Associations of sense of coherence and self-efficacy with health status and disease severity in COPD

Tsiligianni, Ioanna; Sifaki-Pistolla, Dimitra; Gergianaki, Irini; Kampouraki, Maria; Papadokostakis, Polyvios; Poulonirakis, Ioannis; Gialamas, Ioannis; Bempi, Vasiliki; Ierodiakonou, Despo

doi:10.1038/s41533-020-0183-1

Cited by 11 publications

(9 citation statements)

References 36 publications

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“…The self‐efficacy of patients is an essential factor in the management of all these conditions. Previous studies have shown that patients with chronic diseases, who took more responsibility in the management of the disease, had better treatment adherence (Lee et al, 2014; Özkaptan & Kapucu, 2015; Tsiligianni et al, 2020). Accordingly, patients with higher self‐efficacy had greater self‐care ability and willingness to take responsibility for treatment and disease management.…”

Section: Discussionmentioning

confidence: 99%

Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease

Aldan

Helvaci

Özdemir

et al. 2021

Journal of Clinical Nursing

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Aims and Objectives:This study aimed to investigate the effects of socioeconomic-, patient-, treatment-, condition-and health system-related factors on medication adherence in patients with chronic obstructive pulmonary disease (COPD).Background: Medication adherence is essential for the management of chronic diseases. The World Health Organization created a Multidimensional Adherence Model (MAM) and showed that medication adherence is affected by a combination of numerous factors.Design: A descriptive correlational study was conducted.Methods: A total of 114 patients with COPD were included. Data were collected on five dimensions based on the MAM framework. Medication adherence, self-efficacy and symptoms were evaluated using the Adherence to Refills and Medications Scale-7 (ARMS-7), COPD Self-Efficacy Scale (CSES) and COPD Assessment Test (CAT), respectively. The data were analysed using descriptive statistics, correlational statistics and structural equation modelling. The STROBE checklist was used. Results:The ARMS-7 scores were associated with the body mass index of patients (F = 4.245, p = .017), smoke pack-years (r = .277, p = .004) and the CSES total score (β = -0.249, p = .002) in patient-related factors. The ARMS-7 score was not associated with socio-economic and health system-related factors. The ARMS-7 score showed a significant correlation between COPD diagnosis duration (r = −.276, p = .003) and the total number of drugs (r = −.215, p = .022) in treatment-related factors. The ARMS-7 scores were associated with the number of comorbid illnesses of patients with COPD in condition-related factors (F = 3.533, p = .033). Conclusion:This study showed that medication adherence in COPD was mostly affected by patient-, treatment-and condition-related factors.Relevance to clinical practice: Healthcare professionals should establish training and counselling programs to increase the medication adherence level of patients, particularly for patients who are newly diagnosed, require multiple drugs and have comorbid diseases or low self-efficacy.

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Section: Discussionmentioning

confidence: 99%

Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease

Aldan

Helvaci

Özdemir

et al. 2021

Journal of Clinical Nursing

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“…To the best of our knowledge, this is the only study conducted to date that examined the influence of one's SoC on self-reported adherence to public health guidelines during the COVID-19 pandemic. It has been shown that SoC impacts one's health status and chronic illness severity through its correlation with adherence to treatment guidelines: this mechanism has been described in people with Chronic Obstructive Pulmonary Disease (COPD) [47], Human Immunodeficiency Virus (HIV) [48], and Inflammatory Bowel Disease (IBD) [49]. Our study confirms this finding in a population facing the threat of an illness rather than the illness itself: people with higher SoC were more likely to adhere to the national guidelines that were imposed in order to minimize the spread of the virus.…”

Section: Discussionmentioning

confidence: 99%

The Association between the Sense of Coherence and the Self-Reported Adherence to Guidelines during the First Months of the COVID-19 Pandemic in Israel

Novak

Katz

Bitan

et al. 2022

IJERPH

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(1) Background: Social distancing became a central strategy employed to limit the spread of the SARS-CoV-2 virus. We explore self-reported adherence (SRA) and factors associated with SRA among Israeli adults at the end of the first national lockdown in Israel. (2) Methods: We conducted a cross-sectional consumer panel survey of 820 Israeli adults aged 18 to 70 in May and June 2020. We collected data on the SRA to the social distancing measures, sociodemographic variables, perceptions of pandemic-related danger and of protection provided by the social distancing measures, as well as Sense of Coherence (SoC). (3) Results: 60% of respondents reported complying with 7 measures. Higher SoC was associated with higher SRA (p = 0.04), and was related to income, marital status, age, profession, and education. The SRA was higher among Jews than Arabs (Jews: Mean = 10.5, SD = 4.5; Arabs: Mean = 9.1, SD = 4.1, p < 0.001) and among males (Males: Mean = 10.8, SD = 4.7; Females: Mean = 9, SD = 4.1; p = 0.003). SoC, perception of protection and perception of danger were associated with higher SRA (p = 0.42, p < 0.001 and p = 0.005 respectively). Single people reported higher levels of SRA than people in relationships (Partnered: Mean = 9.7, SD = 4.2, Non-partnered: Mean = 10.9, SD = 4.7, p = 0.033). (4) Conclusions: At the time of exit from the first lockdown, compliance with social distancing measures was high, with Jewish, single and male Israelis more likely to adhere to the guidelines. We identified the populations at risk for non-adherence and associated factors, reporting for the first time the correlation between SoC and SRA. Further research is needed to assess the role of these factors in Jewish and Arab populations.

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“…Health literacy is the ability of an individual to obtain, understand, evaluate, and use health information to make decisions regarding the treatment of illnesses and overall health, and to maintain and improve the quality of life [ 42 ]. Sense of coherence (SOC) is a personality trait that allows individuals to adapt to and cope with stress to promote their health [ 43 ]. Recently, it has been reported that health literacy and SOC influence the pathophysiology of chronic diseases [ 42 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Periodontal Disease on Diabetic Retinopathy in Type 2 Diabetic Patients: A Cross-Sectional Pilot Study

Yamamoto

Morozumi

Hirata

et al. 2020

JCM

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Both periodontal disease and diabetes are common chronic inflammatory diseases. One of the major problems with type 2 diabetes is that unregulated blood glucose levels damage the vascular endothelium and cause complications. A bidirectional relationship between periodontal disease and diabetic complications has been reported previously. However, whether periodontal disease affects the presence of diabetic complications has not been clarified. Therefore, we examined the effect of the periodontal disease status on diabetic complications in patients with type 2 diabetes. Periodontal doctors examined the periodontal disease status of 104 type 2 diabetic patients who visited a private diabetes medical clinic once a month between 2016 and 2018. The subject’s diabetic status was obtained from their medical records. Bayesian network analysis showed that bleeding on probing directly influenced the presence of diabetic retinopathy in type 2 diabetes patients. In addition, bleeding on probing was higher in the diabetic retinopathy group (n = 36) than in the group without diabetic retinopathy (n = 68, p = 0.006, Welch’s t-test). Bleeding on probing represents gingival inflammation, which might affect the presence of diabetic retinopathy in type 2 diabetes patients who regularly visit diabetic clinics.

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Associations of sense of coherence and self-efficacy with health status and disease severity in COPD

Cited by 11 publications

References 36 publications

Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease

Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease

The Association between the Sense of Coherence and the Self-Reported Adherence to Guidelines during the First Months of the COVID-19 Pandemic in Israel

Effect of Periodontal Disease on Diabetic Retinopathy in Type 2 Diabetic Patients: A Cross-Sectional Pilot Study

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