ABSTRACT
Although drug treatment for hypertension is available, but just 30% hypertensive patients have controlled hypertension. Nowadays non adherence to recommended health regimen is accepted as a nursing diagnosis by American Nurses Association. The aim of this study was to determine correlation between self-concept [according to Roy Adaptation Model] and adherence to therapeutic health regimen in hypertensive outpatients who attended to one of hospitals affiliated to Uremia University of Medical Sciences and health Services. In this descriptive-correlational study, 120 hypertensive outpatients, who had inclusion criteria, were selected by quota purposive sampling method. Data were collected by a demographic and disease related questionnaire, "Self-Concept Questionnaire in Heart Disease Patients based on [RAM]" and "Hill-Bone Compliance to High Blood Pressure Therapy Scale". Validity and reliability of questionnaires were assessed with content validity and Cronbach's Alpha coefficient. Cronbach's alpha coefficients of "Hill-Bone Compliance to High Blood Pressure Therapy Scale" and threat and challenge perception "Self-Concept Questionnaire in Heart Disease Patients based on [RAM] were calculated 0.71, 0.87, 0.90 respectively. the questionnaires were completed by interview and data were analyzed by SPSS 16. Findings showed that adherence to recommended health regimen had significant negative relationship to total threat perception with perception of threat of self-concept [P<0.001]. Also, Adherence to recommended health regimen had a positive significant relationship with total challenge perception. Similarly, perception of challenge for body sensation, self consistency, self ideal [P<0.001] with self ethical-spiritual of self concept [P=0.027] had a positive significant correlation. According to the correlation between adherence with threat or challenge perception for dimensions of self concept in this study, nurses need to identify methods that cause patients perceive stimuli as a challenge to self-concept. As it guides person to problem solving ways that should be overcame stressful stimuli and leads to integrated adaptation