@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(3):63-69
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(3):63-69
The Relation Between Social Support and Adherence to the Treatment of Hypertension
ARTICLE INFO
Article Type
Original ResearchAuthors
Taher M. (1)Abredari H. (1*)
Karimy M. (2)
Abedi A. (3)
Shamsizadeh M. (4)
(1) Department of Nursing, Faculty of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran
(2) Department of Public Health, Faculty of Health, Saveh University of Medical Sciences, Saveh, Iran
(3) Department of Nursing, Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran
(4) Department of Nursing, Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
Correspondence
Article History
Received: October 21, 2014Accepted: February 28, 2015
ePublished: March 19, 2015
ABSTRACT
Aims
Although social support seems to be effective in adherence to the treatment of hypertension, its effects in hypertensive patients have not been well documented. The current study tried to clarify the relationship between social support and adherence to the treatment in patients with hypertension.
Materials & Methods This cross-sectional study applied census sampling to recruit all eligible patients with hypertension (130 patients). A demographic questionnaire, the Hill-Bone Compliance to High Blood Pressure Therapy Scale, and the Social Support Behaviors Scale were used to collect data. Spearman’s correlation coefficient, t-test, and analysis of variance were conducted to analyze the data. All analyses were performed in SPSS-16.
Findings Poor, moderate, and acceptable adherence to the treatment was detected in 9.2%, 85.4%, and 5.4% of the patients, respectively. There was a significant relationship between social support and level of compliance with the treatment regimen, i.e. patients with moderate-high levels of social support had higher adherence to the treatment. Moreover, subjects with poor compliance were found to have poorer social support. Social support was also found to be significantly related with level of education and marital status.
Conclusion This study highlighted the role of social support as a determinant of adherence to the treatment in patients with hypertension. Therefore, attention to social support can increase hypertensive patients’ adherence to treatment regimens and improve their health status.
Materials & Methods This cross-sectional study applied census sampling to recruit all eligible patients with hypertension (130 patients). A demographic questionnaire, the Hill-Bone Compliance to High Blood Pressure Therapy Scale, and the Social Support Behaviors Scale were used to collect data. Spearman’s correlation coefficient, t-test, and analysis of variance were conducted to analyze the data. All analyses were performed in SPSS-16.
Findings Poor, moderate, and acceptable adherence to the treatment was detected in 9.2%, 85.4%, and 5.4% of the patients, respectively. There was a significant relationship between social support and level of compliance with the treatment regimen, i.e. patients with moderate-high levels of social support had higher adherence to the treatment. Moreover, subjects with poor compliance were found to have poorer social support. Social support was also found to be significantly related with level of education and marital status.
Conclusion This study highlighted the role of social support as a determinant of adherence to the treatment in patients with hypertension. Therefore, attention to social support can increase hypertensive patients’ adherence to treatment regimens and improve their health status.
CITATION LINKS
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[15]Beattie S, Lebel S, Tay J. The influence of social support on hematopoietic stem cell transplantation survival: a systematic review of literature. PloS One.2013; 8(4):615-9.
[16]Hwang SW, Kirst MJ, Chiu S, Tolomiczenko G, Kiss A, Cowan L, et al. Multidimensional social support and the health of homeless individuals. J Urban Health.2009; 86(5):791-803.
[17]Cohen S, Janicki-Deverts D. Can we improve our physical health by altering our social networks? Perspect Psychol Sci.2009; 4(4):375-8.
[18]Idalski Carcone A, Ellis DA, Weisz A, Naar-King S. Social support for diabetes illness management: supporting adolescents and caregivers. J Dev Behav Pediatr.2011; 32(8):581-90.
[19]Vaux A, Riedel S, Stewart D. Modes of social support: The social support behaviors (SS-B) scale. Am J Community Psychol.1987; 15(2):209-32.
