جستجوی مقالات مرتبط با کلیدواژه "adherence to treatment" در نشریات گروه "پزشکی"

Hemodialysis is an alternative method for treatment of renal failure. One of the most critical problems reported in dialysis patients is their low Treatment Adherence (TA). This study aimed to determine the predictive power of TA on Quality of Life (QoL) in the patients referred to Urmia teaching hospitals in 2023.

The present research is descriptive-correlational involving 200 eligible dialysis patients. Data were collected using a demographic information questionnaire, the End-Stage Renal Disease - Adherence Questionnaire (ESRD_AQ), and the Kidney Disease Quality Of Life - Short Form (KDQOL-SF). The data were analyzed using SPSS software version 22.0, employing both descriptive and inferential statistics, including t-tests, one-way analysis of variance, Pearson's correlation coefficient, and linear regression.

The mean and standard deviation of TA and QoL for the patients were 939.37 ± 122.58 (from the range of 0-1200) and 53.06 ± 4.46 (from the range of 0-100), respectively. The results of correlation tests showed that TA has a statistically significant positive correlation with QoL (r = 0.165 and p = 0.041). Linear regression results show that TA significantly impacts QoL and can be used to predict it.

The results indicated a moderate level of TA and QoL in the studied patients. Additionally, the QoL of these patients is linked to their level of TA. Therefore, improving QoL may be possible by managing the factors that affect TA through education and counseling. This approach could also help reduce disease complications, alleviate challenges these individuals face, lower the costs associated with hospitalization, and ease the financial and human burden on the healthcare system.

Hypertension is the most common chronic disease. It is considered a major challenge in global public health. The present study was conducted to determine the effect of self-management training program using peer support on adherence in patients with hypertension.

This clinical trial study was conducted on 90 hypertensive patients in Kashan city. Patients were randomly divided into control and intervention groups. The intervention group was trained by peers in 5 sessions during 5 weeks, the control group received usual care. Two groups completed the treatment compliance questionnaires before the, immediately after the end of the intervention and 45 days later. The data was analyzed using spss version 16 statistical software and t-test, chi-square, repeated measures ANOVA tests.

The results showed that there was no difference in the treatment compliance score before the intervention in the two groups. But immediately after the intervention and 45 days later, there was a statistically significant difference in the total score of adherence to the treatment, and all its dimensions except the smoking dimension in the two groups (p<0.05). Adherence to treatment varied over time, and the interaction between group and time was significant in this variable (p<0.05).

The results of the present study showed that although education through peer support was able to improve adherence to treatment in patients with hypertension. Therefore, this method can be used as a simple method in promoting adherence to treatment and self-management in patients with hypertension.

Non-adherence to treatment in chronic diseases, especially in hemodialysis patients, is still a challenge that requires effective nursing interventions. This study was conducted to determine the effect of the spiritual care program on the adherence to treatment of hemodialysis patients.

This study is a two-group randomized clinical trial study with a pre-test-post-test design conducted on hemodialysis patients referred to the hemodialysis departments of Urmia City hospitals in the second half of 2023. The study comprises two groups: a control group and an intervention group, each receiving routine care. For patients in the intervention group, the spiritual care program consisted of four one-hour sessions conducted individually and twice a week after hemodialysis in a suitable room in the hemodialysis department. In order to collect data, the questionnaires of patients' demographic information and The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) (Kim et al., 2010) were used before and after the intervention. Data were analyzed using descriptive and inferential statistical tests with SPSS version 22 statistical software.

The two groups were homogeneous and not statistically significantly different regarding demographic characteristics. The mean score of patients' adherences to treatment was 678.37 ± 85.62 before the intervention in the intervention group, and it was 682.69 ± 107.62 in the control group, which had no statistically significant difference (P=0.848). After the intervention, it reached 897.97 ± 139.98 in the intervention group and 694.87 ± 104.21 in the control group. The difference between the two groups was significant (p<0.001) and improved in the intervention group.

