents were selected for the final analysis. Hierarchical multiple regression analysis was conducted to identify the effect of participants' health literacy and self-efficacy on treatment adherence. Findings: First, model that inputs as explanatory variables which were general characteristics of the participant: age, level of education, and gender variables and disease related characteristics: number of associated disease, duration of hypertension, level of stress were statistically significant, and explained 4.8% of treatment adherence. Stress and gender were predictor variables, and these variables were statistically related to treatment adherence. In the second step, when capability of oral health literacy and functional health literacy variables were put in the control condition of general characteristics and disease related characteristics, this model was statistically significant and explained 7.0% of treatment adherence. Predictor variables were stress, gender, and oral health literacy, and they were statistically related to treatment adherence. In the third step, when self-efficacy was put in the control condition of general characteristics and disease- related characteristics, this model was statistically significant and the explanatory power increased to 38%. Self-efficacy and level of education were shown as major predictor variables. Application/Improvements: To promote the treatment adherence of hypertensive elders, it is necessary to develop and apply programs for self-efficacy improvement.

Keywords

Hypertensive Elderly, Health Literacy, Self-efficacy, Treatment Adherence.

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References


  • Statistics Korea. Elderly Statistics Survey [internet]. Available from: http://kostat.go.kr/portal/korea/kor_ko/5/2/index.board?bmode=read&aSeq=348646. Data accessed: 2014.
  • Kwon MS, Noh GY, Jang JH. A Study on Relationships between Health Literacy, Disease-related Knowledge and Compliance to Medical Recommendations in Patients with Hypertension. Journal of Korean Public Health Nursing. 2013; 27(1):190–202.
  • Kim JE. Measuring the Level of Health Literacy and Influence Factors: Targeting the Visitors of a University Hospital’s Outpatient Clinic. Journal of Korean Clinical Nursing Research. 2011; 17(1):27–34.
  • Gordon MM, Hampson R, Capell HA, Madhok R. Illiteracy in Rheumatoid arthritis patients as determined by the Rapid Estimate of Adult Literacy in Medicine (REALM) scores. Rheumatology. 2002; 41(7):750–4.
  • Yang JR. The Effect of Health Literacy and Self-efficacy on Medication Adherence among the Elderly Patients with Chronic Disease. Unpublished Masters Thesis. Ewha Womans University. Seoul. 2014.
  • Song MS, Choi SY, Kim SA, Seo KS, Lee SJ, Kim EH. Development and Validation of the Diabetes Management Self-efficacy Scale for Older Adults(DMSES-O). The Journal of Muscle and Joint Health. 2014; 21(3):184–94.
  • Takaki J, Yano E. Possible Gender Differences in the Relationships of Self-efficacy and the Internal Locus of Control With Compliance in Hemodialysis Patients. Behavioral Medicine. 2006; 32(1):5–11.
  • Bandura A. Self-efficacy mechanism in human agency. American Psychologist. 1982; 37(1):122–47.
  • Haynes RB, Sackett DL, Gibson ES, Taylor DW, Hackett BC, Roberts RS, Johnson AL. Improvement of medication compliance in uncontrolled hypertension. Lancet. 1976; 1(7972):1265–8.
  • Kim MJ, Choi MH. Knowledge, Compliance and Quality of Life of Mothers of Children with Atopic Dermatitis. Journal of Korean Academy of Child Health Nursing. 2011; 17(4):272–80.
  • Park HS. The Effects of Compliance and Health Belief on Health Behavior in the Elderly with Hypertension. Unpublished Masters Thesis. Catholic University. Daegu. 2015; 4(6):922–7.
  • Min ES, Hur MH. Predictors of Compliance in Hypertensive Patients. Journal of Korean Academy of Fundamentals of Nursing. 2012; 19(4):474–82.
  • Lee TW, Kang SJ. Health Literacy in the Korean Elderly and Influencing Factors. Journal of the Korea Gerontological Society. 2008; 28(4):847–63.
  • Kim MS, Song MS. Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension. Journal of Korean Academy of Nursing. 2015; 45(4):576–86.
  • Lee YO. Compliance with health behavior, self-efficacy and stroke risk level for low income hypertension patient enrolled in community health center. Unpublished master’s thesis. Chungnam National University. Daejeon. 2005; 93(3):753–69.
  • Ryu KH, Son YJ. Impact of Cognitive Function and Self-efficacy on Medication Adherence of Elderly Patients with Chronic Disease. Journal of Korean Biological Nursing Science. 2013; 15(3):107–14.
  • Lee JL, Park HJ. A Study on Self-efficacy, Coping, and Compliance in Patients with Kidney Transplantation. The Journal of Korean Academic Society of Adult Nursing. 2015; 27(1):11–20.
  • Oh JH, Lim NY. A Study on the Relationships between Family Support, Self-efficacy, and Compliance in Chronic Arthritis. The Journal of Muscle and Joint Health. 2005; 12(1):28–38.

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