Perceptions of Medication Adherence among Elderly Patients with Hypertension in Bangkok: A Qualitative Study

Hypertension, a major global health issue associated with cardiovascular diseases, requires effective management, primarily through medication adherence. This study, conducted in a culturally diverse city, Bangkok, investigated elderly hypertensive patients' perceptions and adherence behaviors.

The study aimed to explore the nuanced perceptions and experiences influencing medication adherence among elderly hypertensive patients in Bangkok.

A qualitative approach was adopted for this study, involving detailed interviews with 25 elderly Thai individuals diagnosed with hypertension. Data were gathered over a six-month timeframe. Thematic content analysis was employed to deeply analyze the individuals’ experiences and perceptions, aiming for a richer understanding.

Four primary themes emerged regarding participants' views on hypertension medication. The first theme centered on apprehensions about the long-term use of medication, particularly fears of liver and kidney damage affecting adherence. The second theme highlighted a preference for traditional remedies, like moringa, ginger, and garlic over standard pharmaceuticals, with limited discussion with healthcare providers. The third theme tackled myths surrounding hypertensive medication, such as misconceptions about drug interchangeability and the chronic nature of the condition. The final theme focused on beliefs about the recurrent or untreatable nature of hypertension, leading some to favor lifestyle modifications over regular medication use.

This study sheds light on the complex factors affecting medication adherence in elderly hypertensive patients in Bangkok, emphasizing the need for culturally sensitive, patient-centered interventions. It advocates for holistic hypertension management that considers patient perspectives and cultural context to improve outcomes.