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Objective:To explore the mediating effect of medication self-efficacy between perceived social support and compliance behavior in young patients with newly treated pulmonary tuberculosis under the Southern Xinjiang Model.Methods:A cross-sectional survey was conducted in Kashgar Tuberculosis Prevention and Control Institute Hospital and Tuberculosis Specialist Hospital of Hetian from January 2022 to April 2023. A total of 302 young patients with initial treatment of pulmonary tuberculosis in were selected as the research objects by convenience sampling method. The General Information Questionnaire, the Tuberculosis Compliance Behavior Rating Scale, Perceived Social Support Scale and Self-efficacy for Appropriate Medication Use scale were used to investigate, and the correlation analysis and mediating effect analysis were carried out.Results:The total scores of compliance behavior, self-efficacy and perceived social support were (119.09 ± 13.49), (23.48 ± 6.25) and (55.67 ± 11.33) respectively. All dimensions of medication self-efficacy and perceived social support were positively correlated with compliance behavior ( r values were 0.555 - 0.943, all P<0.01), and medication self-efficacy was positively correlated with perceived social support ( r = 0.981, P<0.01). Medication self-efficacy played a partial mediating effect between perceived social support and compliance behavior, accounting for 74.46% of the total effect. Conclusions:The medication self-efficacy of young patients with newly treated pulmonary tuberculosis is the mediating variable between perceived social support and compliance behavior. Medical staff should focus on and carefully evaluate the medication self-efficacy and perceived social support of patients, so as to give supportive intervention in time, so as to change or even reverse the non-compliance behavior and improve the compliance level of patients.
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Objective To evaluate the effect of mind mapping health education on the compliance behavior in patients with lumbar disc herniation (LDH) undergone surgery treatment.Methods A total of 68 LDH patients expected to surgery treatment were selected as objects of study,with 34 patients respectively in the control group and experimental group,the control group had undergone the nursing routine for LDH,while the experimental group had received the Mind-Map health education on the bases of routine care.Data were collected at the time point of admission to hospital,time to discharge,1 month and 6 months after discharge by the tools of questionnaire of the knowledge and LDH compliance and SF-36 scale.Results The scores of questionnaire of the knowledge for the experimental group at the time point of discharge,1 month and 6 months after discharge were (52.38 ± 6.99),(52.68 ± 7.87),(51.03 ±8.55) points,which were higher than those in the control group of (24.79 ± 3.33),(25.18 ± 2.87),(23.41 ±3.54) points,the differences were statistically significant (t =27.59,27.50,27.62,P＜ 0.01).The scores of compliance questionnaire for the experimental group at the time point of lmonth and 6 months after discharge were (71.47 ± 16.62),(66.82 ± 20.11) points,which were higher than those in the control group of (43.32 ± 17.70),(49.35 ± 14.17) points,the differences were statistically significant(t=28.15,13.82,P＜ 0.01).Within groups,the scores of SF-36 scale of each group at the point of 6 months after charge were higher than at the point of admission,the differences were statistically significant (t =2.53-11.41,P＜0.05).Among groups,the differences of SF-36 scale scores at the point of admission of two groups were not statistically significant (P＞ 0.05),while the SF-36 scale scores of experimental at the point of 6months after discharge were apparently higher than that of control group,and the differences were statistically significant (t =1.70-5.68,P＜ 0.05).Conclusions Mind mapping health education can broaden patients' knowledge to LDH,improve the compliance to medical stuff,thus promote the recovery of LDH and improve the quality of life.
