Bahrami M, Ahrari S, Jahandideh M, Esmaeelzadeh M, soleimanian asl M. Relationship between Self-efficacy and Adherence to Treatment Regimen in Patients with Coronary Heart Disorders: A Correlational Study. Avicenna J Nurs Midwifery Care 2025; 33 (1) :35-44
URL:
http://nmj.umsha.ac.ir/article-1-2959-en.html
1- Nursing and Midwifery School, Birjand University of Medical Sciences, Birjand, Iran & Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
2- Nursing and Midwifery School, Birjand University of Medical Sciences, Birjand, Iran
3- Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
4- Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran , mobinsoleimanian@gmail.com
Abstract: (928 Views)
Background and Objective: Self-efficacy acts as a central mechanism in health care. In patients with coronary heart disorders, it is necessary to comprehensively examine the factors affecting patients' adherence to treatment and its relationship with self-efficacy. The present study aimed to determine the relationship between self-efficacy and adherence to treatment in patients with coronary heart disease.
Materials and Methods: In this correlational study, 150 patients hospitalized in the heart department of Valiasr and Razi hospitals in Birjand, Iran, were selected through the convenience sampling method. The data collection tool included the personal profile form and standard questionnaires of adherence to Bijel's treatment regimen and Heydari's self-efficacy. The collected data was analyzed using SPSS software (version 16) and descriptive and inferential tests.
Results: The results indicated a positive and significant relationship between self-efficacy and the subscales of treatment regimen adherence (P<0.00, r=0.3) and physical activity pattern (P=0.01, r=0.2). Adherence to drug regimens (P<0.001, β=0.3) and smoking (P<0.001, β=0.2), as predictive variables, significantly affected the patients' self-efficacy.
Conclusion: Considering the effect of self-efficacy on the adherence to the regimen of coronary heart disorder patients, nurses and doctors should understand the importance of adherence to the treatment regimen and strive to improve the patient's medication literacy. In addition, considering the insufficient compliance of patients with coronary heart disease with diet therapy, it is necessary to provide training in the field of self-efficacy promotion to increase their self-confidence.
Type of Study:
Original Research |
Subject:
Nursing Received: 2024/04/7 | Accepted: 2024/07/31 | Published: 2025/03/19