scholarly journals Medication Self-efficacy and Its Related Factors: A Cross-sectional Study on Patients with Coronary Artery Disease in North East of Iran Medication Self-efficacy and its Related Factors

2021 ◽  
Vol 17 (4) ◽  
Author(s):  
Fahimeh Nikraftar ◽  
Seyed Reza Mazloum ◽  
Mostafa Dastani ◽  
Fatemeh Heshmati Nabavi

Background: Patients with coronary artery diseases (CAD) use a wide spectrum of medications; hence, strategies are needed to increase their adherence. In this line, identifying factors associated with medication self-efficacy can be useful. Objectives: The current study aimed to investigate medication self-efficacy and its related factors in patients with CAD in the north-east of Iran. Methods: In this cross-sectional study, 104 patients with CAD hospitalized in one of the largest teaching hospitals in the north-east of Iran are studied. Participants were selected by convenience sampling method. Data were collected using Demographic and clinical information form, Information Satisfaction questionnaire (ISQ), and Self-Efficacy for Appropriate Medication Use scales (SEAMS). Data were analyzed by SPSS version 22 using descriptive statistics and multiple regression test. Results: The mean age of patients was 52.3 ± 8.8 years. The mean medication self-efficacy score was 24.9 ± 9.5 (out of 39). Multiple regression showed a linear and significant association between information satisfaction, income, medications used in the last month, information about the nature of the disease, doctors as a preferred source of information, nurses, family members, internet and social networks as the most information sources used by patients, with medication self-efficacy (R = 0.907, P < 0.001). These variables could explain 82.2% of the self-efficacy variance. Conclusions: Based on the result, it can be argued that in designing and implementing educational interventions aimed to promote medication self-efficacy in patients with CAD, individuals with lower income and under long-term medication treatment should receive more support. Educational programs should emphasize more on explaining the nature of the disease to the patients, and physicians should be more involved in educating patients.

2018 ◽  
Vol 31 (5) ◽  
pp. 839-847 ◽  
Author(s):  
Didem Sezgin Ozcan ◽  
Belma Fusun Koseoglu ◽  
Kevser Gulcihan Balci ◽  
Cemile Sevgi Polat ◽  
Ozgur Ulas Ozcan ◽  
...  

Author(s):  
Gilber Kask ◽  
Jussi P. Repo ◽  
Erkki J. Tukiainen ◽  
Carl Blomqvist ◽  
Ian Barner-Rasmussen

Abstract Background Few studies have focused on patient-related factors in analyzing long-term functional outcome and health-related quality of life (HRQoL) in patients with postoperative lower extremity soft tissue sarcoma (STS). Objective The purpose of this study was to investigate factors associated with postoperative functional outcome and HRQoL in patients with lower extremity STS. Methods This cross-sectional study was performed in a tertiary referral center using the Toronto Extremity Salvage Score (TESS), Quality-of-Life Questionnaire (QLQ)-C30 and 15 Dimension (15D) measures. Functional outcome and HRQoL data were collected prospectively. All patients were treated by a multidisciplinary team according to a written treatment protocol. Results A total of 141 patients who had undergone limb-salvage surgery were included. Depending on the outcome measure used, 19–51% of patients were completely asymptomatic and 13–14% of patients had an unimpaired HRQoL. The mean score for TESS, 15D mobility score, and QLQ-C30 Physical Functioning scale were 86, 0.83, and 75, respectively, while the mean score for 15D was 0.88, and 73 for QLQ-C30 QoL. Lower functional outcome was statistically significantly associated with higher age, higher body mass index (BMI), and the need for reconstructive surgery and radiotherapy, while lower HRQoL was statistically significantly associated with higher age, higher BMI, and reconstructive surgery. Conclusion Functional outcome and HRQoL were generally high in this cross-sectional study of patients with STS in the lower extremity. Both tumor- and treatment-related factors had an impact but patient-related factors such as age and BMI were the major determinants of both functional outcome and HRQoL.


2020 ◽  
Vol 13 (1) ◽  
pp. 627-633
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Niloofar Aboozarzadeh ◽  
Leila Khojasteh ◽  
Zakieh Sadeghi ◽  
...  

Background: A person's lifestyle plays an important role in his health. This study aimed at determining thehealth-promoting lifestyle and its related factors among the medical students of Shahroud Islamic Azad University. Methods: In this cross-sectional study, a total of500 students of medical sciences were selected using the stratified random sampling method and they completed the health-promoting lifestyle, self-efficacy, and well-being questionnaires. The collected data were entered into SPSS 16 and were analyzed with a T-test, Chi-square, Pearson correlation coefficient, and a backward regression model. Results: The mean age of the students was 22.25±1.45 and 65% of the participants were female. The mean scores of health-promoting lifestyle, well-being, and self-efficacy were 134.1±23.85, 14.41±5.09, and 41.67±8.05, respectively. Among the students, 32.8% had a health disorder and only 2.2% had a high self-efficacy. Well-being and self-efficacy were statistically correlated with the health-promoting lifestyle (p<0.001). The results showed that out of 17 independent variables, only 4 variables of educational level, academic year, marital status, well-being were the best predictors of health-promoting lifestyle. Conclusion: More than 90% of students had low self-efficacy and more than 30% of them did not have good well-being. Moreover, the health-promoting lifestyle of students was moderate. More attention to the above areas, such as well-being status and applying required interventions, can help to improve the situation.