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Objectives To study the status of medical compliance and the reason of non-medical compliance behavior of the Hui diabetics. Methods 121 Hui diabetics were recruited by convenient sampling, investigated by medical compliance questionnaire and interviewed by open questions about the reason of non-medical compliance behavior (e.g. drug therapy, diet therapy, sports therapy, self monitoring and periodic review). Results The mean score of the medical compliance behaviors was (32.69±8.64), and the overall rate of non-medical compliance was 95.9%(116/121) in Hui diabetics. Arranged by the rate of non-medical compliance in descending order, the five dimensions of medical compliance behaviors were sports therapy, self monitoring, periodic review, diet therapy and drug therapy in turn. The reason of non-medical compliance behavior mainly included the cognition of treatment, the economic conditions, job, minority customs and religion. Conclusions Non-medical compliance behaviors existed in five major diabetes therapies in the Hui diabetics. The patients and their families should be educated and conducted individually according to their specific situation to improve the medical compliance behavior.
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Objective To investigate the influence of WeChat on compliance of chronic obstructive drsease(COPD)patients after discharge.Methods Eighty COPD patients were divided into observation group and control group in equal number.The former received health education by WeChat, while the control group regular revisits.The two groups were compared in terms of the compliance in mediation and dieting as well as readmission.Result The rate of compliance in mediation and dieting in the observation group was significantly higher than that in the control and the rate of readmission significantly lower than that in the control group(P<0.05). Conclusion Health education by way of WeChat for COPD patients can enhance their compliance in medication and consolidate the curative effect.
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Objective To explore the effect of health belief model on compliance behavior of patients with PICC(peripherally inserted central catheter).Methods According to admission order,75 cases of PICC were divided into control group(n=36)and observation group(n=39).Patients in the control group received conventional health education and regular visits after discharge and besides the regular methods,patients in the observation group were intervened by health belief model for the compliance behavior.All patients of two groups were investigated with self-designed scale for compliance behavior.Result The compliance behavior of the observation group was better than that of control group with significant difference(P<0.05).Conclusion The health belief model of education can improve the compliance behavior of PICC patients after discharge from hospital.
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ObjectiveTo investigate the effect of follow-ups on medical compliance behaviors and quality of life of patients with gastroesophageal reflux disease (GERD).Methods One hundred GERD patients who were hospitalized in our department from June 2012 to June 2013 were divided into intervention group (n=50) and control group (n=50) according to the random number table. Both groups received the same drug treatment and conventional nursing during hospitalization.The control group received periodically outpatient follow-ups,while the intervention group received professional follow-ups by trained nurses after discharge from hospital. The compliance behaviors and quality of life in these patients were assessed and statistically analyzed after 6 months nursing intervention or outpatient follow-up.Results With the implement of follow-up in patients with GERD,the intervention group was better than the control group in compliance behaviors,including the decrement of smoking and drinking,strong tea,coffee,having midnight snack and spicy food (P<0.05),but there was no difference in the behavior of staying-up between the two groups.Concerning the quality of life,the intervention group was significantly better than the control group in the 6 items excluding the physical and physiological functions (P<0.05).Conclusion Professional follow-ups can improve compliance behavior and quality of life of GERD patients.
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Objective To explore the effect of health education strategies on compliance medical behavior and self management in patients with type 2 diabetes. Methods Choose type 2 diabetic patients 80 cases,were randomly divided into intervention group and control group,40 cases in each group, the control group received routine treatment and symptomatic care, the intervention group on based on the control group taken health education strategies, before and after the fasting blood glucose,2 h postprandial blood glucose test results,and the compliance rate of patients between two groups after treatment,diet management, sports management,drug management and self monitoring scale were compared between two groups of patients. Results Before treatment,the fasting and postprandial and 2 h glucose of two groups of patients had no statistical significance(P>0.05). After treatment,fasting and 2 h postprandial blood glucose decreased significantly than before treatment, and the fasting and 2 h postprandial blood glucose of intervention group compared with the control group decreased more significantly, the difference was statistical significant(P<0.05),the not compliance rate of patients in the intervention group after the treatment was 5.0%,the not compliance rate of con-trol group after treatment was 25.0%,the difference was statistically significant between two groups(P<0.05). Compli-ance rate of patients in the intervention group after the treatment was 95.0%,was significantly higher than the control group's compliance rate (75.0%),the difference was statistically significant(P<0.05).Intervention group patients after diet management,sports management,medicine management and self monitoring management scores were significantly higher than those in the control group,the difference was statistically significant between two groups(P<0.05). Conclu-sion Health education strategies help to lower blood sugar levels in patients with type 2 diabetes,improve patient com-pliance rate,and improve the level of self management.
