Predictors of Compliance in Hypertensive Patients

고혈압 환자의 치료지시 이행에 영향을 미치는 예측요인

  • Received : 2012.04.26
  • Accepted : 2012.11.27
  • Published : 2012.11.30


Purpose: The purposes of this study were to identify knowledge, health belief and compliance in patients with hypertension and to identify the most important predictors for compliance of hypertensive patient. Method: The participants in this study were 117 patients who were receiving treatment for hypertension at E. university hospital or one of three local clinics in D-city. Data were collected using a knowledge measurement instrument, health belief scale, and an instrument on compliance. Collected data were analyzed using $X^2$ test, ANOVA, multiple linear regression with PASW statistics 18.0 program. Results: There were statistically significantly positive correlations between knowledge of hypertension and health belief, health belief and compliance. But there was no correlation between knowledge of hypertension and compliance. In the multiple regression analysis, perceived barriers, perceived severity, perceived benefits were significant predictors to explain compliance and accounted for 54.1% of the variance in compliance. Conclusion: The results of the study indicate that health belief and compliance are significantly strongly correlated. Thus it is suggested that nursing interventions to improve compliance should include nursing care plans to increase health belief, perceived severity, perceived benefit and to decrease perceived barrier.




  1. Ahn, Y. H. (2007). Compliance level with therapeutic regimen of medication and life style among patients with hypertension in rural communities. Journal of Korea Community Health Nursing Academic Society, 21, 125-133.
  2. Becker, M. H. (1974). The health belief model and sick role behavior. Health Education Monographs 2, 409-419.
  3. Chang, K. O. (2003). The Relationship among health habits, perceived health status and knowledge related to hypertension and medication compliances of hypertensive elderly. Unpublished master's thesis, Catholic University of Pusan, Busan.
  4. Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., et al. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 Report. Journal of the American Medical Association, 289, 2560-2572. http://doi: 10.1001/jama.289.19.2560
  5. Chung, E. S. (2007). Health belief and compliance of health behavior according to recurrence in patients with coronary artery occlusive disease. Unpublished master's thesis, Ajou University, Suwon.
  6. Dracup, K. A., & Meleis, A. I. (1982). Compliance: An interactionist approach. Nursing research, 31, 31-36.
  7. Franklin, B. A., Hall, L., & Timmis, G. C. (1997). Contemporary cardiac rehabilitation services. American Journal of Cardiology. 79, 1075-1077.
  8. Glanz, K. Rimer, B. K., & Lewis, F. M. (2002). Health behavior and health education; Theory, research, and practice (3rd ed.). San Francisco, CA: Jossey-Bass Inc., Publishers.
  9. Glanz, K. Rimer, B. K., & Lewis, F. M. (2009). Health behavior and health education (3rd). (Yoo, T. G., & Yoo, H. R., Trans.). Seoul: Koonja. (Original work published 2002).
  10. Jeong, H. S., Cho, O. H., & Yoo, Y. S. (2005). Compliance with health behavior among patients who are hypertensive. Journal of Korean Academy of Fundamentals of Nursing, 12, 223-230.
  11. Jeong, H. S., Cho, O. H., & Yoo, Y. S. (2009). High blood pressure-related knowledge and health behavior among first-year college students. Journal of Korea community health nursing academic society, 23, 285-295.
  12. Jeong, H. S., & Yoo, Y. S. (2001). Knowledge level and compliance of health behavior in patients with myocardial infarction. Journal of Korean Academy of Fundamentals of Nursing, 8, 334-345.
  13. Jo, H. S., Kim, C. B., Lee, H. W., & Jeong, H. J. (2004). A meta-analysis of health related behavior study based on health belief model in Korean. Korean Journal of health Psychology, 9, 69-84.
  14. Kaplan, N. M., & Victor, R. G. (2010). Clinical hypertension (10th ed.). Philadelphia: Lippincott Williams & Wilkins
  15. Kim, E. K., Lee, H. J., Ahn, S. H., & Chung, E. S. (2003). Factors influencing on the compliance of breast self-examination of nurses in a local area. Journal of Korean Academy of Nursing, 33, 1047-1056.
  16. Kim, K. E. (2002). A study on health behaviors and medication compliances of hypertensive patients in a rural area. Journal of Korean Community Nursing, 13, 49-56.
  17. Korea Centers for Disease Control and Prevention. (2008). 2007 Korea national health statistics: The forth korea national health and nutrition examination survey. Seoul: Korea Centers for Disease Control and Prevention.
  18. Lee, M. H. (2001). A Study on the relationships between health belief and sick role behavior of patients with coronary heart disease. Unpublished master's thesis, Ewha Womans University, Seoul.
  19. Lee, S. J., & Song, M. S. (1999). Compliance with low-salt diet and related factors in essential hypertension patients. Journal of Korean Academic Society of Adult Nursing, 11, 605-620.
  20. Lee, Y. W., Kim, H. S., & Cho, E. Y. (2002). The influencing factors on health behavior of patients with coronary artery disease. Journal of Korean Academy of Nursing, 32, 40-49.
  21. Ministry of Health and Welfare (2008). 2008 National Health and Nutrition Survey. Seoul: Government Printing Office.
  22. Moon, E. S., & Lee, E. S. (2010). The relationship between knowledge, health beliefs, and prevention behaviors of osteoporotic fracture in patients receiving osteoporosis treatment. Journal of Korean Academy of Womens Health Nursing, 16, 147-156.
  23. National Health Insurance Corporation (2008). The present condition of hypertension patient in the clinic. Seoul.
  24. Park, B. N., Kim, Y. S., Hyun, M. S., & Yoo, M. S. (2009). A Study on the Correlations among Knowledge, Anxiety and Compliance of Patient Role Behavior of Outpatients with Myocardial Ischemia. Journal of Korea Critical Care Nursing, 2(2), 18-27.
  25. Park, M. J. (2002). Knowledge, health belief and preventive health behavior on hepatitis in hepatitis B carriers. Unpublished master's thesis, Yonsei University, Seoul.
  26. Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Medical-Surgical nursing (12th ed.). Philadelpia: Lipincott Willams & Wilkins.
  27. Statistics Korea (2008). 2008 Annual Report on the Cause of Death Statistics.
  28. The Korean Society of Hypertension (2009). Textbook of hypertension. Seoul: medbook.
  29. Yim, J. Y. (2004). Relationship between self-efficacy and self-care behavior in open heart surgery patients who received phase I cardiac rehabilitation program. Unpublished master's thesis, Yonsei University, Seoul.

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