2021 ◽  
pp. 43-55
Author(s):  
Sedigheh HasaniMoghadam ◽  
Jila Ganji ◽  
Hamid Sharif Nia ◽  
Mohsen Aarabi ◽  
Soghra Khani

Background: Given the effect of various factors on the use of communication patterns by couples, this study aimed to determine the most common communication pattern among couples and related factors in Sari, northern Iran. Methods: This cross-sectional study was performed on 520 people (260 couples) in Sari. Data were collected using a demographic–fertility factors questionnaire, Enrich couple scale, communication patterns questionnaire, general health questionnaire (GHQ-28), and NEO personality inventory. Data analysis was performed in SPSS version 25 using descriptive and inferential statistics (multiple regression model). Results: While the mean (standard deviation) age of women included in the study was 34.08 (7.71) years, the mean age of men was 39.13 (9.18) years. The most common communication patterns in both women and men was the mutual constructive communication, whereas the lowest frequent communication pattern was the demand/withdraw communication in both men and women. Marital satisfaction had a significant positive correlation with mutual constructive communication pattern in women and men (P = 0.001). In addition, a significant inverse correlation was observed between the number of marriage to date, women’s age, and spouses' demand/withdraw communication pattern with mutual constructive communication pattern in women. Also, a significant inverse correlation was observed between flexibility (P = 0.047), number of marriages (P = 0.013), and the wives' age (P = 0.005) with mutual constructive communication pattern in men. Conclusion: According to the results of the study, it is necessary to recognize the factors related to couples’ communication patterns in order to improve the communication patterns so that marital conflicts could be avoided while a more effective communication is established.  Keywords: communication patterns, couples, personality characteristics, marital satisfaction, public health


2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0050
Author(s):  
Liang Xiaojun ◽  
Zhao Hong-Mou

Category: Other; Midfoot/Forefoot Introduction/Purpose: There is a greater prevalence of flexible flatfoot (FFF) among children; however, most of them are physiological, and the associated factors are still in debate. The purpose of current cross-sectional study was to investigate the FFF prevalence of 6 to 13 years Han nationality children in Northwest China; and to investigate the potential relative factors correlated with FFF. Methods: A total of 1,059 children aged from 6 to 13 years were included. Dynamic footprints according to FootScan system were collected from both feet. The relationship of FFF with age, gender, side, body mass index (BMI), foot length-width ratio (LWR), and contact area were investigated. Results: The percentage of FFF decreased from 39.5% at 6 years to 11.8% at 12 years, and reached a platform at 12 to 13 years. Overweight (OR 1.35, 95%CI 1.03-1.77) and obese (OR 2.43, 95%CI 1.81-3.26) showed positive correlation with percentage of FFF children; but only obese (OR 3.25, 95%CI 2.19-4.82) showed positive correlation in small age group (6 to 9 years). The mean LWR was larger in healthy children, and still larger in small and large age groups (P < 0.01). The mean midfoot contact area percentage was larger in FFF than healthy foot (P < 0.01). No correlation was found between FFF prevalence and gender or side. Conclusion: The prevalence of FFF decreases with age, and reached a platform at 12 to 13 years. The prevalence of FFF is positively correlated with increased BMI, especially in small aged children; and the prevalence of FFF is positively correlated with decreased LWR.


2020 ◽  
Vol 25 (2) ◽  
pp. 128-138
Author(s):  
Abbass Hafezieh ◽  
Mahlagha Dehghan ◽  
Mojgan Taebi ◽  
Sedigheh Iranmanesh

Background Promotion of self-management is one of the effective ways to improve the quality of life of patients under haemodialysis. Therefore, a better understanding of the factors that are effective on self-management might help nurses find an appropriate method for the promotion of self-management. Aims This study aimed to examine self-management and its correlation with self-efficacy and knowledge of haemodialysis among patients under haemodialysis in Yazd, Iran in 2016. Methods This is a cross-sectional study conducted in four haemodialysis centres. All patients who were referred to these centres were selected. Demographic characteristic forms, self-management questionnaires, haemodialysis knowledge questionnaires and chronic diseases self-efficacy scales were used to collect data. Results The score of self-management was between 32 and 80. The mean scores of self-management, knowledge and self-efficacy were 58.88 ± 10.41 (possible score 20–80), 16.15 ± 2.91 (possible score 0–25), 5.24 ± 1.99 (possible score 0–10), respectively. There was a significant positive correlation among self-management, knowledge and self-efficacy. Conclusions The level of self-management was moderate among patients under haemodialysis. Effective interventions including training related to dialysis system, laboratory tests and diet are needed to improve self-management among patients under haemodialysis.


2020 ◽  
Vol 86 (1) ◽  
pp. 72
Author(s):  
Danica J. Gomes ◽  
Benjamin Kaufman ◽  
Adam R. Aluisio ◽  
Scott Kendall ◽  
Vladimir Thomas ◽  
...  

