Publication Date

2006

Degree Type

Master's Project

Degree Name

Master of Science (MS)

Department

Nursing

First Advisor

Chia-Ling Mao

Second Advisor

Marian K. Yoder

Keywords

Russian immigrants, hypertension, health belief model, compliance, adherence

Abstract

Introduction: Hypertension (HTN) has been identified as a common health problem in every ethnic group in the USA. Due to the silent nature of the HTN, some cultures may not perceive this condition as being serious or potentially fatal. Objective: The purpose of this study was to investigate the health beliefs of Russian-speaking immigrants with hypertension and their adherence to the prescribed treatment. Design: The study was a non-experimental exploratory survey and interview. Convenience sampling was used. The Health Belief Model (HBM) provided the theoretical framework. Sample: A total of 62 subjects (27% male and 73% female, ages from 51 to 86) completed the questionnaire that covered health beliefs and self-report on adherence to treatment. Results: This study indicated a correlation between embarrassment, inconvenience, and compliance with fitness recommendations. Financial burden correlated with adherence to dietary modifications. A strong negative correlation was found between perceived severity of complications and number of missed medications. Patient's awareness about existence of complications of hypertension had a positive correlation with change in adherence to treatment. Educational level had no correlation with adherence. Conclusion: Health education based on these findings will facilitate the reduction of the rate of complications in the targeted population.

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