Showing 9 results for Adherence
T. Ashktorab, Ph.d, S. Yadollahi, Msc, Z. Safavi Bayat, Msc, F. Zayery Ph.d,
Volume 21, Issue 2 (7-2013)
Abstract
Background: Epileptic patients' self-management behaviors are essential for optimal disease management. Although Self-management behaviors had positive effects on drug adherence of patients with chronic illnesses, its effect on epileptic patients' is not yet clear. Therefore, this study was conducted to find the effects of self-management behaviors on drug adherence of epileptic patients.
Methods: In this analytic-descriptive study, considering inclusion criteria, 120 epileptic members of Iran Epilepsy Association were selected by purposive sampling method. Data gathering devices were demographic questionnaire, epilepsy self management behavior questionnaire and Morisky’s modified drug adherence questionnaire.
Results: The results of study showed a statistically significant relationship (p <0.05) between the mean scores of self-management behaviors and its all dimensions (information, safety, medicine, lifestyle and seizures management) and drug adherence. Correlation coefficient between scores of self-management behaviors and drug adherence was r =-0/50 (p <0.001).
Conclusion: Findings of the study suggest a correlation between self-management behaviors and drug adherence in epileptic patients therefore emphasizing self-management behaviors in epileptic ones may increase their drug adherence and consequently reduce the number of epileptic seizures, something that may improve their quality of life.
Ravanbakhsh Esmaeil, Hamidreza Ahmadi, Yadollah . Jannati, Alireza Khalilian, Fatemeh Espabodi,
Volume 21, Issue 3 (10-2013)
Abstract
Background: Adherences to diet is essential for the treatment of hemodialysis patients. Nonadherence to treatment is directly associated with worse clinical outcomes.This study was designed to determine the association between Adherences to diet with perceived social support and self-efficacy among hemodialysis patients .
Methods: In this cross-sectional study, 203 hemodialysis patients were selected by census sampling. Data were gathered by demographic questionnaire, multidimensional scale of perceived social support (MSPSS), strategies used by patients to promote health (SUPPH) questionnaire, and the renal adherence behavior questionnaire (RABQ). The data were analyzed using descriptive and correlation statistics.
Result : Our findings showed that there was significant relationship between perceived social support and self-efficacy with adherence to diet (p=0.001). In addition, a relationship was found between perceived social support with serum phosphate and potassium levels (p=0.023, p=0.043), moreover, there was a correlation between self-efficacy and between dialysis weight gain (p=0.004).
Conclusion: The findings indicated that patients with greater perceived social support and self-efficacy had higher levels of adherences to diet. Based on these findings, to enhance adherence with therapeutics regimen it is necessary increasing the perceived social support and self-efficacy in patients with renal failure.
Doctor Mahnaz Khatiban, Student Shiva Gomarverdi, Doctor Ali Bik Moradi, Doctor Ali Reza Soltaniyan,
Volume 22, Issue 2 (8-2014)
Abstract
Background: The most important factors in the prevention of nosocomial infections are considering the infection control standards with short term and continuing education for nurses. This study was conducted to determine the effect of education on impediments of adherence of intensive care nurses from infection control standards.
Methods: A randomized clinical trial was carried out with two group design pre and post-test control group including 30 nurses of intensive care units of hospitals of Hamadan University of Medical Sciences by theoretical and clionical lectures, focus group discussion and practical workshops in the intensive care units. The research tool was a researcher asking the nurses about impediments of adherence to infection control standards by measuring with a scale from 0 to 9 . The r eliability and validity of the questionnaire was determined by expert panels, the test - retest (r = 0.82) and Cronbach Alpha (0. 79). The questionnaires were completed by nurses in both the test and control groups before and after education. Statistical analysis was done by Friedman, Kruskal-Wallis and Man-Witni test.
Result: There were not significant different among participants in two groups (p<0.05). The mean scores of nurses' perceptions about adherence impediments in test and control groups at baseline were not statistically significant. But 14 and 30 days after education, the mean increased in nurses' perception about adherence impediments in test group (p<0.05).
