[Correlation between self-concept according to Roy adaptation model with adherence to therapeutic regimen in hypertensive outpatients who attended in one of hospitals affiliated to Urmia university of medical sciences and health services]

Although drug treatment for hypertension is available, but just 30% hypertensive patients have controlled hypertension. Nowadays non adherence to recommended health regimen is accepted as a nursing diagnosis by American Nurses Association. The aim of this study was to determine correlation between self-concept [according to Roy Adaptation Model] and adherence to therapeutic health regimen in hypertensive outpatients who attended to one of hospitals affiliated to Uremia University of Medical Sciences and health Services. In this descriptive-correlational study, 120 hypertensive outpatients, who had inclusion criteria, were selected by quota purposive sampling method. Data were collected by a demographic and disease related questionnaire, "Self-Concept Questionnaire in Heart Disease Patients based on [RAM]" and "Hill-Bone Compliance to High Blood Pressure Therapy Scale". Validity and reliability of questionnaires were assessed with content validity and Cronbach's Alpha coefficient. Cronbach's alpha coefficients of "Hill-Bone Compliance to High Blood Pressure Therapy Scale" and threat and challenge perception "Self-Concept Questionnaire in Heart Disease Patients based on [RAM] were calculated 0.71, 0.87, 0.90 respectively. the questionnaires were completed by interview and data were analyzed by SPSS 16. Findings showed that adherence to recommended health regimen had significant negative relationship to total threat perception with perception of threat of self-concept [P<0.001]. Also, Adherence to recommended health regimen had a positive significant relationship with total challenge perception. Similarly, perception of challenge for body sensation, self consistency, self ideal [P<0.001] with self ethical-spiritual of self concept [P=0.027] had a positive significant correlation. According to the correlation between adherence with threat or challenge perception for dimensions of self concept in this study, nurses need to identify methods that cause patients perceive stimuli as a challenge to self-concept. As it guides person to problem solving ways that should be overcame stressful stimuli and leads to integrated adaptation

[Factors contributing to readmission of congestive heart failure patients admitted in internal ward of hospitals of Shahid Beheshti university of medical sciences in Tehran]

The prevalence of congestive heart failure [CHF] continues to rise and nearly 5 million people in the United States have CHF, with more than one-half million new cases diagnosed each year. The readmission rate within 3-6 months after discharge in these patients is 10-50 percent. The aim of this study was to determine factors contributing to readmission of patients with congestive heart failure [class 2 and 3] who were admitted in internal ward of Hospitals of Shahid Beheshti University of Medical Sciences in Tehran 2009. In this correlation -descriptive study, 110 patients with congestive heart failure based on 2 and 3 New York Heart Association Classification [NYHA] were included. Subjects were selected by quota purposive sampling and were divided into two groups [readmission and no readmission]. Data were collected by a questionnaire. Content validity of the questionnaire was assessed by 10 nursing experts, 5 persons with congestive heart failure and 2 cardiologists. Reliability was measured by ted-retest [0/86]. Data were analyzed by SPSS 15. Results showed that,% 61.8 of samples was readmitted to the hospital during the previous 6 months period. In addition, two individual factors [age and literacy level] and two disease related factors [NYHA class and having other disease] contributed to readmissions. Therefore, age and higher NYHA class and having co morbidities had direct and also literacy level indirect relationship with readmissions. The readmission rate of patients with congestive heart failure in this study was high. Therefore, attention to contributing factors is needed