Showing 7 results for Adherence
Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (9-2013)
Abstract
Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.
Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.
Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).
Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.
Atharalsadat Mirkarimi, Homeira Khoddam, Mohammad Ali Vakili, Mohammad Bagher Sadeghi , Mahnaz Modanloo,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Hypertension is a risk factor for many diseases. Nutritional methods are considered as major tools in lifestyle modification for lowering blood pressure. The present study was conducted to determine the level of dietary adherence in hypertensive patients.
Methods: This descriptive-analytical study was performed in 2015, on hypertensive patients who were referred to Heart Clinic of Sayyad Shirazi Hospital in Gorgan. Overall, 200 patients (62% female) were selected by purposive sampling. The dietary adherence was evaluated in five following groups of salt-, fat-, fruit-, vegetables- -and dairies-intake through daily completion of data collection form within two weeks. This form was designed by the researchers and its validity and reliability were tested in a pilot study. Data were analyzed using Mann-Whitney, Chi-square, and logistic regression analysis tests.
Results: The mean and standard deviation (SD) of age of patients was 48.6±7.51 years. Mean and SD of systolic and diastolic blood pressure in patients were 152.31±9.1 and 93.53±2.87 mmHg, respectively. The results showed that 7% of patients had complete dietary adherence, 66.5% had poor adherence, and rest of the subjects had average dietary adherence. The highest level of dietary adherence was observed in the case of diaries intake (43.5%) and the lowest was related to fruit intake (3.5%).
Conclusion: Given the importance of dietary adherence in controlling hypertension and lack of dietary adherence in hypertensive patients, it is recommended to conduct further studies to identify factors affecting dietary adherence and implement necessary interventions to improve this issue in patients.
Sharareh Zeighami Mohammadi Zeighami Mohammadi, Parvin Farmani, Esmat Danesh,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Identify factors affecting medication adherence is effective in the planning of patient care, education and follow-up of heart failure patients. This study aimed to investigate the correlation between type D personality and medication adherence in patients with systolic heart failure was performed.
Methods: This was a descriptive -correlational study . 100 patients with systolic heart failure at least one year experience of developing heart failure and ejection fraction below 40% admitted to hospital Alborz Social Security of Karaj and the Social Security Hospital of Shahriar in 2013 using convenience sampling were entered into the study. Demographic data and type-D personality questionnaire, medication adherence scale in patients with heart failure, was completed by interview. Data was analyzed by SPSS software version 18 and using descriptive statistics and coefficient Pearson correlation.
Results: 75% of total systolic heart failure patients had type D personality. The %65 of total patients was poor medical adherence. There was a significant negative moderate correlation between Type D personality and medical adherence (p<0.001).
Conclusion: Patients with systolic heart failure with type D personality had lower drug adherence. Screening of type D personality in patients with heart failure and referral for counseling and appropriate treatment can help to enhance medication adherence of heart failure patients.
Mahsa Khodayarian, Tahmineh Farajkhoda, Azita Aryaeenezhad, Mozhgan Sharifi,
Volume 17, Issue 2 (4-2020)
Abstract
Background: Breast cancer is the most common cancer among women in Iran. Early diagnosis of breast cancer by mammography could decrease the rate of mortality and improve the survival rate. This study aimed to determine the predicting factors of mammography adherence among Iranian women based on transtheoretical model.
Methods: This cross-sectional study was done on 300 married women in Yazd in 2018. Subjects was recruited using cluster sampling. Data were gathered through researcher-made questionnaire based on trans-theoretical model. The constructs of decisional balance, self-efficacy, stages and process of change were studied. Data were analyzed using chi-square test, one-way analysis of variance, Spearman correlation coefficient and regression analysis in SPSS-16 software.
Results: The mean age of women was 47.25±6.97 years old (ranged from 40 to 70). Most of the participants (86.4%) were in inactive stages of decision-making for performing mammography and only 5.3% were in active stages. The mean score of self-efficacy among the studied women was 24.54±6.5. According to linear regression test, the validity of the predicting trans-theoretical model by all of its constructs together was 47%.
Conclusions: Results of the present study showed that most of the women were at inactive stages of decision-making for mammography behavior and, based on the results, to improve the stages of the behavior, their self-efficacy should be improved.
Ali Afshar, Shahzad Pashaeypoor, Shima Hghani, Naeimeh Sarkhani, Nasrin Nikpeyma,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Arthritis is one of the most common diseases among the elderly, which is affected by adherence to treatment and self-efficacy. The purpose of this study was to determine relationship of adherence to treatment and self-efficacy among the elderly with arthritis.