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Reshma Hegde ◽  
Prinul Gunputh ◽  
Baxi Sinha

Background: Depression is a common and serious disorder that impairs quality of life. Since general practitioners (GP) are considered gatekeepers to secondary care, the choice of interventions offered in primary care can have a significant impact not only on patients’ quality of life, but also on health service demands. Objective: To evaluate the confidence of GPs in diagnosing and managing depression; and, to assess the factors influencing their strategy in treating depression. Methods: A cross-sectional study was carried out among GPs working in the North-East of England, UK. The survey questionnaire consisted of mostly close-ended questions with some allowing for free-text comments (see Appendix 1). The responses obtained were analysed using Microsoft Excel. Results: Among the total of 63 respondents, most GPs were comfortable diagnosing depression. Most would consider combining talking therapies with antidepressants (68.3%) at presentation, followed by referral to talking therapies alone (41.2%). In only 14.3% of cases would antidepressant therapy alone be considered. For those patients non-responsive to initial treatment, 25.4% considered offering a different antidepressant or adjunct medication (such as a sedative, anxiolytic, or beta-blocker), and another 25.4% of GPs considered a combination with another antidepressant. 46.0% of participants were not comfortable prescribing dual antidepressants due to concerns about side effects, lack of experience, paucity of guidelines, and lack of timely access and guidance from the local mental team. Nearly all (98.4%) GP participants would agree to prescribe dual antidepressants on advice of the mental health team with telephone advice being the preferred means of communication in 65.1% of cases. Conclusion: The results of this study can help to develop closer co-operation between primary and secondary care by not only upskilling GPs through various means (educational events, training posts, etc.), but by also creating better communication channels at the interface between those two services. Key words: antidepressants, combination therapy, depression, primary care, primary-secondary care interface


2020 ◽  
Author(s):  
Chala Kene ◽  
Haweni Adugna ◽  
Kalkidan Lemessa ◽  
Leul Deribe

Abstract Background: Self-efficacy for HIV prevention is described as a person’s belief in his/her capacity to carry out necessary actions to perform a specific behavior for HIV prevention. This study aimed to assess level of HIV/AIDS preventive self-efficacy and associated factors among regular undergraduate students of Madda Walabu University, Southeast Ethiopia, 2020. Methods: Cross-sectional study was conducted from February 15 to 20, 2020. Four hundred forty-two study participants were selected using simple random sampling technique. Data was entered to Epi Data version 4.6.0.2 and analyzed using SPSS version 26 software. Bivariate and multivariable logistic regression model was fitted to identify factors associated with HIV/AIDS preventive self-efficacy. Odds ratio with 95% confidence interval was computed and p value less than 0.05 was used to determine the level of significance. Result: The mean level of HIV/AIDS preventive self-efficacy among regular undergraduate students of Madda Walabu University was found to be 74.58+19.98. Being female [AOR=1.76(1.04-2.81)], in field of health science [AOR= 1.92(1.10-3.36)], second year of study [AOR=2.77(1.55-4.94)] and drinking alcohol [AOR=2.9(1.61- 5.23)] were found to be factors associated with higher HIV/AIDS preventive self-efficacy. Whereas, exposed to pornography [AOR=0.53(0.33-0.85)] was found to be factor associated with lower HIV/AIDS preventive self-efficacy.Conclusion: The mean HIV /AIDS preventive self-efficacy of the participants in this study area were found to be low. Sex, field and year of study, drinking alcohol and ever had watched pornography were factors found to be significantly associated with HIV/AIDS preventive self-efficacy. Staffs should be cooperative in educating their students to boost their self-efficacy.


2021 ◽  
Author(s):  
Hayfa Almutary ◽  
Tayyib Nahla

Abstract BackgroundPerceived disease-related self-efficacy is considered a fundamental component of the successful self-management of chronic diseases. Prior studies have found that self-efficacy is associated with improvements in health behaviors and health status among people with chronic kidney disease (CKD). However, few studies have evaluated self-efficacy among patients undergoing dialysis.MethodsThis study was performed to evaluate CKD patients’ self-efficacy and to determine the factors that significantly affect self-efficacy among dialysis patients. This was a cross-sectional study using a convenience sample of 190 patients undergoing dialysis. The patients’ self-efficacy was measured using the CKD Self-Efficacy Scale. Inferential statistics were used to analyze the data.ResultsThe mean age of the participants was 49.24 ± 13.15 years. Almost half of them were males (48.4%), and 75.3% were married. The majority of the patients (83%) were undergoing hemodialysis. The total score for self-efficacy was 192.57 ±39.23. Only occupational status and the type of dialysis were significantly and positively correlated with patients’ perceived self-efficacy scores.ConclusionsThis study provides primary evidence of the perceived self-efficacy among CKD patients who are on dialysis. The results of this cross-sectional study showed that greater self-efficacy was associated with employment and peritoneal dialysis. Strategies to enhance self-efficacy among dialysis patients, especially those on hemodialysis, are needed.


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