Al-Tarawneh Fatima, Ali Tasneem, Al-Tarawneh Ahmad, Altwalbeh Diala, Gogazeh Esraa, Bdair Ola, Algaralleh Abdulnaser
Department of Allied Medical Sciences, Karak University College, Al-Balqa Applied University, Karak, Jordan.
Psychology Department, Faculty of Educational Sciences, Mutah University, Mutah, Jordan.
Patient Prefer Adherence. 2023 Mar 9;17:605-614. doi: 10.2147/PPA.S390997. eCollection 2023.
For disease management, numerous drugs are prescribed. However, long-term treatment adherence is still unsatisfactory. Culture influences beliefs regarding medication, particularly irrational ideas that affect treatment adherence. The Middle East, notably Jordan, is affected by a lack of awareness of these attitudes with regard to treatment adherence.
Investigating the adherence level among patients with chronic diseases in southern Jordan. To determine whether certain demographic traits, different disease factors, and superstitions have any impact on treatment adherence.
A cross-sectional study that assessed treatment adherence and superstitious thinking-related health issues were conducted among chronic disease patients who had reviewed intrinsic medicine clinics at the Karak governmental hospital.
For 314 participants, treatment adherence was categorized into three levels low-adherent patients made up 27.7% highly-adherent patients made up 49.4%, and the remaining adhered at a medium level. Treatment non-adherence was more common in the elderly and female, according to the chi-square analysis. Additionally, the classification of superstitious beliefs into three categories revealed that different percentages of the study population held low superstitious beliefs 21%, medium superstitions 54.1% and high superstitions 24.8% beliefs. The chi-square analysis revealed that the elderly, female, and low-educated patient groups were the highest in superstitious thinking. Multiple regression analysis revealed that educational level and superstitious thinking explained 0.223 of the treatment adherence variances. Treatment adherence is positively influenced by educational level β (0.244) value, but superstitious thinking is negatively influenced by β (-0.302) value.
In conclusion, about half of the participants highly adhered. The results of the multiple-regression analysis indicate that superstition and education were two variables that impacted treatment adherence in this study. While superstitious beliefs lead to lower treatment adherence, education has the opposite effect. Finally, it is recommended to promote patient education to reduce superstitious beliefs, improve medication adherence.
在疾病管理中，会开出许多药物。然而，长期治疗依从性仍不尽人意。文化会影响对药物治疗的信念，尤其是那些影响治疗依从性的非理性观念。中东地区，特别是约旦，在治疗依从性方面缺乏对这些态度的认识。
调查约旦南部慢性病患者的依从水平。确定某些人口统计学特征、不同的疾病因素和迷信观念是否对治疗依从性有任何影响。
对在卡拉克政府医院内科诊所就诊的慢性病患者进行了一项横断面研究，评估治疗依从性和与迷信思维相关的健康问题。
对于314名参与者，治疗依从性分为三个水平：低依从性患者占27.7%，高依从性患者占49.4%，其余为中等依从性。根据卡方分析，治疗不依从在老年人和女性中更为常见。此外，将迷信信念分为三类后发现，不同比例的研究人群持有低迷信信念（21%）、中等迷信信念（54.1%）和高迷信信念（24.8%）。卡方分析显示，老年人、女性和低学历患者群体的迷信思维最为严重。多元回归分析显示，教育水平和迷信思维解释了治疗依从性差异的0.223。教育水平对治疗依从性有正向影响（β值为0.244），但迷信思维对治疗依从性有负向影响（β值为-0.302）。
总之，约一半的参与者具有高依从性。多元回归分析结果表明，迷信和教育是本研究中影响治疗依从性的两个变量。迷信信念会导致较低的治疗依从性，而教育则有相反的效果。最后，建议加强患者教育以减少迷信信念，提高药物治疗依从性。
