جستجوی مقالات مرتبط با کلیدواژه « پیروی » در نشریات گروه « پزشکی »

Diabetes is a chronic disease that widely affects the lives of patients and adherence to treatment and hope is an important component in the successful management of the disease. The aim of this study was to evaluate the effectiveness of cognitive-behavioral therapy on following the physician's instructions and quality of life in patients with type 2 diabetes of Shohada ZirAab Hospital.

The present study was a quasi-experimental with pretest-posttest design and control group. The statistical population of the present study included all diabetic patients referred to the Diabetes Clinic of Savadkooh Shohada ZirAab Hospital.in 1399. Thirty people were selected by available sampling method and randomly assigned to experimental groups (15 people) and control groups (15 people). The experimental group underwent 8 sessions of 90 minutes of cognitive-behavioral therapy and no action was taken for the control group. Data collection tools included quality of life questionnaire and general adherence scale.

The results show that by controlling the pre-test scores, the effect of the group on the post-test score of the variable was overall compliance (P = 0.001, F = 56.73) and quality of life (Lambda Wickles = 0.07, p<, 0.001, F=21/59) is significant. Cognitive-behavioral therapy has significantly increased the variable scores of overall adherence and quality of life in the intervention group compared to the control group.

According to the results of the intervention, cognitive-behavioral therapy can help chronic patients to increase compliance with physician instructions and hope.

Diabetes is a chronic disease that widely affects the lives of patients and adherence to treatment and hope is an important component in the successful management of the disease. The aim of this study was to evaluate the effectiveness of acceptance and commitment therapy on life expectancy and following the doctor's order in patients with type 2 diabetes of Savadkooh Shohada ZirAab Hospital.

The present study was a quasi-experimental with pretest-posttest design and a control group. The statistical population of the present study included all diabetic patients admitted to the Diabetes Clinic of Savadkooh Shohada ZirAab Hospital in 2019. Thirty people were selected by available sampling method and randomly assigned to the experimental group (15 people) and the control group (15 people). The experimental group underwent 8 sessions of 90-minute treatment based on acceptance and commitment and no action was taken for the control group. Data collection tools included a life expectancy questionnaire and a general adherence scale. The research data were analyzed using SPSS software version 19 and analysis of covariance.

The results showed that the pre-test and post-test scores of the control group in overall compliance were 12.27±2.08 and 13.26±1.57 and life expectancy 57.26±4.47 and 58.13±5.31, respectively. The pre-test and post-test scores of the experimental group in overall compliance were 13.46±2.82 and 22.33±3.49, respectively, and life expectancy was 57.80±4.27 and 67.60±3.66, respectively. By controlling the pre-test scores, the effect of the group on the post-test score of the variables of general adherence (F= 100.47, p= 0.001) and life expectancy (F= 32.29, p= 0.001) was significant. Commitment and acceptance intervention caused a significant increase in the scores of variable overall adherence and hope in the intervention group compared to the control group.

According to the results, commitment and acceptance therapy can be used to help patients with diabetics increase their doctor's instructions and life expectancy.

Improper administration of chemotherapy drugs has many risks for nurses and adherence to standards prevents irreparable harm. This study was conducted to compare the effect of training chemotherapy service management standards by booklet and cellphone application on nurses' awareness and adherence.

In a quasi-experimental study in 2020, 75 available nurses of oncology and chemotherapy departments were selected. Samples were randomly assigned to three groups. Data collection tools were demographic questionnaires and Ahmadi standardized questionnaire for assessing awareness and adherence. The samples participated in the pre-test by completing the questionnaires. One group was trained in chemotherapy standards with a cellphone app. The other group received the training through a booklet. The control group did not receive any training. 15 days later, the questionnaires were completed again and post-test was taken. Data were analyzed by descriptive statistics (number, percentage, mean, standard deviation) and inferential tests (one-way analysis of variance, post hoc LSD, paired t-test, Chi-square, Kruskal-Wallis).

Before the intervention, the mean score of awareness and adherence to chemotherapy standards was not significantly different between groups (P> 0.05); But after the intervention, the mean scores of nurses' adherence in the cellphone aining group were higher than the other two groups (P <0.001). The mean score of nurses' awareness in the two intervention groups was higher than the control group (P <0.001).

Nurses need specialized and supplementary training to increase awareness of chemotherapy standards. Due to their busy schedule, the mobile application provides quick access to information, which, following these principles, is preferable to teaching with a booklet.

In Iran, as in most West Asian countries, cardiovascular disease is the leading cause of death and accounts for 46% of deaths. This study examines the clientchr(chr(chr(chr('39')39chr('39'))39chr(chr('39')39chr('39')))39chr(chr(chr('39')39chr('39'))39chr(chr('39')39chr('39'))))s adherence to the schedule of visits recommended by health centers in IraPEN program (Iran- Package of Essential Non communicable Disease) based on their cardiovascular risk.

IraPEN program that is a modification of the WHO PEN (World Health Organization - Package of Essential Non communicable Disease) has been piloted in 4 cities of Naqadeh, Maragheh, Shahreza and Baft from 1394 to 1396 to control the main risk factors of non-communicable diseases in Iran and this program is still ongoing.  In the present study, 160,833 people were followed up over a year to measure the number of timely visits to receive primary health care and to investigate the risk factors for cardiovascular disease.

In all four cities, adherence was low. The overall compliance rate in the study was 19.73%. Non-referral was higher in men than in women (75.75% versus 68.94%). Also, the rate of adherence in risk 1 was higher in the first visit and decreased in visit 2. At risk 3 and 4 there was little adherence on the first visit but increased on visits 2 and 3.

