Beliefs of individuals with systemic arterial hypertension related to drug treatment

Keywords: Hypertension; Patient Compliance; Behavior; Social Theory; Nursing.

Abstract

Objective: to analyze behavioral, normative and control beliefs related to drug treatment for hypertension. Methods: cross-sectional study, based on the Planned Behavior Theory, conducted with 28 people on continuous use of antihypertensive drugs, in outpatient follow-up. A form with six open questions was used, applied by structured and individual interviews, audio recorded and submitted to content analysis. Results: among the behavioral beliefs, blood pressure control stood out as the main advantage, and unpleasant symptoms stood out as a disadvantage. Regarding normative beliefs, the most cited positive social references were the children. As for control beliefs, acquiring for free and forgetting the time to take them were pointed as the main ease and difficulty, respectively. Conclusion: the analysis of beliefs allowed the elucidation of those that may positively or negatively influence the behavior of “taking the prescribed pills for the control of hypertension”, target of different interventions in health services.

References

Ma C. An investigation of factors influencing self-care behaviors in young and middle-aged adults with hypertension based on a health belief model. Heart Lung. 2018; 47(2018):136-41. doi: http://dx.doi.org/10.1016/j.hrtlng.2017.12.001

Yang S, He C, Zhang X, Sun K, Wu S, Sun X, Li Y. Determinants of antihypertensive adherence among patients in Beijing: Application of the health belief model. Patient Educ Couns. 2016; 99:1894-900. doi: http://dx.doi.org/10.1016/j.pec.2016.06.014

Herrera PA, Moncada L, Defey D. Understanding non-adherence from the inside: hypertensive patients’ motivations for adhering and not adhering. Qual Health Res. 2017; 27(7):1023-34. doi: http://dx.doi.org/10.1177/1049732316652529

Pierin AMG, Silva SSBE, Colósimo FC, Toma GA, Serafim TS, Meneghin P. Chronic and asymptomatic diseases influence the control of hypertension treatment in primary care. Rev Esc Enferm USP. 2016; 50(5):764-71. doi: http://dx.doi.org/10.1590/S0080-623420160000600008

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50:179-211. doi: https://doi.org/10.1016/0749-5978(91)90020-T

Fishbein M, Ajzen I. Predicting and changing behavior: the reasoned action approach. New York: Routledge; 2015.

Costa LA, Bresan D, Kawakame PMG, Sales APA. A hipertensão arterial sistêmica na perspectiva de uma comunidade ribeirinha: uma abordagem transcultural. Rev Interd Cult Soc [Internet]. 2017 [citado 2019 Jul 15]; 3:13-30. Disponível em:http://www.periodicoseletronicos.ufma.br/index.php/ricultsociedade/article/view/6677/4298

Silva MGC, Domingos TS, Caramaschi S. Hipertensão arterial e cuidados com a saúde: concepções de homens e mulheres. Psicol Saúde Doenç. 2018; 19(2):435-52. doi: http://dx.doi.org/10.15309/18psd190221

Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT, et al. 7ª Diretriz Brasileira de Hipertensão Arterial. Arq Bras Cardiol. 2016; 107(Supl.3):1-83. doi: http://dx.doi.org/10.5935/abc.20160152

Bennett J. Beliefs and attitudes about medication adherence in african american men with high blood pressure. Medsurg Nurs [Internet]. 2015 [cited Jul 15, 2019]; 22(3):4-10. Available from: http://www.amsn.org/matters_may13_matters_newsletter

Long E, Ponder M, Bernard S. Knowledge, attitudes, and beliefs related to hypertension and hyperli- pidemia self-management among African American men living in the southeastern United States. Patient Educ Couns. 2017; 100(2017):1000-6. doi: http://dx.doi.org/10.1016/j.pec.2016.12.011

Wilson TT, Wiliams-Johnson J, Gossel-Williams M, Goldberg EM, Wilks R, Dagupta S, et al. Elevated blood pressure and illness beliefs: a cross-sectional study of emergency department patients in Jamaica. Int J Emerg Med. 2018; 11(30):1-6. doi:http://dx.doi.org/10.1186/s12245-018-0187-6

Jannuzi FF, Rodrigues RCM, Cornélio ME, São-João TM, Gallani MCBJ. Beliefs related to adherence to oral antidiabetic treatment according to the Theory of Planned Behavior. Rev Latino-Am Enfermagem. 2014; 22(4):529-37. doi: http://dx.doi.org/10.1590/0104-1169.3578.2448

Gaziano TA, Bertam M, Tollman SM, Holfman KJ. Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers. BMC Public Health. 2014; 14(240):1-9. doi: https://doi.org/10.1186/1471-2458-14-240

Raimundo ACN, Pierin AMG. Adherence to anti-hypertensive treatment within a chronic disease management program: a longitudinal, retrospective study. Rev Esc Enferm USP. 2014; 48(5):811-9. doi: http://dx.doi.org/10.1590/S0080-623420140000500006

Bobrow K, Brennam T, Springer D, Levitt NS, Rayner B, Namane M, et al. Efficacy of a text messaging (SMS) based intervention for adults with hypertension: protocol for the StAR (SMS Text-message Adherence suppoRt trial) randomised controlled Trial. BMC Public Health. 2014; 11(14):1-9. doi: http://dx.doi.org/10.1186/1471-2458-14-28

Mansour SN, Monteiro CN, Luiz OC. Adherence to medication among hypertensive patients participating in the Medicine at Home Program. Epidemiol Serv Saúde. 2016; 25(3):647-54. doi: http://dx.doi.org/10.5123/S1679-49742016000300021

Anderson K, Burford O, Emmerton L. Mobile health apps to facilitate self-care: a qualitative study of user experiences. PLoS One. 2016; 11(5):e0156164. doi: http://dx.doi.org/10.1371/journal.pone.0156164.eCollection 2016

Published
2019-09-25
Section
Research Article