Influence Factors Of Medication Adherence Among Primary Hypertension Inpatients

Objectives:(1)It aimed to investigate medication adherence of primary hypertension inpatients;(2)The purpose of this study was to explore significant differences between good and poor adherence inpatients from demographic, clinical and psychological data;(3)To determine the influence and interaction of depression symptom and the health locus of control upon medication adherence among the primary hypertension population.Method:The Morisky Adherence Questionnaire (MAQ), Multidimensional Health Locus of Control (MHLC) scales, Self-rating Depression Scale (SDS) were used to investigate. A number of eighty-two participants were surveyed. T-test, chi-square test, Pearson correlation, regression analyses were applied to analyze the data.Results:(1) There were31.7%of total samples rating good adherence;(2) There were significant difference between good and poor adherence groups in age, level of education, substance depilatory, times of hospitalization, comorbidity, kinds of anti-hypertension drugs (p<0.05).The good adherence group had high mean scores on the Internal(MHLC) subscales(t=2.39,p<0.05),poor adherence group had high mean scores on the Chance(MHLC) subscales(t=0.55, p<0.05) and Self-rating Scales(t=-6.73,p<0.05).There was a significant positive correlation between Chance-health locus of control and depression symptom(r=0.37,p<0.01).Conclusion:(1) Inpatients who were older, high level of education, fewer times of hospitalization, fewer comorbidity and types of drugs had better adherence;(2)People with good adherence had more internal locus of control and less depression symptom;(3) Depression feature is moderately and negatively related with external locus of control and adherence in primary hypertension inpatients. There are7tables and65 references in this paper.