The study's findings demonstrate the effectiveness of the spiritual care program in improving adherence to treatment among hemodialysis patients. This underscores the recommendation that nurses in hemodialysis wards focus on nursing interventions and incorporate the spiritual care program into their patient care plans.

The numerous problems of children with congenital heart disease (CHD) and their care burden can reduce the quality of life of parents, especially mothers. Compliance with treatment after discharge from the hospital is crucial. It is necessary to provide home care educational programs for them. Given the advance of technology and the popularity of mobile phone use, this study aims to design an educational mobile application for home care after surgery to improve the quality of life and adherence to treatment in mothers of children with CHD in Iran.

This is a study protocol on 72 mothers of children with CHD referred to the Children’s Medical Center of a hospital (affiliated to Tehran University of Medical Sciences) for surgery. The data collection tools will be a demographic form, the 36-Item Short Form Health Survey (SF-36), and Fatemi et al.’s Adherence to Treatment Questionnaire. Data collection will be done before and one month after the intervention. The collected data will be analyzed using mean and standard deviation, independent t-test, paired t-test, chi-square test, Fisher’s exact test, and Mann-Whitney U test.
Results The results will be analyzed to assess the effectiveness of the mobile-based educational intervention in improving the quality of life and adherence to treatment of mothers of children with CHD.

This is the protocol of a study that examines the effect of a mobile-based post-surgery home care training application on the quality of life and adherence to treatment of mothers. The results of such studies can help identify the faster, easier and more effective methods of patient education.

Performing preventive activities with the active participation of the patient and treatment adhering regimen is the most important behavior related to diabetes that ensures the health of the client and reduces the severity of its complications. The aim of this study was to Evaluation of adherence to treatment regimen in patients with type 2 diabetes referred to Sanandaj diabetes clinic, 2018.

In the present study, 181 patients with diabetes referred to the Sanandaj Diabetes Clinic with inclusion criteria were selected. Study data were collected using a demographic Checklist and a standard treatment adherence questionnaire in chronic patients.  Data analysis was performed using SPSS-16 software at a significance level of P <0.05. Data analysis was performed by descriptive (frequency, percentage, mean and standard deviation) and inferential tests.

The mean and standard deviation of the overall score of treatment adherence was 116.25±18.90. The mean overall score and score of different dimensions of treatment adherence in patients with abnormal glycosylated hemoglobin was significantly higher than patients with normal glycosylated hemoglobin (P <0.001).

It is necessary to carry out more investigations and provide solutions and more precise planning in order to increase compliance with the treatment of these patients and prevent the occurrence of complications due to non-compliance with the treatment.

People with type 2 diabetes are facing a serious problem of non-compliance with treatment and self-care, which causes irreparable problems for the individual and the society. This research was conducted with the aim of investigating factors related to adherence to treatment and self-care in patients with type 2 diabetes.

In this qualitative research, data collection was done by a semi-structured interview. The number of interviewees was 17 patients with type 2 diabetes, and the number of these people was determined based on reaching theoretical saturation. Data analysis has also been done using the Grounded theory method.

Causal conditions with subsets of executive ease and individual conditions; Background conditions with sub-sets of environmental status and social status, which are called motivating factors for compliance with treatment and self-care. Also, the intervening conditions with subsets of factors affecting acceptance, attitude and treatment were also obtained, which can facilitate or hinder the implementation of treatment orders. Strategies under the title of actions that can lead the way in compliance with treatment and self-care from the perspective of patients, and outcomes, which are the expected results due to the implementation of strategies, were obtained as other components of this model.

Finding obstacles and motivational factors from the point of view of the affected person can be provided to researchers and therapists as a practical guide for treatment planning.

Irritable bowel syndrome (IBS) is a functional disorder in the intestinal-gastric system that is defined by specific intestinal-gastric symptoms without an organic cause. The aim of the research was to investigate the effectiveness of acceptance and commitment therapy on treatment compliance and pain intensity in patients with irritable bowel syndrome.