[20]Kim MT, Hill MN, Bone LR, Levine DM. Development and Testing of the Hill‐Bone Compliance to High Blood Pressure Therapy Scale. Prog Cardiovasc Nurs.2000; 15(3):90-6.
[21]Hematirad G, Sepah Mansour M. [The relationship between stress and social support in Tehran university students]. Andisheh va Raftar.2008; 2(7):79-86. (Persian)
[22]Criswell TJ, Weber CA, Xu Y, Carter BL. Effect of self‐efficacy and social support on adherence to antihypertensive drugs. Pharmacotherapy.2010; 30(5):432-41.
[23]Woodward EN, Pantalone DW. The role of social support and negative affect in medication adherence for HIV-infected men who have sex with men. J Assoc Nurses AIDS Care.2012; 23(5):388-96.
[24]Osborn CY, Egede LE. The relationship between depressive symptoms and medication nonadherence in type 2 diabetes: the role of social support. Gen Hosp Psychiatry.2012; 34(3):249-53.
[25]Salehi K, Mahmodifar Y. [Relationship between social support and depression, anxiety in Hemodialysis patients]. Iranian Journal of Nursing Research.2014; 9(1):33-9. (Persian)
[26]Karimy M, Niknami SH, Haidarnia AR, Ramezankhani A. [Effects of health education program on the AIDS preventive behaviors in prisoners]. Journal of Qazvin University of Medical Sciences.2004; 8(30):40-5. (Persian)
[27]Rambod M, Rafii F. Perceived social support and quality of life in Iranian hemodialysis patients. J Nurs Scholarsh.2010; 42(3):242-9.
[28]García-Pérez LE, Álvarez M, Dilla T, Gil-Guillén V, Orozco-Beltrán D. Adherence to therapies in patients with type 2 diabetes. Diabetes Ther.2013; 4(2):175-94.
[29]Aggarwal B, Mosca L. Lifestyle and psychosocial risk factors predict non-adherence to medication. Ann Behav Med.2010; 40(2):228-33.
[2]Barati M, Darabi D, Moghimbeigi A, Afsar A. [Self-regulation behaviors of hypertension and related factors among hypertensive patients]. Journal of Fasa University of Medical Sciences.2011; 1(3):116-22. (Persian)
[3]Ahmadi A, Hasanzadeh J, Rajaefard A. [To determine the relative factors on hypertension in Kohrang, Chaharmahal&Bakhtiari province, 2007]. Iranian Journal of Epidemiology.2008; 4(2):19-25. (Persian)
[4]Nguyen H, Odelola OA, Rangaswami J, Amanullah A. A review of nutritional factors in hypertension management. Int J Hypertens.2013; 2013.
[5]Ramli A, Ahmad NS, Paraidathathu T. Medication adherence among hypertensive patients of primary health clinics in Malaysia. Patient Prefer Adherence.2012; 6:613-22.
[6]Nair KV, Belletti DA, Doyle JJ, Allen RR, McQueen RB, Saseen JJ, et al. Understanding barriers to medication adherence in the hypertensive population by evaluating responses to a telephone survey. Patient Prefer Adherence.2011; 5:195-206.
[7]Hadi N, Rostami GN. [Effectiveness of a hypertension educational program on increasing medication compliance in Shiraz, 2004]. Shiraz E Medical Journal.2006; 7(2):72-86. (Persian)
[8]Mukora-Mutseyekwa FN, Chadambuka EM. Drug adherence behavior among hypertensive out-patients at a tertiary health institution in Manicaland province, Zimbabwe, 2011. Patient Prefer Adherence.2013; 7:65-70.
[9]Oliveira-Filho AD, Barreto-Filho JA, Neves SJ, Lyra Junior DP. Association between the 8-item Morisky Medication Adherence Scale (MMAS-8) and blood pressure control. Arq Bras Cardiol.2012; 99(1):649-58.
