BACKGROUND Adherence to antihypertension medications has been explored in previous studies; however, these studies generally focus on individuals who reside in urban areas. Improved understanding is needed regarding rural older adults who are self-managing medications for hypertension and the motivational factors that may influence adherence. OBJECTIVES The purpose of this study was to examine medication adherence among rural older adults with hypertension and the association with motivational factors as defined in self-determination theory, including quality of motivation (autonomous vs controlled), perceived competence, perceived autonomy support, and basic psychological needs satisfaction. Rural nursing theory was also used to explore the concept of resilience. METHODS This cross-sectional study involved 80 older adults (≥65 years old) self-managing at least 1 prescribed medication for managing their hypertension. Participants ranged in age from 65 to 89 (mean [SD], 74.04 [6.18]) years from rural areas in the northwest. Participants completed a demographic questionnaire, a measure of medication adherence, and questionnaires to assess perceived autonomy support, basic needs satisfaction, autonomous and controlled motivation, perceived competence, and resilience. RESULTS Correlational analysis and multiple regression were used to examine associations and predict adherence. Perceived autonomy support, resilience, cost of medication, and medication regimen complexity were the only variables significantly associated with medication adherence and predicted adherence. Resilience mediated the relationship between perceived autonomy support and medication adherence. CONCLUSIONS Overall, findings indicate high levels of adherence. Interventions that enhance perceptions of autonomy support and resilience may be useful in managing hypertension.

中文翻译：

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韧性和感知自主支持对农村老年高血压患者服药依从性的影响。

背景 先前的研究已经探讨了抗高血压药物的依从性。然而，这些研究通常集中于居住在城市地区的个人。需要更好地了解自我管理高血压药物的农村老年人以及可能影响依从性的动机因素。目的 本研究的目的是检查农村老年高血压患者的药物依从性以及与自我决定理论中定义的动机因素的关系，包括动机质量（自主与受控）、感知能力、感知自主支持和基本能力。心理需求的满足。农村护理理论也被用来探讨韧性的概念。方法 这项横断面研究涉及 80 名老年人（≥65 岁），他们自我管理至少一种处方药物来控制高血压。参与者年龄从 65 岁到 89 岁（平均 [SD]，74.04 [6.18]）岁，来自西北农村地区。参与者完成了人口统计调查问卷、药物依从性衡量指标以及评估感知自主支持、基本需求满足、自主和受控动机、感知能力和复原力的调查问卷。结果 使用相关分析和多元回归来检查关联性并预测依从性。感知的自主支持、弹性、药物成本和药物治疗方案的复杂性是与药物依从性和预测依从性显着相关的唯一变量。复原力介导了感知的自主支持与药物依从性之间的关系。结论 总体而言，研究结果表明依从性较高。增强自主支持和复原力认知的干预措施可能有助于控制高血压。