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ObjectiveTo probe into the clinical application effect of continuity care model in stroke patients. Methods58 patients with stroke in our hospital during June 2008 to June 2011 were selected.According to block randomization method,the selected patients were divided into the study group and the control group with 29 patients in each group.The control group received routine care interventions,while patients in the study group was given routine care interventions plus continuity care model.Activities of daily living,compliance behavior,quality of life,nursing satisfaction degree and other related indicators of patients in two groups were comparatively analyzed. ResultsCompared with the control group,the activities of daily living of the study group at discharge did not show significant differences,while 1 month,3 months,6 months after discharge,the activities of daily living was significantly increased.Regular medication,exercise time,timely return visit,proper diet and other indicators of compliance behaviors were significantly improved.The quality of life score did not show significant differences at discharge,while 3 months after discharge,the quality of life score were significantly higher in the study group than that of the control group.The satisfaction degree of patients was significantly higher in the study group than that of the control group. ConclusionsApplication of continuity care model in stroke patients can improve activities of daily living,compliance behavior,quality of life,satisfaction degree with nurses.It's worthy of further clinical application and promotion.
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Objective To investigate the factors influencing compliance behavior and treatment effect of glaucoma patients, and explore evidence-based nursing on compliance behavior and treatment effect of these patients. Methods 110 subjects with glaucoma were enrolled from Tangshan Gongren hospital. The subjects were randomly divided into the experimental group and the control group with 55 patients in each. The experimental group accepted evidence- based nursing while the control group accepted traditional nursing. The percentage of compliance behavior and treatment effect were statistically analyzed. Results The percentage of compliance behavior and treatment effect of the experimental group was better than the control group. Conclusions Evidence-based nursing played an important role on compliance behavior and controlling the intraocular pressure in patients with glaucoma.
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Objective To discuss the influence of establishment of special nursing clinic on medical compliance behavior of diabetic patients. Methods We randomly selected outpatients from the endocrine department and special nursing clinic as the control group and the observation group with 100 cases in each group respectively. The condition of medical compliance behavior and blood glucose control was observed and compared in the two groups. Results The patients visiting special nursing clinic were better in medical compliance behavior and blood glucose control. Conclusions Establishment of special nursing clinic for diabetic outpatients can improve the medical compliance behavior, satisfying the requirement for disease knowledge, enhance the shaping of healthy behavior and facilitate the control of disease progress.
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ObjectiveTo improve the compliance behavior of discharged patients with chronic obsturctive pulmonary disease(COPD)by health education of telephone visit.Methods240 COPD patients were divided randomly into the experimental group and the control group with 120 cases in each group.The experimental group accepted telephone visit regularly for six months after 1 week since discharged from hospital and the control group did not receive any intervention.Six months later,the compliance behavior and the readmission of two groups were compared.ResultsThe results indicated that the compliance behavior of the experimental group was significantly better than that of the control group (P<0.01).ConclusionsConducting the health education of telephone visit can strengthen the patients' compliance behavior,postpone the process of disease,prevent complications,lighten economic burden and improve their life quality.
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Objective To investigate the effects of health education on enhancing the compliance behavior of patients with diabetes mellitus (DM). Methods 63 DM patients were provided with systemic health education during their staying in the hospital. A follow-up interview was performed at the 6th month of discharge to gather the information of how importance of compliance behavior on the prognosis of DM. Result After the systemic health education, the patients could take medicine on time and had a good behavior in daily life, which will effectively improved their quality in the future life.Conclusion Systemic the health education can improve the compliance behavior of patients, and thus directly affects the prognosis of DM.