본태성고혈압 군인의 사회심리학적 요인과 고혈압관련 생활양식 및 복약 이행과의 관계

Abstract

Purpose : The purpose of this study was to measure the relationships between psychosocial factors and hypertension-related lifestyle behaviors and medication adherence based on Cox's Interaction model of client health behaviors. Methods : Descriptive correlational study was conducted among 202 hypertensive military personnel. The data were collected from patients with previously diagnosed of hypertension and had taken the antihypertensive medication in 9 army hospitals and one army medical clinic. The data were analyzed by SPSS12 and STATA. Results : The mean score of hypertension-related lifestyle was 63.39±8.85 from total of 92 points and only 37.1% practiced good medication adherence. 15.5% of variance of hypertension-related lifestyle was accounted for perceived health status, co-morbidity and patient-provider relationship. The predictors for medication adherence were found to be the length of having hypertension and patient-provider relationship. Conclusion : Hypertensive military personnel need more drinking restrictions and weight management, and improving medication adherence is most important factor. Collaborative patient-provider relationship will be a effective strategy to improve hypertension-related lifestyle and medication adherence, and these factors should be considered when designing programs