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Journal of Korean Critical Care Nursing 2016;9(2):48-60.
Published online December 31, 2016.

고혈압환자의 약물치료에 대한 심리적 저항의 개념분석
장희순, 공경란, 이은남, 강지연, 장문정
1동아대학교 간호학과
2동아대학교 간호학과
3동아대학교 간호학과
4동아대학교 간호학과
5동아대학교 간호학과
Concept Analysis of Psychological Resistance to Antihypertensive Medication
Hee Soon Jang, Kyoung Ran Kong, Eun Nam Lee, Jiyeon Kang, Moon Jung Jang
1Department of Nursing, Dong-A University
2Department of Nursing, Dong-A University
3Department of Nursing, Dong-A University
4Department of Nursing, Dong-A University
5Department of Nursing, Dong-A University
Abstract
Purpose
The purpose of this study was to identify the attributes of the concept, of psychological resistance to antihypertensive medication.
Methods
The study was conducted in accordance with Walker and Avant's conceptual analysis process. We reviewed 47 related studies selected from 4 international and Korean databases including Medline, CINAHL, NDSL, and RISS to perform the analytical processes from January 1980 to September 2015.
Results
The attributes of psychological resistance to antihypertensive medication include 1) reservation, 2) opposition, 3) denial, 4) refusal, and 5) seeking alternative therapy. The antecedents of the concept can be classified into patient factors such as reactance trait and knowledge deficit, provider factors, interpersonal factors, and environmental factors. The consequences of psychological resistance to antihypertensive medication are non-compliance, deterioration of the disease, developing complications, increased anxiety, and changes in life.
Conclusions
The concept of psycho logical resistance to antihypertensive medication can provide guidance for the development of an intervention program that promotes the compliance to medication regimen of hypertensive patients. Further research needs to be done to develop a measurement tool for psychological resistance to antihypertensive medication.
Key Words: Antihypertensive agents, Patient compliance, Treatment refusal, Concept formation
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