fa ادراک افراد مبتلا به پرفشاری خون از بیماری و درمان آن: یک مطالعه مروری آموزش بهداشت و ارتقاء سلامت education health and promotion پژوهشي Research مقدمه: پرفشاری خون یک مشکل بزرگ بهداشتی در کشورهای توسعه یافته و در حال توسعه است و همه گیری رو به افزایش این بیماری در جهان هشداری جدی برای توجه بیشتر به این بیماری می باشد که به طور عمده خاموش است. این مطالعه با هدف، بررسی ادراک بیماران مبتلا به پرفشاری خون از بیماری و درمان آن در مقالات منتشر شده انجام شد. روش ها: مطالعه حاضر از نوع مروری سیستماتیک بود و جستجوی مقالات کیفی در پایگاه های اطلاعاتی ایرانی و بین المللی Iran Medex ، SID، PubMed، ISI web of knowledge، Embase،  Medlineو Google Scholar با Hypertension is a major health problem in developing and developed countries and its increasing prevalence is a serious warning to take more attention to this silent disease. This study aimed to survey hypertensive patient__AWT_QUOTE__s perceptions towards their diseases and its treatment. This was a systematic review and articles were searched in Iranian and international databases such as IranMedex, SID, PubMed, ISI web of knowledge, Medline, Embase, and Google Scholar with hypertension, treatment adherence, and patient__AWT_QUOTE__s perceptions keywords in period of 1980 to 2012. Inclusion criteria were being qualitative study, assessing the perceptions and experience of patients with hypertension and publishing in Persian or English languages. Studies which conducted on patients with other diseases such as diabetes, cardiovascular disease (CVD) and hypertension in pregnancy were excluded. 38 articles were reviewed and results from them obtained in two themes, hypertension from patients' viewpoints and treatment adherence and reasons. Stress was considered as a cause and a consequence of the disease. Patients had negative perceptions toward treatment and knew it adverse. In some cases, existence or absence of physical symptoms encountered as a factor for decreasing or discounting the drugs. No consumption or decreasing of drugs had unintentional reasons including forgiveness, timeless and occupying, drug and physician and nutritional treatment expensiveness, and no insurance. Sometimes the patient decided deliberately to stop or reduce medication. This could be an explanation for the short-term effects or ineffective treatment and educational interventions. So, to be successful in treating and controlling the disease, attention to patients' concerns and perceptions is necessary. Hypertension, Review, Perception, Patient 561 569 http://hsr.mui.ac.ir/browse.php?a_code=A-10-39-554&slc_lang=fa&sid=1 Gholamreza Sharifirad غلامرضا شریفی راد 100319475328460015915 100319475328460015915 Yes Professor, Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran استاد، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران Firoozeh Mostafavi فیروزه مصطفوی 100319475328460015916 100319475328460015916 No Assistant Professor, Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran استادیار، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران Aziz Kamran عزیز کامران 100319475328460015917 100319475328460015917 No PhD Candidate, Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran (Corresponding Author) Email: a.kaamran@arums.ac.ir دانشجوی دکتری، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران Siamak Mohebi سیامک محبی 100319475328460015918 100319475328460015918 No Assistant Professor, Health Policy and Promotion Research Center, Qom University of Medical Sciences, Qom, Iran استادیار، مرکز تحقیقات سیاست گذاری و ارتقای سلامت، دانشگاه علوم پزشکی قم، قم، ایران Kamal Mirkarimi کمال میرکریمی 100319475328460015919 100319475328460015919 No PhD Candidate, Department of Public Health, School of Health, Golestan University of Medical Sciences, Gorgan, Iran دانشجوی دکتری، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی گلستان، گرگان، ایران