Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Medication Adherence Among Elderly With Hypertension: Johnson Modelbased Program; [پا یبندی سالمندان به رژیم دارویی در پرفشاری خون؛ برنامه مبتنی بر مدل جانسون] Publisher



Melali F1 ; Hoseini H2 ; Moeini M2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Nursing and Midwifery Care Research Center, Department of Health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Iranian Journal of Ageing Published:2023


Abstract

Objectives Hypertension is the most common cause of stroke and kidney failure in the elderly and medication adherence is vital in controlling complications. This study aims to determine the effect of the Johnson model-based program on medication adherence among the elderly with hypertension. Methods & Materials The present study was a clinical trial that was performed on the elderly with hypertension referred to the Shahid Aval comprehensive health service center in Isfahan City, Iran. Through the convenience sampling method, 70 older adults were selected and randomly divided into intervention and control groups. For the intervention group, 6 sessions of a family-based medication adherence program were performed based on the Johnson model. Demographic characteristics questionnaire and sphygmomanometer were used to collect data. Data were analyzed by SPSS version 22 statistical software using independent t test, Chi-square, and repeated measures analysis of variance (ANOVA). Results No difference was observed between the two groups in terms of the distribution of demographic characteristics. Mean systolic and diastolic blood pressure before the intervention in the group were not significantly different, but immediately and three months after the intervention in the intervention group, it was significantly lower than the control group(P<0.05). Conclusion Johnson’s model-based program was effective in lowering hypertension in the elderly. Therefore, the method used in the present study is proposed to older adults and elderly care nurses as a simple, non-invasive, low-cost, and effective method of reducing hypertension. © 2023,Iranian Journal of Ageing. All Rights Reserved.
Related Docs
View other Related Docs
1. A Clinical Trial on the Effect of a Multifaceted Intervention on Blood Pressure Control and Medication Adherence in Patients With Uncontrolled Hypertension, ARYA Atherosclerosis (2019)
2. Adherence to Self-Care Behaviors Among Hypertensive Patients, Journal of Health Literacy (2019)
3. Medication Beliefs, Cognitive Defusion, and Valued Living in Hypertensive Patients With Varying Medication Adherence, ARYA Atherosclerosis (2023)
4. Evaluation of Medication Adherence and Its Relevant Factors Among Hypertensive Patients: A Cross-Sectional Study in Shahrekord Health-Care System, Journal of Education and Health Promotion (2022)
5. Self-Rated Health and Its Determinants in Patients With Hypertension in Isfahan in 2019, BMC Public Health (2024)
6. The Prevalence of Hypertension Among the Elderly in Patients in Al-Zahra Hospital, Isfahan, Iran, ARYA Atherosclerosis (2012)
7. Antihypertensive Prescribing Pattern, Prescriber Adherence to Ish 2020 Guidelines, and Implication of Outpatient Drug Price on Blood Pressure Control at Selected Hospitals in Southern Ethiopia, European Journal of Clinical Pharmacology (2022)
8. Sodium Intake, Dietary Knowledge, and Illness Perceptions of Controlled and Uncontrolled Rural Hypertensive Patients, International Journal of Hypertension (2014)
Experts (# of related papers)
View all Related Experts
Nizal Sarrafzadegan (18)
Alireza Khosravi (17)
Other Related Docs
9. Association Between Hypertension and Quality of Life in a Sample of Iranian Adults, Acta Cardiologica (2010)
10. Assessment of Medication Administration of Nurses in Medical Cardiac Wards and Its Relationship With Some Demographic Characteristics: An Observational Study, Journal of Education and Health Promotion (2022)
11. Evaluating Factors Associated With Uncontrolled Hypertension: Isfahan Cohort Study, Iran, ARYA Atherosclerosis (2014)
12. Determinants of Awareness, Treatment and Control of Hypertension in Isfahan, Central Iran, Archives of Medical Science (2009)
13. Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income Countries, JAMA (2013)
14. Hypertension Control in Industrial Employees: Findings From Shimsco Study, ARYA Atherosclerosis (2012)
15. An Unhealthy Plant-Based Diet Increases Risk of Hypertension But Not Framingham Risk Score in Adults, Current Developments in Nutrition (2023)
16. Medication Adherence in Patients With Hypertension: Does Satisfaction With Doctor-Patient Relationship Work?, Journal of Research in Medical Sciences (2017)
17. The Role of Depression, Anxiety, and Stress in Medication Adherence in Patients With Hypertension, Journal of Isfahan Medical School (2017)
18. Factors Affecting Uncontrolled Hypertension in an Iranian Population, Iranian Heart Journal (2013)
19. Effects of Education on Self-Monitoring of Blood Pressure Based on Basnef Model in Hypertensive Patients, Journal of Research in Medical Sciences (2010)
