The Relationship Between Hope and Meaning in Life with Medication Adherence Among Elderly Hypertensive Patients.

Background: Hope and meaning in life influence medication adherence among the elderly with chronic conditions, including hypertension. The purpose of this study was to examine the association between hope and meaning in life and medication adherence in the elderly with hypertension. Objectives: The...

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Publicado en:Journal of Nursing & Midwifery Sciences Vol. 12; no. 4; pp. 1 - 11
Autores principales: Khalili, Faezeh, Zakizad, Manizheh, Papi, Shahab, Fendereski, Afsaneh
Formato: research tables/charts Journal Article
Publicado: Brieflands Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
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        atl: The Relationship Between Hope and Meaning in Life with Medication Adherence Among Elderly Hypertensive Patients.
      aug:
        au:
          Khalili, Faezeh
          Zakizad, Manizheh
          Papi, Shahab
          Fendereski, Afsaneh
        affil: Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
      sug:
        subj:
          Hope Evaluation
          Life Purpose Evaluation
          Medication Compliance Evaluation
          Hypertension Drug Therapy
          Human
          Cross Sectional Studies
          Descriptive Research
          Correlational Studies
          Health Facilities
          Iran
          Multi-Stage Cluster
          Questionnaires
          Descriptive Statistics
          Probability
          Odds Ratio
          Middle Age
          Aged
          Male
          Female
          Confidence Intervals
          Data Analysis Software
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Spearman's Rank Correlation Coefficient
          Models, Statistical
          Funding Source
          Univariate Statistics
          Spouses
          Income
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Hope and meaning in life influence medication adherence among the elderly with chronic conditions, including hypertension. The purpose of this study was to examine the association between hope and meaning in life and medication adherence in the elderly with hypertension. Objectives: The aim of this study was to investigate the relationship between hope and meaning in life and medication adherence in older adults with hypertension. Methods: The current study was a cross-sectional descriptive-correlation study on 200 senior adults with hypertension who were referred to health centers in Mahmoudabad city by a multi-stage cluster sampling method. The Morisky Medication Adherence Scale, the Meaning in Life Questionnaire (MLQ), and the Snyder Hope Questionnaire (SHQ) were used to collect data. Results: The average age of the elderly participants was 68.5 ± 7.08 years. Among them, 32.5% demonstrated strong medication adherence, 32% had moderate adherence, and 35.5% showed poor adherence. The mean scores indicated moderate levels of hope and medication adherence, while meaning in life was rated high across all dimensions. After controlling for demographic and socioeconomic factors, hope and meaning in life were found to be directly associated with medication adherence. Specifically, a one-point increase in hope was associated with a 1% higher probability of medication adherence [odds ratio (OR) = 1.01, P = 0.049], and a one-point increase in meaning in life was associated with a 1% increase in adherence probability (OR = 1.01, P < 0.001). Additionally, medication adherence showed a positive and moderate correlation with both hope and meaning in life. Conclusions: The study's findings underscore the necessity of incorporating psychological support into the nursing care of older patients with hypertension. Nurses may improve medication adherence and overall health outcomes for older people with hypertension by instilling hope and meaning in their lives.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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