The Relationship Between Personality Coping Style And Medication Compliance Of Hypertension Patients In Community

Objective:To know the overall condition of medication adherence among the hypertensive patients in community, and analyze the correlation between personality characteristics and medication adherence, clear the personality types of those with poor compliance, and further explore the mediating effect of coping style between personality and medication compliance in community hypertensive patients. Finally to provide theoretical basis for the community medical staff who from the perspective of personality and coping strategies to take targeted interventions to improve the medication compliance of patients.Methods:Choose those hypertensive patients hospitalized in Guangxi Nanning XiXiangTang District, North Lunan cotton community health service station as the research object from October 2014 to April 2015Five personality questionnaire, medical coping questionnaire and Morisky medication compliance of hypertension patients were completed by hypertensive patients with the guidance of specially trained professionals.and then calculate five dimensions of personality characteristics, three dimensions of coping style scores, and medication compliance according to the score value level can be divided into low compliance, compliance medium and high compliance. The research data were analyzed with SPSS 16.0 statistical software. A correlation analysis method was used to analyze the correlation among personality, coping style and medication compliance, R as correlation coefficient, P<0.05 illustrates the correlation, the bigger the correlation coefficient is, the stronger the correlation coefficient is. Further analysis of the mediating effect of coping style on the relationship between personality characteristics and drug compliance by using the method of multivariate linear hierarchical regression analysis.Results:196 hypertensive patients were investigated in this study, the average score of compliance was (5.19±1.83),There was 122 people with low compliance accounted for 62.2%, The differences of medication compliance score in different gender, age, income, course of disease were statistically significant (P<0.05); Neurotic personality (N) score was (27.42±6.32), Conscientiousness (C) score was (30.49±5.42), agreeableness (A) score was (30.95±5.25) and Open personality (O) score was (26.22±4.11), extraversion (E) score was (27.22±5.67); In medical coping style, face score was (14.92± 4.62), avoidance score was (13.25±3.29), yield score was (10.06±3.36), coping style compared with the national norm, the scores showed significant differences (P<0.05).Compliance score was significantly negatively correlated with neuroticism (-0.522), and positively correlated with Conscientiousness and extraversion,the correlation coefficients were 0.291,0.474; Medication compliance was significantly positively correlated with facing dimensions (0.542), and negatively correlated with avoidance and yielding dimensions, the correlation coefficients were -0.481,-0.501; Avoidance was significantly positively correlated with neuroticism (0.291), and significantly negatively correlated with extraversion and Conscientiousness, the correlation coefficients were-0.378,-0.256; extraversion and face had a significant positive correlation (0.253), neuroticism and yield showed significant positive correlation (0.471), the differences were statistically significant (P<0.05).Medication adherence score as the dependent variable, the big five personality like neuroticism, Conscientiousness, and agreeableness, openness, extraversion and coping style like face, avoidance, and yield dimensions as predictor variables by using the method of stepwise regression analysis,we found face, neuroticism, extraversion, yield dimensions finally entered the regression equation, equations resulting from standard regression coefficient is significantly (P=0.378, P< 0.01;β= 0.223, P<0.05; β=0.233, P<0.05; β =-0.215, P<0.05), four variables were explained the variation of compliance score value 52.9%. Further by multiple linear regression analysis, it showed that yieling dimension partially mediated the relationship between neuroticism and medication compliance, the intermediary effect accounted for 27.2% of the total effect, facing dimension partially mediated the relationship between medication compliance and extraversion, the mediating effect of proportion was 28.2%.Conclusion:(1)The medication compliance rate of Community hypertensive patients is low, correlated with personality and negative coping style,Those patients with neurotic personality and negative coping style had a poor medication compliance; and those with rigorous and outgoing personality as well as positively facing had a better medication compliance.It is suggested that we should pay more attention to the medication compliance of patients with high nervous and negative coping.(2) coping styles play a mediating role between personality traits and medication compliance. Specifically, neurotic personality indirectly effected medication compliance through the yield response; Extravert personality indirectly effected medication compliance through the facing coping style.