Laradhi Adel Omar, Shan Yan, Mansoor Al Raimi Abdulaziz, Hussien Nahed Ahmed, Ragab Eman, Getu Mikiyas Amare, Al-Bani Galal, Allawy Mohamed Elsayed
Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.
The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Front Cardiovasc Med. 2025 Apr 30;12:1432648. doi: 10.3389/fcvm.2025.1432648. eCollection 2025.
Patients' illness perceptions are cognitive representations or beliefs structured around their condition. These perceptions have been associated with several important outcomes, including functional recovery and treatment adherence.
The aim of this study was to investigate the association between illness perception and related factors with treatment adherence among hemodialysis patients with cardio-renal syndrome in Yemen.
This cross-sectional study was conducted at two dialysis centers in Hadhramout Governorate, Yemen, from February to May 2021. Three self-administered questionnaires were used to collect the data. Data analysis was performed using SPSS version 23.0 with a significance level set at < 0.05.
In total, 100 patients answered all questions with a total response rate of 100%. The mean age ± standard deviation of participants was 53.46 ± 14.24 years. Most patients (87%) had a low level of treatment adherence, particularly in medication and diet restriction adherence. Furthermore, most patients (90%) had a moderate-to-high level of perceived illness threat. The findings revealed no significant correlation between overall illness perception and overall treatment adherence ( = 0.003, = 0.975). However, the perceived consequences ( = -0.210, < 0.05), and perceived timeline subscales ( = -0.276, < 0.01) showed a negative correlation with total treatment adherence. Additional findings revealed a significant positive link between adherence and cardiac disorders ( = 4.292, = 0.009), as well as a strong correlation between adherence and income level ( = 11.132, < 0.001).
Our research found that most patients with cardio-renal syndrome had poor treatment adherence and had a moderate-to-high level of perceived illness threat. The results of the study showed that perceived consequences and perceived timeline subscales of illness perceptions had a negative correlation with overall treatment adherence, and the results revealed a significant positive link between adherence and cardiac disorders, as well as a strong correlation between adherence and income level. The findings suggest that nurses and clinicians should assess the illness perceptions specific to patients with cardio-renal syndrome disease when developing multidisciplinary interventions to help patients cope with and manage different aspects of their condition.
患者的疾病认知是围绕其病情构建的认知表征或信念。这些认知与包括功能恢复和治疗依从性在内的几个重要结果相关。
本研究旨在调查也门患有心肾综合征的血液透析患者的疾病认知与治疗依从性相关因素之间的关联。
本横断面研究于2021年2月至5月在也门哈德拉毛省的两个透析中心进行。使用三份自填式问卷收集数据。使用SPSS 23.0版进行数据分析，显著性水平设定为<0.05。
共有100名患者回答了所有问题，总回复率为100%。参与者的平均年龄±标准差为53.46±14.24岁。大多数患者（87%）的治疗依从性较低，尤其是在药物治疗和饮食限制依从性方面。此外，大多数患者（90%）的疾病威胁感知水平为中度至高度。研究结果显示，总体疾病认知与总体治疗依从性之间无显著相关性（=0.003，=0.975）。然而，感知后果（=-0.210，<0.05）和感知时间维度分量表（=-0.276，<0.01）与总体治疗依从性呈负相关。其他研究结果显示，依从性与心脏疾病之间存在显著正相关（=4.292，=0.009），以及依从性与收入水平之间存在强相关性（=11.132，<0.001）。
我们的研究发现，大多数心肾综合征患者的治疗依从性较差，且疾病威胁感知水平为中度至高度。研究结果表明，疾病认知的感知后果和感知时间维度分量表与总体治疗依从性呈负相关，研究结果还显示依从性与心脏疾病之间存在显著正相关，以及依从性与收入水平之间存在强相关性。研究结果表明，护士和临床医生在制定多学科干预措施以帮助患者应对和管理病情的不同方面时，应评估心肾综合征患者特有的疾病认知。
