UPM Institutional Repository

Gaining insight into patients' experience of adherence to hypertensive treatment


Lee, Khuan and Mohd Yunus, and Loong, Yik Yee and Ahmad, Shamsuddin and Jamil, Zubaidah and Abdul Raman, Rosna (2010) Gaining insight into patients' experience of adherence to hypertensive treatment. Malaysian Journal of Medicine and Health Sciences, 6 (2). pp. 43-50. ISSN 1675-8544


Hypertension is one of the major risk factors for coronary heart disease and the most important factor for cerebrovascular diseases. Adherence to treatment is a fundamental pre-requisite for therapeutic benefit in hypertensive patients. Adherence is a complex behavioural process that is strongly influenced by the way in which patients live, as well as the psychological and social support system. Aim: To understand and conceptualize the experience of people on long-term antihypertensive treatment Method: Qualitative analysis using semi-structured interviews with ten hypertensive patients from the medical clinic of Kuala Lumpur General Hospital. Results: Although the participants were aware of having high blood pressure they declined receiving any treatment at the early stage of the disease. Fear of death and disease complications are reinforcements for participants to adhere to medication. They perceived the label of "hypertension" will affect their self-identity and social role. Positive thinking regarding medication assists participants to adhere to treatment. Conversely, participants who perceived medication negatively also adhere to a medication regime, as adherence behaviour satisfies the family. Participants justified modifying their regimen or taking Complementary and Alternative Medicine (CAM) as they believe know the their body best. However, participants wished to obtain more information regarding hypertension and its treatment from the doctors. Conclusion: In finding the fine balance between stepping in and holding back treatment and care, health professionals need to know their clients in context. This balance can only be achieved by establishing processes of negotiation within an ongoing therapeutic relationship.

Download File

Gaining Insight into Patients’ Experience of Adherence to Hypertensive Treatment.pdf

Download (103kB) | Preview

Additional Metadata

Item Type: Article
Divisions: Faculty of Educational Studies
Faculty of Medicine and Health Science
Publisher: Faculty of Medicine and Health Sciences, University Putra Malaysia
Keywords: Hypertension; Adherence
Depositing User: Raja Norazlinda Raja Azenam
Date Deposited: 10 Jan 2014 08:58
Last Modified: 08 Sep 2015 03:13
URI: http://psasir.upm.edu.my/id/eprint/14838
Statistic Details: View Download Statistic

Actions (login required)

View Item View Item