The present study was a semi-experimental research method of pre-test-post-test design with a control group and a 2-month follow-up group. The statistical population of this research was all the patients with irritable bowel syndrome in Isfahan city in 2017, 15 people were selected by the available sampling method and randomly divided into an intervention group using the acceptance and commitment treatment method and a control group. Data were collected using Seyed Fatemi et al. treatment adherence questionnaire (TAQ) (2017) and Durkin et al. pain questionnaire (SF-MPQ-2) (2009). The intervention of acceptance and commitment therapy was carried out during 8 sessions of 90 minutes once a week; But the control group did not receive any intervention. The research data was analyzed by variance analysis with repeated measurements.

The findings showed that the acceptance and commitment treatment method is effective on the treatment compliance of patients with irritable bowel syndrome (p<0.05). Also, the treatment method of acceptance and commitment of pain severity in patients with irritable bowel syndrome was effective (P<0.05).

It can be concluded that acceptance and commitment therapy is effective on treatment adherence and pain intensity.

Hypertension is a common challenge in many parts of the world. Medical reports have indicated that failure to control blood pressure is due to patients' non-compliance with treatment. One of the health related behaviors which can lead to successful treatment and reduce the negative side effects and severity of the disease is patients' adherence to the treatment regimen. Using a self-management program is one of the ways to manage the disease by the individual. Therefore, this study aimed to investigate the effect of self-management program on adherence to treatment regimen in the pateints with hypertension.

This was a semi-experimental study, which included 70 patients with hypertension in Imam Mohammad Ghazali Clinic in Sanandaj City in 2020. The samples were selected using available sampling method and randomly assigned to two groups, intervention (n=35) and control groups (n=35). The intervention group participated in blood pressure self-management skills training for 2 sessions (45 minutes each session) and the control group was placed in the waiting list. Data collection tools included a demographic information form and a questionnaire of adherence to the treatment regimen of Madanloo patients. Using SPSS-22 software, data were analyzed by Chi-square, Fisher's exact test and repeated measurements.

There was no significant difference between the two groups in terms of demographic characteristics (p<0.05). The results of the repeated measures analysis showed a significant difference between the two groups in the different aspects of treatment i.e., diligence in treatment (P=0.039) commitment to treatment (P=0.003) and adherence to treatment (P=0.041).Also, the interaction effects of time and group on diligence in treatment (P=0.000), commitment to treatment (P=0.001) and adherence to treatment (P=0.000) were significant. Comparison between intervention and control groups showed self-management training in the intervention group led to increase in the average scores of adherence to treatment aspects, including diligence in treatment, commitment to treatment, and the overall score of adherence to treatment (P<0.05).

 The designed and evaluated self-care educational interventions in the present study increased adherence to the treatment and improved its components in the intervention group. Therefore, improving self-care in the patients with hypertension, can possibly help maintain blood pressure in the normal range and reduce its related complications.

Negative emotions can have destructive effects on the treatment and recovery process of breast cancer patients. The present study aims to investigate relationships between emotional processing deficits with post-traumatic stress symptoms, and adherence to treatment in patient with breast cancer with the mediating role of cancer stigma.

in terms of the purpose, the present research is a part of basic research, and in terms of the method of data collection, it is a type of descriptive (correlation) studies. the statistical population of the present study included women aged 18 to 60 years with breast cancer who referred to the oncology clinic of kausar hospital in karaj, and 206 people were selected using the convenience sampling method. Participants answered the PTSD Checklist (Blevins et al., 2015), the Emotional Processing Scale (Baker et al., 2007), the Cancer Stigma Scale (Marlow & Wardley, 2014), and the Morisky et al. (2008) Treatment Adherence Questionnaire. The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software.

The results of the model fit indices showed that in the current model, the value of SRMR was less than 0.08 and the numerical value of NFI was higher than 0.9. Therefore, it can be said that the assumed model of the current research has the necessary fit with the data. Structural Equation Modelling demonstrated that emotional processing deficits was positively associated with PTSD (β= .607; T=5.06; P<.001) and stigma (β= .896; T=48.63; P<.001). The results showed a non-significant relationship between emotional processing deficits and treatment adherence (β= -.313; T=1.83; P=.07), stigma with PTSD (β=-.225; T=1.68; P=.09), and stigma with adherence to treatment (β= .091; T=.526; P=.599). Multiple mediator modeling provided evidence that stigma partially mediated the relationship between emotional processing deficits and PTSD, and a full mediated relationship between emotional processing deficits and treatment adherence.

