Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study

Ayşe Şahin; Ezgi Dirgar; Devrim Çicihan

doi:10.31125/globnursinsights.1687643

Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study

Abstract

Aim: This study aimed to examine the relationship between health beliefs regarding medication use and treatment adherence levels among patients with hypertension. Material and Methods: This descriptive study was conducted between April and June 2024 with 221 patients diagnosed with hypertension who were using antihypertensive medications. Participants were selected using a convenience sampling method from cardiology and internal medicine outpatient clinics of a state hospital in Southeastern Turkey. Data were collected using the Patient Information Form, the Health Belief Scale Regarding Medication Use, and the Hill-Bone Compliance to High Blood Pressure Therapy Scale. Results: Participants diagnosed with hypertension for less than one year had significantly higher health belief scores. Treatment adherence scores significantly differed by age, education level, and frequency of blood pressure monitoring (p<0.05). The mean total score on the Health Belief Scale was 134.10±13.72, while the mean score on the Hill-Bone Scale was 20.44±2.53. Pearson correlation analysis revealed a significant negative correlation between health beliefs and non-adherence (r = -0.232, p<0.01). Conclusions: Participants had high health belief levels but moderate treatment adherence. Diagnosis duration, age, education, and blood pressure monitoring habits influenced both variables. Implication for nursing practice: The findings suggest that nurses play a key role in improving adherence among hypertensive patients. Individualized education should be prioritized, particularly for university-educated individuals and those who monitor blood pressure irregularly. Nursing interventions based on the Health Belief Model can help identify at-risk groups and address barriers to adherence. Tailoring strategies to demographic factors, such as age and education level, may enhance the effectiveness of interventions and contribute to better hypertension management.

Keywords

Supporting Institution

No

Ethical Statement

Ethical approval for conducting this study was obtained from the Clinical Research Ethics Committee of Harran University (Decision No: HRÜ/24.02.57, Date: 18.03.2024). In addition, official permission was secured from the healthcare institution where the study was conducted. Before data collection, all participants were informed in detail about the purpose, method, potential benefits of the study, and the voluntary nature of their participation. Both verbal and written informed consent were obtained from the participants, and participation was entirely voluntary. All information collected from participants was used solely for the purposes of this research and was not shared with any third parties. Throughout all phases of the study, the principles outlined in the Declaration of Helsinki were strictly adhered to.

Thanks

No

References

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Details

Primary Language

English

Subjects

Nursing (Other)

Journal Section

Research Article

Authors

Ayşe Şahin
0000-0002-0112-2371
Türkiye

Ezgi Dirgar ^*
0000-0001-8214-7441
Türkiye

Devrim Çicihan
0009-0001-3090-5957
Türkiye

Publication Date

December 25, 2025

Submission Date

May 1, 2025

Acceptance Date

July 24, 2025

Published in Issue

Year 2025 Volume: 12 Number: 3

DOI

https://doi.org/10.31125/globnursinsights.1687643

IZ

https://izlik.org/JA44EB22YM

Cite

RIS / Bibtex

APA

Şahin, A., Dirgar, E., & Çicihan, D. (2025). Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study. Global Nursing Insights, 12(3), 236-244. https://doi.org/10.31125/globnursinsights.1687643

AMA

1.Şahin A, Dirgar E, Çicihan D. Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study. Glob Nurs Insights. 2025;12(3):236-244. doi:10.31125/globnursinsights.1687643

Chicago

Şahin, Ayşe, Ezgi Dirgar, and Devrim Çicihan. 2025. “Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients With Hypertension: A Descriptive Study”. Global Nursing Insights 12 (3): 236-44. https://doi.org/10.31125/globnursinsights.1687643.

EndNote

Şahin A, Dirgar E, Çicihan D (December 1, 2025) Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study. Global Nursing Insights 12 3 236–244.

IEEE

[1]A. Şahin, E. Dirgar, and D. Çicihan, “Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study”, Glob Nurs Insights, vol. 12, no. 3, pp. 236–244, Dec. 2025, doi: 10.31125/globnursinsights.1687643.

ISNAD

Şahin, Ayşe - Dirgar, Ezgi - Çicihan, Devrim. “Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients With Hypertension: A Descriptive Study”. Global Nursing Insights 12/3 (December 1, 2025): 236-244. https://doi.org/10.31125/globnursinsights.1687643.

JAMA

1.Şahin A, Dirgar E, Çicihan D. Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study. Glob Nurs Insights. 2025;12:236–244.

MLA

Şahin, Ayşe, et al. “Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients With Hypertension: A Descriptive Study”. Global Nursing Insights, vol. 12, no. 3, Dec. 2025, pp. 236-44, doi:10.31125/globnursinsights.1687643.

Vancouver

1.Ayşe Şahin, Ezgi Dirgar, Devrim Çicihan. Determining Health Beliefs Regarding Medication Use and Treatment Adherence Among Patients with Hypertension: A Descriptive Study. Glob Nurs Insights. 2025 Dec. 1;12(3):236-44. doi:10.31125/globnursinsights.1687643