Conclusion: The education about infection control standards had a positive impact on nurses’ perception about adherence impediments. So the training of infection control standards is recommended short term and continiously .
Gholamhosein Falahinia, Zahra Ghanbari Azarm, Dr. Ali Reza Soltanian, Zahra Maghsoudi, Dr. Khodayar Oshvandi,
Volume 26, Issue 4 (10-2018)
Abstract
Introduction: Adherence to treatment programs is a major challenge in patients with chronic heart failure. In the event of non-compliance, these patients will be associated with adverse health outcomes. Since the interventions such as training to improve adherence to health regimens have a special place, this study aimed to compare the effect of the patients’ education with or without their families’ participation, to evaluate the effect of this education on adherence to the treatment regimen in patients with chronic heart failure.
Methods: In this quasi-experimental study, 60 patients with chronic heart failure were selected from those referred to the heart clinic of Farshchian Hospital in Hamadan, Iran. The subjects were randomly divided into two groups of 30 patients and their families and 30 patients alone. The training was performed in six 30-minutes sessions with same conditions in both groups. Information was collected using questionnaire before and six weeks after the intervention, and analyzed using SPSS 16.
Results: Before training, the two groups had no significant deference in the rate of adherence to the treatment regimen (P>0.05). After training, the rate of adherence to the treatment regimen in the patients’ education group with family participation was higher than the patients’ education group alone (P <0.05).
Conclusion: According to the results, it seems that patient education with family participation is more effective than patient education alone. Therefore, educational interventions related to the treatment program in chronic heart failure patients with family participation are recomended.
Naiemeh Seyedfatemi, Elham Zeinali, Mostafa Bahremand, Abbas Mehran, Mehdi Zeinali,
Volume 27, Issue 2 (5-2019)
Abstract
Introduction: Medication adherence is essential to improve outcomes emanated from the disease. The increase in the complexity of the medical regimens causes poor adherence in patients with heart failure; also, the progressive nature of Heart Failure (HF) and its complicated drug regimens are mostly stressful. This study has been conducted on the HF patients at the heart hospital of Kermanshah city with the objective of finding the association between medication adherence and coping skills.
Methods: The present research is a descriptive-correlative study. Research cases include 400 HF patients at Imam Ali hospital of Kermanshah in 2015 who were selected using available sampling method. The self-reported epidemiologic characteristics form of HF patients, Morisky medication adherence Questionnaire (1986) and short form of Carver Questionnaire (COPE, 1997) were utilized for data gathering. SPSS 22 software and statistical test of Pearson correlation and descriptive statistical were used to analyze the data.
Results: The result showed that the majority of the studied cases (%94) had poor medication adherence. Pearson correlation data analysis revealed direct and weak statistical correlation between medication adherence and coping Skills (religion P=0.036, acceptance P=0.019, use of emotional support P=0.02, use of instrumental support P=0.001, hummer P=0.025, positive reframing P˂0.001, self-distraction P=0.002).
Conclusion: Given the weakness of medication Adherence and relationship between medication adherence and coping Skills in HF patients, the application of educational and intervention programs appears to be substantial.
Gholam Hossein Falahinia, Arezoo Maleki, Zahra Khalili, Alireza Soltanian,
Volume 27, Issue 3 (8-2019)
Abstract
Introduction: Adherence of standards requires the continuous of education for nurses. Effective educational methods for increasing knowledge and enhancing skills is group discussion. The purpose is to determine the effect of education of medication by small groups discussion on nursing adherence in intensive care units of medication Standards.
Methods: In this semi-experimental study the intensive care units of two hospitals that were randomly assigned as intervention and control groups 76 nurses were enrolled in the census. The medication standards checklist was designed in 25 sections and 53 questions. The researcher using the checklist, controlled each nurse’s adherence of the medication standards in four steps before and after the education, subtle and direct observation. If adherence score 1 and in non adherence score zero was earned. The education of medication standards was conducted in the intervention group by group discussion method during two sessions of two-hours. Data analysis was performed using SPSS 16 and independent t-test and paired t-test.