According to the results of this research, it is necessary not to be limited to medical treatments and by establishing counseling and psychotherapy centers in hospitals and oncology centers, in the process of improving emotional control, quality of life and stress of breast cancer patients, he took effective measures.

The review of the researches shows the existence of the problem of location of health control and adherence to the treatment of type II diabetes patients. The aim of this study was the effectiveness of Acceptance and Commitment Therapy (ACT) on the place of health control and adherence to treatment in people with type II diabetes.

This research was an applied and quasi-experimental research using pre-test, post-test and follow-up design with an experimental group and a control group. The statistical population in this study is all people with a diagnosis of type II diabetes referred to Imam Hossein Clinic in Sari who according to the diagnosis of an endocrinologist have type II diabetes. From the mentioned community, during a public call (Imam Hossein Clinic located in Sari), people who were eligible to participate in the research were called; Individuals wishing to participate in the study were selected by convenience sampling and randomly assigned to the control and control groups. The equivalent of 15 people in each group was estimated. The research instruments included the Multistage Scale of the Wallston et al Health Control Center (1978) and the General Compliance Scale (GAS) of Madanlo et al. (2013). Research data were analyzed using repeated measures analysis of variance.

The results of data analysis showed that acceptance and commitment therapy is effective in improving internal and external control and adherence to treatment (P <0.01).

To improve mental and physical health in patients with diabetes, it is recommended to use acceptance and commitment based therapy.

</span> Asthma is a psychosomatic disease with different physical and mental dimensions, each of which can aggravate the other. Properly treating this disease requires appropriate medical and psychological measures. Psychologists are interested in the widespread prevalence of psychological disorders, especially anxiety and depression, among patients with asthma. Research shows that people with asthma who report more symptoms of anxiety are more likely to need medical treatment, frequent hospitalizations, and emergencies. These people are more incapable of daily activities and show more behavioral problems. One of the most critical issues among patients is adherence to treatment because non –compliance is always an important and multifaceted problem in the field of health. So, the present study aimed to investigate the effectiveness of stress inoculation and positive psychology on anxiety and adherence to treatment in patients with asthma.</span></span>

</span>The present quasi –experimental study employed a pretest –posttest and three –month follow –up design with a control group. The statistical population included all patients with asthma referred to the specialized and sub –specialized center of Milad Hospital in Tehran City, Iran, in 2019. Of whom, 45 eligible individuals (based on inclusion and exclusion criteria) volunteered to participate in the study. They were randomly assigned to three groups: positive psychology training, stress inoculation training, and the control group. Data were collected using the Beck Anxiety Inventory (Beck et al., 1988) and the Morisky Medication Adherence Scale (Morisky et al., 1986). Positive psychotherapy training was conducted in fourteen 90 –minute sessions twice a week for two months. Immunization training against stress was conducted during nine 90 –minute sessions. No intervention was provided for the control group.</span> Central and dispersion indices such as mean and standard deviation were used to describe the data. For data analysis, repeated measures analysis of variance, Tukey and Bonferroni post hoc tests, analysis of variance, and the Chi –square test were used in SPSS.22 software. The significance level of the tests was considered 0.05. </span></span>

</span> The analysis of variance of variables of anxiety and adherence to treatment was significant for time effect (p<0.001), group effect (p<0.001), and time*group effect (p<0.001). Positive psychology training and stress inoculation training were effective on anxiety (p<0.001) and adherence to treatment (p<0.001). Also, there was a significant difference between the two types of training in variables of anxiety (p=0.017) and adherence to treatment (p<0.001). In the experimental groups, the mean scores of variables of anxiety and adherence to treatment in the posttest and follow –up stages were significantly different from the pretest stage (p<0.001), but there was no significant difference between the posttest and follow –up stages in the mean scores of variables of anxiety (p=0.105) and adherence to treatment (p=0.804), indicating the durability of the effectiveness of the two types of training over time.</span></span></span>

</span> Based on the findings of this study, positive psychology training had a greater effect on reducing anxiety and increasing adherence to treatment of patients with asthma than stress inoculation training.</span></span></span></span>

Hypertension is one of the most important health issues in the world and patients do not follow the treatment instructions and do not control their disease. The aim of this study was to determine the effect of education based on "Pender Health Promotion Model" on adherence to treatment of patients with hypertension.

