Relationship Between Health Literacy, Quality of Life, and Treatment Adherence in Patients with Acute Coronary Syndrome

Zakeri, Mohammad Ali; Tavan, Asghar; Nadimi, Ali Esmaeili; Bazmandegan, Golamreza; Zakeri, Maryam; Sedri, Nadia

doi:10.3928/24748307-20230320-01

Cited by 4 publications

(2 citation statements)

References 40 publications

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“…Ключевые предикторы приверженности в основном определяются характером взаимодействия пациента с врачом и всей системой здравоохранения, наличием социальной поддержки. Важнейшим в данном аспекте является правильное и своевременное информирование пациента о планируемом лечении, его обучение, мотивация и поддержание приверженности, внедрение напоминаний о лекарствах и оптимизация режимов дозирования лекарств [54,55]. На первое место среди причин низкой приверженности у больных после перенесенного инфаркта миокарда ставят недостаточную информированность и отечественные авторы [27].…”

Section: особенности приверженности лечению больных после острого кор...unclassified

“…Срыв адаптации ассоциируется обычно и с недостаточным уровнем приверженности. Приемлемый уровень приверженности связан с более высоким качеством жизни, оптимистическим настроем, более низкими уровнями тревоги и депрессии, однако закономерности, как правило, не прослеживаются при отсутствии позитивных сдвигов со стороны симптомов болезни [43,50,55,57].…”

Section: особенности приверженности лечению больных после острого кор...unclassified

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Adherence to Treatment of Cardiac Patients: Approaches to Assessment, Ways to Increase and Prognostic Value

Kholkina,

Isakov,

Timofeev

2023

Juvenis Scientia

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Adherence to treatment is understood as a complex model of the patient’s behavior in relation to their health, implemented in the degree of compliance of such behavior with respect to the recommendations received from the doctor regarding medications, self-control algorithms, diet and other lifestyle change measures. Adherence can be assessed by determining drug metabolites in body fluids (blood, urine) and using various questionnaires. At the same time, an important role in increasing adherence to therapy is assigned to the attending physician, without contact with which most patients make an independent decision to stop taking all or some of the prescribed drugs or to make an unreasonable correction of their dosages. Among the factors influencing the decrease in adherence to treatment of cardiac patients are the patient’s misunderstanding of their disease and the expected effects of therapy, fears of undesirable effects of therapy, a low level of motivation, a tendency towards forgetfulness and some others. Comorbidity and related polypharmacy also contribute to non-adherence, especially multiple drugs are prescribed simultaneously by various specialists — therapists, endocrinologists, urologists, neurologists, ophthalmologists. At the same time, there is a clear increase in undesirable consequences (repeated hospitalizations due to myocardial infarction and other cardiovascular events) in non-adherent patients 6 months after the previous coronary event and a significantly higher risk a year later. Increasing adherence to treatment is the task of medical workers, starting from the inpatient stage of treatment (clear recommendations noted in the discharge documents), followed by the support of outpatient doctors, explaining the need to take certain medications, and ending with monitoring the execution of medical prescriptions.

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Section: особенности приверженности лечению больных после острого кор...unclassified

Adherence to Treatment of Cardiac Patients: Approaches to Assessment, Ways to Increase and Prognostic Value

Kholkina,

Isakov,

Timofeev

2023

Juvenis Scientia

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Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients

Saedi,

Dehghan,

Mohammadrafie

et al. 2024

BMC Nephrol

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Background End-stage renal disease (ESRD) causes numerous physical and psychological problems in patients, so that they must adhere to their treatment regimen to recover their disease, alleviate these problems, and increase their lifespan. The present study aimed to determine the predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients. Methods This correlational cross-sectional study investigated some variables related to treatment adherence in 184 patients undergoing hemodialysis referred to two dialysis centers in Kerman, southeastern Iran. A census method was used to select the participants and data were collected using socio-demographic characteristics questionnaire, Adherence to Treatment Questionnaire (ATQ), Conner-Davidson Resilience Scale, Reef Psychological well-being Questionnaire, and Spiritual Well-Being Scale (SWBS). Results The overall treatment adherence score was 155.42 ± 27.98 and we found a positive significant correlation between spiritual health, resilience, psychological well-being, and treatment adherence ( p < 0.001). The mean scores of resilience, spiritual health and psychological well-being were 70.59 ± 17.02, 90.09 ± 12.01, and 77.88 ± 11.72, respectively. Spiritual health, psychological well-being, resilience, gender and marital status predicted 54% of the variance of treatment adherence, with psychological well-being being the best predictor ( p < 0.001). Conclusions Spiritual health, psychological well-being, and resilience are factors that influence treatment adherence of the patients undergoing hemodialysis, with psychological well-being having the greatest contribution to improving patient’s treatment adherence. Interventions effective in improving psychological well-being, spiritual health and resilience can improve treatment adherence of patients undergoing hemodialysis. Healthcare workers must pay more attention to the factors affecting treatment adherence of patients undergoing hemodialysis.

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The Relationship Between Quality of Life and Health Literacy in Adults with Celiac Disease: A Cross-Sectional Study

Yımaz,

Gümüş Şekerci

2024

STED

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Objective: The aim of this study was to determine the quality of life and health literacy of patients with celiac disease and to examine the relationship between these two concepts. Method: This cross-sectional study was conducted on 119 adults registered with the Celiac Disease Association of Turkey in 2023. Descriptive information form, Celiac Quality of Life Questionnaire and Turkey Health Literacy Scale 32 were used for data collection. Results: The mean quality of life score for celiac patients was 75.41±15.29 and the mean health literacy score was 25.16±11.23. There was a significant moderate positive correlation between health literacy and quality of life. Health literacy explained 13.0% of the change in quality of life. The gluten-free diet was found to be an important factor that could affect the quality of life of celiac patients in terms of their emotional state, anxiety, social life, and gastrointestinal symptoms. The study identified eight risk factors for health literacy. Conclusion: This study found that patients with celiac disease have a lower than average quality of life and limited health literacy. The study found that there was a positive relationship between health literacy and quality of life. It was concluded that as patients' health literacy increases, their quality of life may also increase.

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Relationship Between Health Literacy, Quality of Life, and Treatment Adherence in Patients with Acute Coronary Syndrome

Cited by 4 publications

References 40 publications

Adherence to Treatment of Cardiac Patients: Approaches to Assessment, Ways to Increase and Prognostic Value

Adherence to Treatment of Cardiac Patients: Approaches to Assessment, Ways to Increase and Prognostic Value

Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients

The Relationship Between Quality of Life and Health Literacy in Adults with Celiac Disease: A Cross-Sectional Study

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