心脏病患者的疾病认知与治疗方案依从性之间的关系
Relationship between Awareness of Disease and Adherence to Therapeutic Regimen among Cardiac Patients.
作者信息
Heydari Abbas, Ziaee Elaheh Sadat, Gazrani Akram
机构信息
Evidence-Based Caring Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;
出版信息
Int J Community Based Nurs Midwifery. 2015 Jan;3(1):23-30.
BACKGROUND
Adherence to prescribed therapeutic regimen is an important element of self-care behaviors in cardiac patients. Awareness of disease may play an important role in patient adherence. Thus, this study was conducted to examine the relationship between awareness of the disease and adherence to therapeutic regimen among cardiac patients admitted to selected hospitals in Mashhad, Iran.
METHODS
Using a descriptive correlational design, 340 patients with heart disease were selected using convenience sampling from five hospitals in Mashhad during December 2009 to May 2010. Data were collected using three questionnaires including demographic information, awareness of disease and treatment adherence (including medication, diet and physical activity). Validity and reliability of the questionnaires were examined by content validity and test-retest, respectively. Also, inter-rater reliability was examined for two data raters. Data were analyzed by SPSS software, using Spearman and Kruskal-Wallis tests.
RESULTS
The results showed that only 15 percent of the study subjects had a good awareness of their disease. The majority of patients followed a good medication adherence (79 %), good diet adherence (60%), and weak physical activity adherence (61%). A significant correlation was found between knowledge and adherence to therapeutic regimen (P=0.001, rp=0.32).
CONCLUSION
This study showed that awareness of disease and adherence to physical activity was low in the majority of patients. It is recommended that studies should be conducted to explore effective educational programs and strategies to improve adherence to therapeutic regimen among cardiac patients.
背景
坚持规定的治疗方案是心脏病患者自我护理行为的重要组成部分。疾病认知可能在患者坚持治疗方面发挥重要作用。因此，本研究旨在探讨伊朗马什哈德选定医院收治的心脏病患者的疾病认知与治疗方案依从性之间的关系。
方法
采用描述性相关性设计，2009年12月至2010年5月期间，从马什哈德的五家医院通过便利抽样选取了340名心脏病患者。使用三份问卷收集数据，包括人口统计学信息、疾病认知和治疗依从性（包括药物治疗、饮食和体育活动）。问卷的效度和信度分别通过内容效度和重测法进行检验。此外，还对两名数据评分者进行了评分者间信度检验。数据使用SPSS软件进行分析，采用Spearman检验和Kruskal-Wallis检验。
结果
结果显示，只有15%的研究对象对自己的疾病有良好的认知。大多数患者药物治疗依从性良好（79%），饮食依从性良好（60%），体育活动依从性较差（61%）。疾病知识与治疗方案依从性之间存在显著相关性（P = 0.001，rp = 0.32）。
结论
本研究表明，大多数患者的疾病认知和体育活动依从性较低。建议开展研究，探索有效的教育项目和策略，以提高心脏病患者的治疗方案依从性。
Zotero 插件