Association between Spirituality and Adherence to Multidisciplinary Management in Outpatients with Stable Heart Failure

Alvarez, J.; Goldraich, Lívia Adams; Nunes, Ane Cláudia Fernandes; Zandavalli, Monica B.; Zandavalli, Rafaela Brugalli; Rocha, Neusa Sica da; Fleck, Marcelo P.; Clausell, Nadine Oliveira

doi:10.1016/j.cardfail.2014.06.321

Cited by 2 publications

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“…For instance, Orthodox Christians made use of the holy water instead of antidiabetic drugs, which led to short-or long-term disruption of medications consumption. In contrast, Alvarez [76] reported a significant relationship between spirituality and adherence to treatment regimen. On the other hand, Heidari et al [77] and Shahdadi et al [63] indicated no significant relationship between spiritual well-being and blood glucose control as the final result of adherence to treatment regimen.…”

Section: Discussionmentioning

confidence: 78%

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

Javanmardifard

Heidari

Sanjari

et al. 2020

J Diabetes Metab Disord

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Background Adherence to treatment regimen is one of the behaviors related to diabetes, which has predicted successful control of the disease and reduced its intensity as well as negative consequences. This study aimed to determine the relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with type II diabetes referred to diabetes clinics. Methods In this descriptive-correlational study, 227 diabetic patients referred to healthcare centers and diabetes clinics affiliated to Shiraz University of Medical Sciences were selected via cluster sampling (clinics) followed by convenience sampling (patients). The study data were collected using a demographic information form, spiritual well-being scale developed by Ellison and Paloutzian, Herth hope scale, and adherence to treatment regimen questionnaire. Then, the data were entered into the statistical software and were analyzed using descriptive and inferential statistics. Results The results indicated that most participants had moderate spiritual well-being, high hope, and low adherence to treatment regimen. Additionally, spiritual well-being was directly associated with hope and reversely related to adherence to treatment. A significant reverse correlation was also observed between hope and adherence to treatment. Conclusion Considering the fact that spiritual well-being and hope were reversely associated with adherence to treatment regimen, further studies should be done in this field. Also patients' image of God and their interpretations of being sick might not be appropriate and need correction.

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Section: Discussionmentioning

confidence: 78%

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

Javanmardifard

Heidari

Sanjari

et al. 2020

J Diabetes Metab Disord

View full text Add to dashboard Cite

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“…The results of these studies are inconsistent with the findings of the present study. In contrast, Alvarez et al reported a significant relationship between spirituality and adherence to a therapeutic diet (46). There were very few studies that examined the relationship between these two variables in cancer patients.…”

Section: Discussionmentioning

confidence: 96%

The Mediating Role of Spiritual Health in Adherence to Treatment in Patients with Cancer

et al. 2022

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Background: Adherence to the treatment regimen is among the behaviors, which predict the successful control of the disease and decrease its intensity and negative consequences, which is influenced by several factors. The patient's beliefs and attitudes toward the disease are effective factors in disease management and adherence to treatment, and spiritual health is one of these influential variables. Objectives: The aim of this study was to determine the mediating role of spiritual health in adherence to treatment in patients with cancer. Methods: In this descriptive correlational study, the participants were 234 Iranian patients with cancer, who were selected through convenience sampling, admitted to the oncology wards of 9 selected teaching hospitals in the northern, southern, eastern, and western provinces of the country, as well as the capital in 2021. The research instruments included the Demographic and Clinical Information Questionnaire, Spiritual Well-Being Scale, and Morisky Medication Adherence Scale-8. The path analysis was done to determine the factors related to the degree of adherence to treatment, taking into account the mediating role of spiritual health. Results: The mean age of the participants in the study was 47.27 ± 15.36. The mean scores for spiritual health and adherence to treatment were 76.70 ± 13.75 and 6.47 ± 2.1, respectively. A positive and significant relationship was found between spiritual health and adherence to treatment (P-value < 0.05). The variables of marital status, the time of diagnosis, and being a religious person had a direct effect on spiritual health, and the time of diagnosis indirectly affected treatment adherence. Conclusions: According to the results, the level of spiritual health and adherence to the treatment in patients with cancer was moderate. In addition, the variable of diagnostic time affected adherence to treatment indirectly. Besides, in examining the factors affecting spiritual health, the findings indicated the effect of the variables “being religious”, “marital status”, and “the time of diagnosis”. In addition to strengthening spiritual health, it is necessary to highlight the need to follow therapeutic diets in these patients. Therefore, it is suggested to consider a program to meet the patients with cancer spiritual needs along with the physical care program.

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Association between Spirituality and Adherence to Multidisciplinary Management in Outpatients with Stable Heart Failure

Cited by 2 publications

References 0 publications

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

The Mediating Role of Spiritual Health in Adherence to Treatment in Patients with Cancer

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