The present study was conducted in a semi-experimental, controlled and randomized manner. The research population included all patients with primary hypertension who were referred to Shahid Beheshti Health Center in Kashan city in 2017 to start or continue treatment. 88 patients who met the conditions for entering the study were selected by by convenience sampling method. Patients were replaced in intervention and control groups (44 patients in each group) by a simple random lottery method. Both groups received routine training from the health center. The study instruments included a demographic questionnaire and "Treatment Adherence Questionnaire for Patients with Hypertension". Face validity was measured by qualitative method and reliability was measured by internal consistency method by calculating Cronbach's alpha coefficient. In the intervention group, educational content was designed based on "Pender's Health Promotion Model" and was implemented in 6 sessions of 45 to 60 minutes. The data was analyzed in SPSS .16.

Prior to the intervention, there was no statistically significant difference between the intervention and control groups in terms of mean treatment adherence. However, after the intervention, in the patients of the intervention group, the mean score of adherence to treatment was significantly higher than the control group (P<0.05). 

Education based on the “Pender Health Promotion Model” improved adherence to treatment in patients with hypertension. Therefore, it is suggested that this model be used in combination with drug therapies to increase adherence to treatment and improve blood pressure control in patients with hypertension.

Breast cancer (BC) is the most common cancer diagnosed in women in worldwide. This study examines the mediating role of fatigue in relationships between cognitive control with post-traumatic stress symptoms, and adherence to treatment in patient with breast cancer.

This is a cross-sectional study with a convenience sampling method. A total of 206 women with breast cancer in Karaj, Iran participated in this study and completed five questionnaires, namely the PTSD checklist, the Adult Executive Functioning Inventory, the cognitive flexibility scale, the cancer fatigue scale, and the treatment adherence Inventory. The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software

Structural Equation Modelling demonstrated that cognitive control was positively associated with PTSD (β= .598; T=3.76; P<.001) and fatigue (β= .829; T=19.17; P<.001), also fatigue was positively associated with PTSD (β= .389; T=2.38; P=.02). The results showed a non-significant relationship between cognitive control and fatigue (β= .23; T=1.29; P=.21) and cognitive control with adherence to treatment (β= .01; T=.09; P=.93). Multiple mediator modeling provided evidence that fatigue partially mediated the relationship between cognitive control and PTSD, and a full mediated relationship between cognitive control and treatment adherence.

In general, the findings emphasized the important role of cancer-related cognitive impairment in the possible consequences of this disease. An important issue that, along with other problems such as fatigue, can affect the quality of life and mental health of breast cancer patients.

Adherence therapy is one of the important psychological factors in the improvement of physical diseases that can be influenced by various factors to reduce various physical diseases, understanding this important research the aim of modeling the structural relationships of early maladaptive schema  on adherence to treatment was mediated by cognitive regulation of emotion and fever in coronary heart patients admitted to hospital.

The research method was descriptive-correlation of structural equations. The study population included all coronary heart patients in Fatemeh Zahra Hospital in Sari (Mazandaran Heart Center). Using Loehlin (2004) sampling method, 280 hospitalized patients were selected as the sample. early maladaptive schemas questionnaire, emotion cognitive regulation, Resilience, and General and Specific Adherence Results were used. The collected data were analyzed using Pearson correlation coefficient and path analysis in SPSS and Amos statistical software.

The results showed that the indirect path of incompatible programs on adherence therapy  intermediary  cognitive regulation of emotional design and resilience is significant.

Due to the predictive power of changes, the results can be found in psychological interventions and training used in consumption.