[10]Schneider MP, Krummenacher I, Figueiredo H, Marquis J, Bugnon O. Adherence: a review of education, research, practice and policy in Switzerland. Pharm Pract (Granada).2009; 7(2):63-73.
[11]Esmaeil R, Ahmadi H, Jannati Y, Khalilian A, Espabodi F. [The relationship between perceived social support and self-efficacy with diet adherence among hemodialysis patient]. Scientific Journal of Hamadan Nursing & Midwifery Faculty.2013; 21(3):59-67. (Persian)
[12]Gao J, Wang J, Zheng P, Haardörfer R, Kegler MC, Zhu Y, et al. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Fam Pract.2013; 14(1):66.
[13]Von Känel R. Psychosocial stress and cardiovascular risk: current opinion. Swiss Med Wkly.2012; 142: w13502.
[14]Chung ML, Lennie TA, Dekker RL, Wu JR, Moser DK. Depressive symptoms and poor social support have a synergistic effect on event-free survival in patients with heart failure. Heart Lung.2011; 40(6):492-501.
[15]Beattie S, Lebel S, Tay J. The influence of social support on hematopoietic stem cell transplantation survival: a systematic review of literature. PloS One.2013; 8(4):615-9.
[16]Hwang SW, Kirst MJ, Chiu S, Tolomiczenko G, Kiss A, Cowan L, et al. Multidimensional social support and the health of homeless individuals. J Urban Health.2009; 86(5):791-803.
[17]Cohen S, Janicki-Deverts D. Can we improve our physical health by altering our social networks? Perspect Psychol Sci.2009; 4(4):375-8.
[18]Idalski Carcone A, Ellis DA, Weisz A, Naar-King S. Social support for diabetes illness management: supporting adolescents and caregivers. J Dev Behav Pediatr.2011; 32(8):581-90.
[19]Vaux A, Riedel S, Stewart D. Modes of social support: The social support behaviors (SS-B) scale. Am J Community Psychol.1987; 15(2):209-32.
[20]Kim MT, Hill MN, Bone LR, Levine DM. Development and Testing of the Hill‐Bone Compliance to High Blood Pressure Therapy Scale. Prog Cardiovasc Nurs.2000; 15(3):90-6.
[21]Hematirad G, Sepah Mansour M. [The relationship between stress and social support in Tehran university students]. Andisheh va Raftar.2008; 2(7):79-86. (Persian)
[22]Criswell TJ, Weber CA, Xu Y, Carter BL. Effect of self‐efficacy and social support on adherence to antihypertensive drugs. Pharmacotherapy.2010; 30(5):432-41.
[23]Woodward EN, Pantalone DW. The role of social support and negative affect in medication adherence for HIV-infected men who have sex with men. J Assoc Nurses AIDS Care.2012; 23(5):388-96.
[24]Osborn CY, Egede LE. The relationship between depressive symptoms and medication nonadherence in type 2 diabetes: the role of social support. Gen Hosp Psychiatry.2012; 34(3):249-53.
[25]Salehi K, Mahmodifar Y. [Relationship between social support and depression, anxiety in Hemodialysis patients]. Iranian Journal of Nursing Research.2014; 9(1):33-9. (Persian)
[26]Karimy M, Niknami SH, Haidarnia AR, Ramezankhani A. [Effects of health education program on the AIDS preventive behaviors in prisoners]. Journal of Qazvin University of Medical Sciences.2004; 8(30):40-5. (Persian)
[27]Rambod M, Rafii F. Perceived social support and quality of life in Iranian hemodialysis patients. J Nurs Scholarsh.2010; 42(3):242-9.
[28]García-Pérez LE, Álvarez M, Dilla T, Gil-Guillén V, Orozco-Beltrán D. Adherence to therapies in patients with type 2 diabetes. Diabetes Ther.2013; 4(2):175-94.
[29]Aggarwal B, Mosca L. Lifestyle and psychosocial risk factors predict non-adherence to medication. Ann Behav Med.2010; 40(2):228-33.