Results: There was no statistically significant difference between the two groups in term of the rate of adherence of nurses from the medication standards before intervention (P>0.05). After intervention, nurses’ adherence significantly increased in the intervention group (87.9±2.5) compared to the control group (77.7±2.7) (P<0.001).
Conclusion: Considering the positive effects of education using group discussion method on nursing adherence of medication standards and the importance of this issue regarding the care of patients, using this method for nurses’ education is suggested.
Maryam Aghamohammadi, Mahnaz Khatiban, Alireza Soltanian, Zahra Khalili,
Volume 28, Issue 3 (7-2020)
Abstract
Background & Aim: Medicinal nonadherence prevents the achievement of therapeutic goals in cardiovascular patients. Training is essential to increase medicinal adherence. Therefore, the present study compared the effect of two teach-back and pictorial training methods on the medication adhe
rence in heart failure patients.
Methods: This quasi-experimental study was performed on 210 heart failure patients in Hamadan Heart Hospital in 2019. Patients were selected by convenience sampling and randomly assigned to one of three groups of Teach-back, pictorial, and control training. Training sessions were held in three sessions on three consecutive days. Data were collected using demographic and medication adherence questionnaire (MMAS-8) before, immediately and 6 weeks after training. ANOVA, ANCOVA and
Repeated measures ANOVA statistical tests were used.
Results: There was no statistically significant difference between the three groups in medicinal adherence at baseline. Immediately after training, medication adherence was significantly higher in teach-back and pictorial groups than the control group (
P<0.001), but there was no difference between teach back group and the pictorial group (
P=0.123). Six weeks after training, medicinal adherence was significantly higher in teach-back group compared to the control and pictorial group (
P<0.001). There was no significant difference between the two methods at different levels of education (
P>0.05).
Conclusion: Teach-back training
helps maintain medicinal adherence in heart failure patients. Therefore, it is recommended that nurses use this training method to improve medicinal adherence in these patients.
Fazel Dehvan, Reza Ghanei Gheshlagh, Zhina Banafshi, Mahsa Moradiani,
Volume 31, Issue 4 (12-2023)
Abstract
Background and Objective: Performing preventive activities with active participation of patients and adhering to treatment regimen are the most important behaviors relating to diabetes that ensure the health of the patients and reduce the severity of their complications. This study aimed to evaluate the adherence to treatment regimen in patients with type 2 diabetes referred to Sanandaj diabetes clinic, 2018, Iran.
Materials and Methods: In the present study, 181 patients with diabetes were referred to the Sanandaj Diabetes Clinic in Kurdistan, Iran. Following the inclusion criteria, they were selected using a convenience sampling method. Data was collected using a demographic checklist and a standard treatment adherence questionnaire in chronic patients. Data analysis was performed using SPSS software (version 16). The collected data was analyzed by descriptive (frequency, percentage, mean and standard deviation) and inferential tests.
Results: The level of treatment adherence to the studied units was moderate. The mean overall score and score of different dimensions of treatment adherence in patients with abnormal glycosylated hemoglobin was significantly higher than in patients with normal glycosylated hemoglobin (P<0.001). In addition, the mean score of treatment adherence in the ability dimension was higher in insulin users than in pill users (P=0.042). In the commitment dimension, pill users were more than insulin users (P=0.023).
Conclusion: Considering the moderate level of treatment adherence, it seems necessary to provide solutions to improve the level of treatment adherence, especially in integrating treatment with life and enhancing the patients’ desire to participate in treatments.
Mahnaz Bahrami, Shahnaz Ahrari, Mohammad Jahandideh, , Mobin Soleimanian Asl,
Volume 33, Issue 1 (2-2025)
Abstract
in Press
gmail.com