American Journal of Nursing Research
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American Journal of Nursing Research. 2016, 4(2), 41-50
DOI: 10.12691/ajnr-4-2-3
Open AccessArticle

The Relationship between Health Locus of Control, Knowledge and Adherence to Antihypertensive Regimen among Woman with Preeclampsi

Nevertity Hassan Zaky1,

1Obstetrics and Gynecology Nursing, Faculty of Nursing, Alexandria University, Egypt

Pub. Date: June 24, 2016

Cite this paper:
Nevertity Hassan Zaky. The Relationship between Health Locus of Control, Knowledge and Adherence to Antihypertensive Regimen among Woman with Preeclampsi. American Journal of Nursing Research. 2016; 4(2):41-50. doi: 10.12691/ajnr-4-2-3

Abstract

Pregnancies complicated by hypertension are associated with increased risk of adverse fetal, neonatal and maternal outcomes. Adherence to therapy is a potent factor in determining the success of a treatment regimen which is affected by determinant factors, high importance of it is the level of knowledge regarding health circumstance and health locus of control. Therefore, this study aimed to identify the relation between knowledge, health locus of control and adherence to antihypertensive regimen among women with preeclampsia. Design a descriptive correlation methodology was used, where a convenient sample of 150 women had preeclampsia, were selected from the outpatient clinic at El Shat by Maternity University Hospital in Alexandria. Tools: two tools were used to collect data; tool1 pregnant women’s knowledge and adherence interview schedule and tool 11 multiple health Locus of Control scale. Results clarified that 39.2%of external powerful health locus of control (EPHLC) and 27.3% of internal health locus of control (IHLC) had good total score of knowledge about preeclampsia and its therapeutic regimen.in contrast 70% of women with chance health locus of control (CHLC) had poor knowledge with a statistically significant difference between them (P=0.008). In addition, women with EPHLC had the highest percentage of adherence to the antihypertensive regimen (40.4%) as compared with “IHLC” (29.4%), however women with “CHLC” had the lowest level of regimen adherence (20%), with a statistically significant difference P =0.002. A statistically significant difference was found between the different dimensions of HLC and women’s adherence to antenatal checkup. Antihypertensive medication. Urine & hematological analysis and blood pressure checkup in favor of external powerful others health locus of control P= <0.05. In conclusions, pregnant women who adopted external powerful others' health locus of control was significantly had more knowledge and more adherents to the antihypertensive regimen than those who adopted internal and external chance health locus of control. Thus, researcher recommended for Articulating health educational programs based on the health locus of control beliefs for mothers using health promotion models that emphasize on (definition, signs, and symptoms, causes, complication on the mother and fetus) to improve adherence to the antihypertensive regimen.

Keywords:
health locus of control adherence antihypertensive regimen woman with preeclampsia

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References:

[1]  World Health Organization. Trends in maternal mortality 1990–2010: WHO, UNICEF, UNFPA, and the World Bank estimates. Geneva; 2012.
 
[2]  World Health Organization. Trends in Maternal Mortality: 1990 to 2013. Estimates by WHO, UNICEF,UNFPA, The World Bank and the United Nations Population Division. Geneva; 2014.
 
[3]  UN System Task Team on the post-2015 Development Agenda. Realizing the Future. All Report to the Secretary-General. New York; 2012.
 
[4]  Abalos E, Cuesta C, Grosso AL, Chou D, Say L. Global and regional estimates of preeclampsia and eclampsia: A systematic review. European Journal of Obstetrics Gynecology and Reproductive Biology. 2013;170(1):1-7.
 
[5]  SinghV, SrivastavaM. Associated risk factors with pregnancy-induced hypertension: A hospital-based KAP study International Journal of Medicine and Public Health. 2015; 5 (1):59-62.
 
[6]  Aimée M. LuleboI, Paulin B. MutomboI, Mala A. Mapatano1, et_al. Predictors of non-adherence to antihypertensive medication in Kinshasa, Democratic Republic of Congo: a cross-sectional study. BMC Research Notes 2015, 8:526.
 
[7]  Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychology Monogr. 1966; 80(1): 1-28.
 
[8]  O'hea E, Grothe K, Bodenlos J, Boudreaux E, White M, Brantley P. Predicting medical regimen adherence: The interactions of health locus of control beliefs. Journal of Health Psychology 2005; 10(5): 705-10.
 
[9]  Morowatisharifabad M, Mazloomy M, Baghianimoghadam M, Rouhani T. Relationships between locus of control and adherence to diabetes regimen. Journal of Research Health Science 2009; 9 (1): 37-44.
 
[10]  Ozmete E. An Evaluation of Locus of Control as a System Related to Life Management: a case study on youth. Word Applied Science Journal. 2007; 2(5):691-98.
 
[11]  April K. A.; Dharani B; Peters K. "Impact of Locus of Control Expectancy on Level of Well-Being". Review of European Studies. 2012; 4 (2):1-4.
 
[12]  Rodin J. Aging and health: effects of the sense of control. Science. 1986; 233(4770): 1271-1276.
 
[13]  Nnamdi C, Ojimadu E, Okaka E, and Akemokwe F.. Patient-related barriers to hypertension control in a Nigerian population.Int J Gen Med. 2014; 7: 345-53.
 
[14]  Kretchy I, Daaku F, and Danquah J. Locus of control and anti-hypertensive medication adherence in Ghana. Pan African Medical Journal. 2014;17(1):13 -17.
 
[15]  TaherM, Bayat Z, zandi K, Ghasemi E, Abredari H, Karimy M, and Abedi A. Correlation between compliance regimens with health locus of control in patients with hypertension. Med J Islam Repub Iran. 2015; 29: 194.
 
