Showing 4 results for Treatment
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.
Bijan Pirnia, Hasan Mosazadeh, Babak Lotfi, Fariborz Pirnia, Kambiz Pirnia, Parastoo Malekanmehr,
Volume 18, Issue 1 (5-2021)
Abstract
Background: Coronavirus disease 2019 (COVID-19) is a severe acute respiratory syndrome that emerged in early December 2019. Global proliferation, abrupt increases in confirmed cases, and the risk of self-infection have caused significant stress and anxiety among staff working in opioid treatment services (OTS). The aim of our study was to determine the psychological status of staff working in OTS during the outbreak period of COVID-19 in Tehran.
Methods: In a short-term longitudinal survey, 621 staff members, including physicians, psychologists, nurses, and social workers, who were selected using probability-based online panel. Data was gathered using online questionnaires including the Patient Health Questionnaire-4 (PHQ-4), the Brief Fatigue Inventory (BFI), and the Jenkins Sleep Scale (JSS). Longitudinal assessment of anxiety, depression, fatigue and sleep problems in three periods including pre-outbreak, outbreak, and non-epidemic outbreak was done through the online panel. Data were analyzed by paired t-test and repeated measures correlation.
Results: The rates of anxiety, depression, fatigue, and sleep problems of the staff working in OTS during the outbreak period were significantly higher than that of the pre-outbreak period (P<0.001), and it remained significantly higher during the non-epidemic outbreak and did not decrease significantly (P>0.05). The correlation coefficient between the anxiety, depression, fatigue, and sleep problems was significant in all three periods and the highest correlation was in the outbreak period (P<0.001).
Conclusion: Mental health problems of staff were common during the outbreak of COVID-19. Mental health problems of staff can limit the effectiveness of addiction treatment programs in the long time.
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.
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.
