The Association between Social-Psychological Factors and Treatment Adherence Behaviors among Maintenance Hemodialysis Patients in Isfahan, 2011: A Conceptual Framework based on Social Cognitive Theory
Message:
Abstract:
Background
Hemodialysis patient's health depends on adherence to treatment recommendations. Non-adherence to treatment is directly associated with worse clinical outcomes. This study was designed to determine the association of between treatment adherence behaviors among maintenance hemodialysis patients and depression, perceived social support, self efficacy, and patient's interaction with medical service providers based on social cognitive theory.
Methods
This cross-sectional study used proportional random sampling to select 160 maintenance hemodialysis patients in Isfahan. 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 Disease Adherence 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 was 51.95 ± 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 adherence behaviors. 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 of behaviors (P < 0.001). Demographics, including age, sex, and marital status, were also related with treatment adherence behavior scale and sub-scale (P < 0.05).
Conclusion
Based on the results, social-psycological factors affect treatment adherence behaviors as a mediator of perceptions. Therefore, they have to be considered in future theory-based interventions and studies.
Language:
Persian
Published:
Journal of Health System Research, Volume:7 Issue: 3, 2011
Page:
278
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