Abstract
Background: Adherence to treatment regimen plays a crucial part in the prevention of the consequences of hypertension, thus identification and employment of effective educational methods to enhance patients' adherence to their treatment plans is important. Objective: The present study compares the effectiveness of multimedia and traditional methods of patient education in persuading patients with hypertension to stick to their treatment regimens. Methods: Conducted in 2019, the present study is an experimental work of research which lasted for 5 months. A convenience sample of 160 patients who visited the clinic and cardiac sections of a hospital located in the south-west of Iran was selected and then randomly divided into an intervention and a control group. The intervention consisted of multimedia education provided in 6 sessions and telephone follow-ups. The control group was given the traditional care. The research instruments were a demographics questionnaire and a medication adherence scale. Data were collected before, immediately after, and one month after the intervention. The collected data were analyzed using SPSS v. 19, independent t-test, and chi-square test. Results: The difference between the adherence to treatment regimen scores of the two groups as calculated immediately after and one month after the intervention was found to be statistically significant (P<0.001). Conclusion: Patient education via multimedia can significantly increase patients' adherence to their treatment regimens. Accordingly, it is recommended that nurses and other healthcare providers utilize this new educational approach to facilitate patient education and enhance adherence to treatment plan in patients with hypertension.
Highlights
Hypertension is a major medical and public health issue which is becoming increasingly important
It is recommended that nurses and other healthcare providers utilize this new educational approach to facilitate patient education and enhance adherence to treatment plan in patients with hypertension
Since adherence to treatment regimen plays a key role in controlling hypertension and achieving better treatment results, and because there have been no studies in Iran comparing multimedia education with traditional patient education in terms of their effectiveness in encouraging adherence to treatment regimen for hypertension, the present study aims to compare multimedia with traditional education in terms of their effectiveness in encouraging adherence to treatment regimen in patients with hypertension
Summary
Hypertension is a major medical and public health issue which is becoming increasingly important. Hypertension can double the risk of coronary artery disease [1]. The reported prevalence of hypertension in various societies ranges from 5.2% to 55.3%. According to WHO, nearly 40% of adults worldwide aged over 25 years suffer from hypertension. In Iran, 27% of the adult population is reported to have hypertension [5]. The most common (or prevalent) reason for uncontrolled hypertension is patients' failure to follow their treatment regimens [4] which can have such dire consequences as relapse of the condition, need for hospitalization, and increased risk of being affected by the side effects. Adherence to treatment regimen plays a crucial part in the prevention of the consequences of hypertension, identification and employment of effective educational methods to enhance patients' adherence to their treatment plans is important
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