Predictors of Hypertensive Patients’ Compliance with the Disease Management Protocol Based on the Pender’s Model in the city of Ahar

Abstract

Subject: Predictors of hypertensive patients’ compliance with the disease management protocol based on the Pender’s Model in the city of Ahar. Objectives: Hypertension is globally known as a silent killer and, it is the second leading cause of death after smoking in developing countries. Despite considerable burden of the disorder on human life and existent propensity to its control, there are disappointing evidence about the failure rates. This study aimed to identify predictors of hypertensive patients’ compliance whit the standard hypertension management protocol. Methods: The MeSH driven key words and their persian equivalents were utilized to search for published articles over the last ten years from 1382 to 1392 (2003 to 2013), in Pubmed, Sid, Google scholar, Magiran, Medlib and Iran medex. 35 papers that had inclusion criteria were fully scrutinized and based upon the findings a questionnaire was designed P-valuened according to the Pender model’s constructs. The researcher designed P-valuened questionnaire was psychometrically tested on 380 hypertensive patients. Descriptive statistical methods, U Mann Whitney and Path Analysis Method were applied to analyse the study data using SPSS 24 and Lisrel 8.8 softwares. Results: The study findings revealed that behavior-specific cognitions and affect and commitment to action planning could predict the HBP patients’ therapeutic behaviors on all five domains: medicinal and nutritional diet, physical activity, stress management and non-smoking. The patients’ sex was identified as an important predictor of the patients adherence to the recommended diet and medication and abstinence from smoking. Previous failure to quit smoking was also found to be another important factor in prediction of smoking cessation attempts amongst the patients. Conclusion: The study findings indicated that the structured tool based on the Pender’s model constructs could be applied to study hypertensive patients’ adherence to the disease’s standard control protocol in all five domains of prescribed drug use, recommended diet, recommended physical activity, stress management and non-smoking. Further cross-cultural validation studies are required however, for its application in diverse socio-cultural settings.