Khalili F, Eslami A A, Farajzadegan Z, Hassanzadeh A. بررسی ارتباط برخی عوامل روانی- اجتماعی با رفتارهای تبعیت از درمان بیماران همودیالیز شهر اصفهان: چارچوبی مفهومی بر اساس تئوری شناختی- اجتماعی. J Health Syst Res 2011; 7 (3)
URL:
http://hsr.mui.ac.ir/article-1-257-en.html
1- MSc Student, Student Research Committee, Department of Health Education and Promotion, School of Health , Isfahan University of Medical Sciences, Isfahan, Iran
2- Assistant Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
3- Associate Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4- Lecture, Research Center for Food Security and Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract: (1160 Views)
Background: Hemodialysis patients' health depends on adherence to treatment recommendations. Nonadherenceto treatment is directly associated with worse clinical outcomes. This study was designed todetermine the association of between treatment adherence behaviors among maintenance hemodialysispatients and depression, perceived social support, self efficacy, and patient's interaction with medicalservice providers based on social cognitive theory.Methods: This cross-sectional study used proportional random sampling to select 160 maintenancehemodialysis patients in Isfahan, Iran. Data was gathered by Beck depression questionnaire,multidimensional scale of perceived social support (MSPSS), strategies used by patients to promote health(SUPPH) questionnaire, patient reactions assessment questionnaire, and the end-stage renal diseaseadherence questionnaire. The data were analyzed using descriptive and correlation statistics.Findings: Our findings showed that 60.06% of the participants were male. Their average age was51.95 ± 15.04 and mean of total scores of treatment adherence behaviors was 861.48 ± 201.64 (range:0-1200). There was not any significant relationship between the studied factors treatment adherencebehaviors. However, behavioral sub-scales were significantly related with the studied factors (P < 0.05).Furthermore, all factors had significant relationships with scores of perception about the importance ofbehaviors (P < 0.001). Demographics, including age, sex, and marital status, were also related withtreatment adherence behavior scale and sub-scale (P < 0.05).Conclusion: Based on the results, social-psycological factors affect treatment adherence behaviors as amediator of perceptions. Therefore, they have to be considered in future theory-based interventions andstudies.
Type of Study:
Research |
Subject:
education health and promotion Received: 2020/07/16 | Accepted: 2011/10/15 | Published: 2011/10/15