Journal of the Korean Academy of Family Medicine 1990;11(7):8-17.
Published online July 1, 1990.

고혈압 환자에 있어 순응도와 건강신념체계의 관계에 대한 연구 (Healthe Belief Model and Compllance in Hypertenslve Patients)

윤방부(Youn Bang Bu),이혜리(Lee Hye Ree),곽기우(Kwak Ki Woo),오미경(Oh Mi Kyung),원종욱(Won Jong Uk),최두재(Choi Du Jae)

연세대학교의과대학 가정의학교실

Abstract

The management of hypertension is still far from optimal, although safe and effective drugs are available and the effectiveness of antihypertensive therapy in reducing cardiovascular morbidity is well estabilished. Today, low patient compliance is one of the most important therapy-limiting factors in hypertension. Although patient care seems to have improved, possbly due to increased knowledge about patient compliance in recent years.
The 61 hypertensive patients were examined to explore the relationship between Health Beief Model(HBm) and compliance in hypertensive patients using questionnarie items based on HBM and compliance for hypertension. The result from HBM questionnaires were scored according to each patient's assessment. Each patient's compliance was measured by doctor's assessment, chart review, and patient self-reported questionnaires.
This study showed that the high compliance were more serious and susceptible for cerebrovascular accidents than low compliance patients. The compliance was not associated with the severity and susceptibility for renal failure and myocardial infarction as compliance of hypertension, and not associated with benefits, barrier, and cue to action for treatment, and not associated with patient's demographic characteristics.