20. Evaluation of the Factors Associated With Prescribed and Non-Prescribed Medicine: A Population-Based Study, Current Drug Safety (2023)
21. Update of the Clinical Guideline for Hypertension Diagnosis and Treatment in Iran, Clinical Hypertension (2024)
22. The Effect of Educational Intervention on Self-Care Behavior in Hypertensive Older People: Applying the Health Belief Model, Journal of Education and Health Promotion (2022)
23. Association of Adherence to the Dietary Approach to Stop Hypertension and Mediterranean Diets With Blood Pressure in a Non-Hypertensive Population: Results From Isfahan Salt Study (Iss), Nutrition, Metabolism and Cardiovascular Diseases (2022)
24. Worldwide Trends in Hypertension Prevalence and Progress in Treatment and Control From 1990 to 2019: A Pooled Analysis of 1201 Population-Representative Studies With 104 Million Participants, The Lancet (2021)
25. Societal Economic Burden of Hypertension at Selected Hospitals in Southern Ethiopia: A Patient-Level Analysis, BMJ Open (2022)
26. Determinants of Uncontrolled Hypertension in an Iranian Population, ARYA Atherosclerosis (2014)
27. Adherence of Family Caregivers of Patients With Stroke to Rehabilitation Regimen, HAYAT (2012)
28. Efficacy of Stepwise Sodium Profile Versus Individualized Dialysate Sodium in Blood Pressure Control Among Hemodialysis Patients, Iranian Journal of Nursing and Midwifery Research (2015)
29. The Effect of Cognitive-Behavioral Intervention on Self-Care Behaviors and Blood Pressure Control in Patients With Primary Hypertension, Journal of Education and Community Health (2021)
30. The Impact of a 6-Year Comprehensive Community Trial on the Awareness, Treatment and Control Rates of Hypertension in Iran: Experiences From the Isfahan Healthy Heart Program, BMC Cardiovascular Disorders (2010)
31. Effects of a Lifestyle Modification Program on Knowledge, Attitude and Practice of Hypertensive Patients With Angioplasty: A Randomized Controlled Clinical Trial, International Journal of Community Based Nursing and Midwifery (2016)
32. The Effect of Training on Knowledge, Attitude, and Practice in Patients With Hypertension; the Application of the Expanded Chronic Care Model: A Clinical Trial Study, Iranian Red Crescent Medical Journal (2018)
33. Effectiveness of a Self-Care Education Program on Hypertension Management in Older Adults Discharged From Cardiac-Internal Wards, ARYA Atherosclerosis (2019)
34. Do Psychosocial Factors Predict Readmission Among Diabetic Elderly Patients?, Iranian Journal of Nursing and Midwifery Research (2017)
35. Self-Care Behaviors and Related Factors in Hypertensive Patients, Iranian Red Crescent Medical Journal (2016)
36. Incident Hypertension and Its Predictors: The Isfahan Cohort Study, Journal of Hypertension (2014)
37. Investigating the Effect of Family-Centered Self-Care Program Based on Home Visits Regarding Dietary and Medication Regimen Adherence of Discharged Patients With Acute Coronary Syndrome, Iranian Journal of Nursing and Midwifery Research (2021)
38. An Evaluation of Adherence to Society of Pharmacists′ Standards Care in Pharmacy Information Systems in Iran, Indian Journal of Pharmacology (2015)
39. Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association With Hypertension Control, International Journal of Hypertension (2022)
40. The Relationship Between Pender's Health Promotion Model Constructs and Applying Nutritional Supplements in Patients With Hypertension, Journal of Isfahan Medical School (2021)
41. Design and Implementation of a Combined Observational and Interventional Study: Trends of Prevalence, Awareness, Treatment and Control Hypertension and the Effect of Expanded Chronic Care Model on Control, Treatment and Self-Care, ARYA Atherosclerosis (2017)
42. Antihypertensive Drug Prescription Trends in Shahrekord, Iran, Journal of Nephropharmacology (2022)
43. Prevalence, Awareness, Treatment, Control, and Risk Factors of Hypertension Among Adults: A Cross-Sectional Study in Iran, Epidemiology and Health (2018)
44. The Effect of a Lifestyle Management Educational Program on Blood Pressure, Heart Rate, and Body Mass Index in Patients With Hypertension, ARYA Atherosclerosis (2020)
45. Adherence to Glyburide and Metformin and Associated Factors in Type 2 Diabetes in Isfahan, Iran, Iranian Journal of Pharmaceutical Research (2011)
46. Blood Pressure Pattern in Urban and Rural Areas in Isfahan, Iran, Journal of Human Hypertension (1997)
47. Evaluating the Effect of Training Through Short Message Service (Sms) on Compliance and the Mean Blood Pressure of Patients With Hypertension: A Study Design, Journal of Isfahan Medical School (2017)
48. Polypill for the Prevention of Cardiovascular Disease (Polyiran): Study Design and Rationale for a Pragmatic Cluster Randomized Controlled Trial, European Journal of Preventive Cardiology (2015)
49. Medication Adherence With Polypill in Cardiovascular Disease and High-Risk Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Involving 7364 Participants, Current Problems in Cardiology (2024)
50. The Prevalence and Correlated Determinants of Hypertension and Type 2 Diabetes:A Large Community-Based Study in Isfahan, Iran, Pakistan Journal of Medical Sciences (2012)