[16]  Wallston KA, Wallston BS. Who is responsible for your health? The construct of Health Locus of Control. In Sanders GS, Suls J, Eds. Social Psychology of Health and Illness. Lawrence Erlbaum Associates, New Jersey. 1982; pp. 65-95.
 
[17]  Moshki M, Ashtarian H. Perceived Health Locus of Control, Self-Esteem, and Its relations to Psychological Well-Being Status in Iranian Students. Iranian J Publ Health 2010:;39(4):70-77.
 
[18]  . Burnier M. Medication adherence and persistence as the cornerstone of effective antihypertensive therapy. Am J Hypertens. 2006;19(11):1190-96.
 
[19]  Lefcourt H, Keitz K. Locus of control and health. Handbook of Social and Clinical Psychology. The Health Perspective. New York, NY: Pergamon Press; 1991:30.
 
[20]  John E, Arute B, Wilson M. Prescription pattern and adherence to antihypertensive among pregnant women in central hospital warri, delta state, Nigeria.. International Journal of Preclinical & Pharmaceutical Research. 2015; 6(3): 110-17.
 
[21]  Thomas E, Kamalanabhan T, Vasanthi M. Locus of control among diabetic and non-diabetic patients. A Comparative Study. Journal of Social Sciences. 2004; 8(3): 221-26.
 
[22]  Anthony L, Ruggiero L, McGarvey S, Donald R. Maternal and fetal health locus of control during pregnancy: A comparison of women with diabetes and non-diabetic women. Journal of Reproductive and Infant Psychology. 2013; 8(3):119-27.
 
[23]  Hjelm K, Bard K, Nyberg P, Apelqvist. J. Swedish and Middle-Eastern-born women’s beliefs about gestational diabetes. Midwifery (2005); 21, 44-60.
 
[24]  Eswi A, Khalil A. Prenatal Attachment and Fetal Health Locus of Control among Low Risk and High Risk Pregnant Women. World Applied Sciences Journal. 2012; 18 (4): 462-71.
 
[25]  Kretchy I, Frances T, Samuel D.Locus of control and anti-hypertensive medication adherence in Ghana. Pan Afr Med J. 2014; 17(1): 13-19.
 
[26]  Omeje O, Nebo C. The influence of locus control on adherence to treatment regimen among hypertensive patients. Patient Preference and Adherence. 2011; 5:141-48.
 
[27]  Holland C, Geraghty J, Shah K. Differential moderating effect of locus of control on effect of driving experience in young male and female drivers. Pers Indiv Differ. 2010; 48: 821-26.
 
[28]  Brown S. Interventions to promote diabetes self-management: State of the science. Diabetes Educator.1999;25(6 ):52-6.
 
[29]  Prathima P. Compare knowledge on self-care management of pregnancy induced hypertension between primi gravid and multigravida. Journal of Health Science. 2014;4(3): 61-65.
 
[30]  Hong TB, Oddone EZ, Dudley TK, Bosworth HB. Medication barriers and anti-hypertensive medication adherence: the moderating role of locus of control. Psychol Health Med. 2006; 11 (1): 20-28.
 
[31]  Bödecs T, Horváth B, Szilágyi E, Németh MD, Sándor J. Association between health beliefs and health behavior in early pregnancy. Matern Child Health J. 2011; 15(8): 1316-23.
 
[32]  Magaisa R. Environment and blood pressure: the Zimbabwean experience. J Hypertens 2004; 1:7-12.
 
[33]  East C, Conway K, Pollock W, Frawley N, Brenneck S.Women’s Experiences of Preeclampsia. Journal of Pregnancy. 2011 Article ID 375653, 1-6.
 
[34]  Hong TB, Oddone EZ, Dudley TK, Bosworth HB. Medication barriers and anti-hypertensive medication adherence: the moderating role of locus of control. Psychol Health Med. 2006; 11 (1): 20-28.
 
[35]  Almas A, Godil S, Lalani S, Samani ZA, Khan AH. Good Knowledge about hypertension is linked to better control of hypertension a multicenter cross sectional study in Karachi, Pakistan. BMC Res Notes. 2012; 5: 579-88.
 
[36]  Mayckel B, Annelita R, Marcon R, Enfermagem L. knowledge about hypertension and factors associated with the non-adherence to drug therapy. PMC. 2014; 22(3): 491-98.
 
[37]  O'hea E, Grothe K, Bodenlos J, Boudreaux E, White M, Brantley P. Predicting medical regimen adherence: The interactions of health locus of control beliefs. Journal of Health Psychology 2005; 10(5):705-12.
 
[38]  Sharifabad M, Mazloomy S, Baghianim M, Tonekaboni N. Relationships between locus of control and adherence to diabetes regimen in a sample of Iranians. Int J Diabetes Dev Ctries. 2010; 30(1): 27-32.
 
[39]  Ajzen I. Perceived Behavioral Control, Self-Efficacy, Locus of Control, and the Theory of Planned Behavior.Journal of Applied Social Psychology. 2006; 32( 4):170-8.
 
[40]  Suliman A, Christine A, Scot H, Simpson D, Lisa M. A Systematic Review of Patient Self-Reported Barriers of Adherence to Antihypertensive Medications Using the World Health Organization Multidimensional Adherence Model The Journal of Clinical Hypertension.2012; 14, (12):877-86
 
[41]  Holt E, Joyce C, Dornelles A,, Morisky D, Larry S. Muntner P, Sex Differences in Barriers to Antihypertensive Medication Adherence: Findings From the Cohort Study of Medication Adherence Among Older Adults (CoSMO) J Am Geriatr Soc. 2013 Apr; 61(4): 558-64.