Among the participants in the study, the overall rate of compliance to the recommended referral times was low and was lower in men compared to women that shows men pay less attention to their health status. There is a need for further training to clarify the importance of health care and adherence improvement to the proposed schedules.

Adherence from treatment-care regimens is very essential to achieve health promotion and improve quality of life as well as affordable healthcare. Nevertheless, broaden of chronic diseases is still growing in the world because of lack of adherence. Understanding the perceived challenges can facilitate planning to increase adherence. This study aimed to explain the perceived challenges in non-adherence from the prescribed regimen among patients with chronic diseases.
This qualitative study was done in 2015 by using the conventional content analysis approach. Thirty four participants with the most common chronic diseases were recruited purposively and they were entered in the study. Data was collected through semi-structured interviews and simultaneously with data collection; a comparative analysis was conducted by using the conventional qualitative content analysis method.
Four main themes extracted from the data included: flaw in the possibility of observing the recommended regimensafter devotion for family; frustration in facing the conflict between work and recommended regimens; inability in self-adaption with the recommended regimens; broaden cost of prescribed regimens; and limiting and inductive enclosure of beliefs. These themes indicate the nature of challenges in personal, family, and social dimensions of patients with chronic diseases in terms of adherence with treatment regimen.
The findings show that the perceived challenges has special complexity and diversity. Although they are sometimes internal and personal, some others are external and beyound the will and control of individuals. Therefore, it is necessary that health system policy-makers and planners intervene and plan according to the nature, diversity, and complexity of these perceived barriers in order to facilitate in the adherence of patients process from the treatment care regimens.

Adherence to treatment is an active and acceptable interaction between patient and therapist to achieve the desired therapeutic and preventive outcomes. The objective of this study is the overview of the aspects and factors affecting non-adherence and offering proper strategies in patients with cystic fibrosis. A database search for relevant articles related to adherence to treatment in cystic fibrosis, published from 2008 to 2015, was conducted using the key words of cystic fibrosis, adherence, treatment, children and parent. Three investigators reviewed 29 relevant articles. Cystic fibrosis is a multisystem fatal disease and its treatment process is costly and time consuming. However, adherence to treatment is lower than 50% even in industrial and developed societies. Many factors such as age, gender, education level of parents and children, attitudes and beliefs of parents and children about the disease, different treatment strategies, cultural differences, frequency of hospitalization, severity of the disease, location of treatment in hospital, home or clinic, stress of parents and children, social support and quality and quantity of health care system are effective in adherence to treatment. Dynamic and respectful communication between the patient and the therapist, introducing benefits of adherence and providing recommendations with the aim of increasing of the survival rate will motivate patient in hopeful manner and enable him/her to comply with costly and time-consuming treatment process. So, it is recommended to all health care professionals to be familiarized with the concept of adherence, identify the barriers and facilitators of adherence and adapt appropriate strategies to achieve better results.

Confusion is a concept derived from following. This study aimed to identify the causes and types of confusion in the treatment of parents who have children with developmental disorders. The questionnaire was designed to investigate the causes of confusion and was completed by 350 parents of children who were purposefully selected. The obtained data were analyzed by factor analysis method, and then the relationship between each of factors and the amount of confusion were analyzed using log-linear analysis method. Results indicated that factors such as control, beliefs, interaction of therapist client and access to confusion treatment in the type of inter-special, and factors such as beliefs, socio-cognitive factors and interaction of therapist - client can predict the delay in referring to therapist. The investigations showed that the most common cause of confusion was social–cognitive factor, and the least common was commitment factor. Discussion & Causes of confusion are the result of a combination of intrapersonal and environmental factors which confirm the necessity of individual counseling as well as informing parents and health officials to help families of children with developmental disorders.

The present study aimed to examine the role of psychological factors in explaining weight loss success in obese women. This correlative study was conducted on all obese women with BMI more than 30 who had referred to nutrition counseling center in Karaj city. Therefore, 130 obese women were selected by available sampling method. Weight of subjects on arrival and two months later was measured at therapy sessions. Also along with the first measurement, the data related to weight efficacy of lifestyle, perceived social support, personality characteristics, depression and body image, and along with the second measurement the data with the adherence scale were obtained. Stepwise multiple regression analysis was used to analyze the data. It was revealed that among all study variables, adherence, depression, agreeableness, and extroversion were predicted more significant in weight loss success and totally they could demonstrate 59% of success variance in weight loss. Based on the results, obese women with high adherence, extraversion, agreeableness and low depression, are more successful in losing weight.

The attitude towards medical recommendations can lead both to recovery or debility of patients and can therefore affect medical outcome. The present study was carried out with the aim of determining the relation between personality type and the amount of adherence to re-commended therapeutic regimens in patients with type II diabetes referred to Diabetes Re-search Center in the province of Isfahan. Two hundred and fifty diabetic patients taking hypoglycemic agents with or without insulin were recruited using Nonprobability Sampling Method. A demographic questionnaire and information obtained from the interview were used to assess NEO-FFI Questionnaire, Degree of Adherence Questionnaire and the Diabetic Activity Questionnaire. The data were analyzed through one way analysis of variance, correlation coefficient and general linear model. Neuroticism showed a negative but statistically non-significant correlation with patients’ adherence to therapeutic regimens. Also, extraversion and conscientiousness showed a positive and significant correlation with adherence. After excluding the effect of some qualitative and quantitative alternatives using the general linear model test, it was shown that extraversion and social support have the highest effect. Personality characteristics can affect the adherence of patients. Adherence is decreas- ed or increased with the decrease or increase in extraversion. Also, extraversion and social support have the highest effect on adherence.