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Adherent and Nonadherent Medication-Taking in Elderly Hypertensive Patients

Author

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  • Mary Jayne Johnson

    (University of Utah)

  • Mary Williams
  • Elaine S. Marshall

    (Brigham Young University)

Abstract

Nonadherence to medications is a significant reason why patients fail to control their blood pressure. Little work has been attempted to conceptualize medication-taking behaviors from the patient’s perspective. This study examined factors that influence elderly hypertensive patients’ adherence or nonadherence to prescribed medications. Using a qualitative descriptive research design, 21 hypertensive elderly people were interviewed. Two domains of adherence were identified: purposeful use of the medication for the control of patient’s blood pressure and establishing and maintaining patterns of medicationtaking. Two similar domains also emerged for nonadherence: purposeful and incidental. Adherence behaviors were dependent on the person’s decision to take hypertension medication, access to medications, and ability to initiate treatment and maintain a medication-taking pattern. The timing and location of pills were integral parts of establishing patterns of taking medications. Inadequate access to medications or interruption of a person’s pattern were associated with the incidental missing of medications .

Suggested Citation

  • Mary Jayne Johnson & Mary Williams & Elaine S. Marshall, 1999. "Adherent and Nonadherent Medication-Taking in Elderly Hypertensive Patients," Clinical Nursing Research, , vol. 8(4), pages 318-335, November.
    • Handle: RePEc:sae:clnure:v:8:y:1999:i:4:p:318-335
    DOI: 10.1177/10547739922158331
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