Methods: This descriptive–correlational study was conducted in 2019. Based on the convenience sampling method, 200 eligible elderly patients were recruited from three clinics affiliated with Tehran University of Medical Sciences in Tehran, Iran. Data were collected using the Modanloo adherence to treatment questionnaire and the perceived self-efficacy scale. Data were summarized using descriptive statistics (mean, frequency percentage, and standard deviation) and analyzed using inferential statistics (the Pearson correlation coefficient) in SPSS software (version 16). The statistical significance level was set at 0.05.
Results: The mean age of patients was 67.97±5.32 years. The mean scores of self-efficacy and adherence to treatment among the elderly with arthritis were 119.8±35.3 and 123.88±23.04, respectively. There was a statistically significant correlation between adherence to treatment and self-efficacy (r=0.648). The strongest positive correlation (r=0.693) was observed in the subscale of adherence to the treatment, and the weakest positive correlation (r=0.228) was observed in the subscale of indecisiveness for applying treatment with pain.
Conclusion: Because of the direct relationship between treatment adherence and self-efficacy in the elderly with arthritis, healthcare policymakers and planners should develop and implement programs to increase self-efficacy and treatment adherence among the elderly with arthritis and other chronic diseases.
Nurmisih Nurmisih, Titik Hindriati, Imelda Imelda, Rosmaria Rosmaria, Ristina Harianja,
Volume 19, Issue 1 (1-2022)
Abstract
Background: The number of human immunodeficiency virus (HIV)-positive cases is increasing every year. This will in turn increase the risk of mother-to-child transmission of HIV. Despite the efforts made and counseling from health workers, only a small proportion of pregnant women adhere to HIV screening and retests in the city of Jambi, Indonesia. This study aimed to determine factors associated with adherence of pregnant women to HIV screening at the Putri Ayu public health center, Jambi City, Indonesia.
Methods: This cross-sectional study was done on 93 pregnant women who received antenatal care services at the Putri Ayu health center in Jambi City, Indonesia, from February to August 2020. The subjects were selected via a proportional quota sampling method. Data were collected using a 4-part questionnaire on demographic characteristics, vulnerability perception, knowledge of HIV, and adherence to HIV screening. The collected data were analyzed using the chi-square test and logistic regression analysis. A P-value of less than 0.05 was considered statistically significant.
Results: The majority of subjects were young (66.3%), unemployed (59.8%) and with low education level (71.7%). Only 33.7% of the respondents had good adherence to HIV screening. Of these individuals, 22.8% had good knowledge of HIV, 28.3% were adults, 40.2% were employed, and 28.3% had high education level. Adherence to HIV screening had significant association with knowledge (P=0.0001), age (P=0.0001), perceptions of vulnerability (P=0.017), occupation status (P=0.017), and education level (P=0.020).
Conclusion: Based on the results, knowledge, perception, age, education level, and occupation of pregnant women significantly affect their adherence to HIV screening at the Putri Ayu Health Center, Jambi City.
Olayinka Oluseyi Ajao, Olamide Olajumoke Afolalu, Ganiyat Adeniran, Stephen Gbadebo Olawale, Mrs Rukayat Agboola-Bello,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Antiretroviral therapy (ART) has played a crucial role in minimizing the worldwide impact of HIV infection. Numerous HIV patients face challenges in adhering to their treatment due to various physical, social, and psychological factors. This study aimed to explore the correlation between psychosocial stress and treatment adherence among HIV/AIDS patients at a hospital in Nigeria.
Methods: In this study, a descriptive analytical design was utilized to select (n=171) HIV-infected clients attending the virology clinic at Uniosun Teaching Hospital (UTH). Convenient sampling was employed to choose participants from a total monthly population of 271 patients who visit the clinic. Data collection was performed using a questionnaire consisting of four sections and 57 items. Descriptive and inferential statistics, such as the Chi-square test and correlation analysis, were employed to present and analyze the data.
Results: A significant proportion (61.4%) of the patients experienced a moderate level of stress. The most notable sources of stress reported by patients were the need for HIV status disclosure (71.9%) and rejection from family and friends (66.7%). Rejections by friends and family, stigma and discrimination, social and economic challenges, as well as antiretroviral therapy showed a significant association with HIV-related stress (p < 0.001). Furthermore, a significant inverse correlation was found between psychosocial stress and treatment adherence (r = -0.705, p < 0.001).
Conclusion: Individuals living with HIV/AIDS (PLWHA) face significant levels of stress and often encounter rejection and stigma. It is crucial for healthcare professionals to establish comprehensive support services aimed at alleviating the stress experienced by these patients and reducing the obstacles they face. Such measures will ultimately enhance treatment compliance and overall well-being.
