[Home ] [Archive]    
:: Current Issue :: Search :: Submit an Article ::
:: Volume 11, Issue 1 (2019) ::
Iran J War Public Health 2019, 11(1): 41-47 Back to browse issues page
Correlation between Self-efficacy and Adherence to Therapeutic Regimen in Veterans with Spinal Cord Injury
N. Sedghi Goyaghaj *1, A.H. Pishgooie2, Sh. Ghorbani3, M. Basatin4, N. Azadehjoo5
1- Shefa Neurosciences Research Center, Khatam Alanbia Hospital, Tehran, Iran , Sedghi.Nurse@yahoo.com
2- Critical Care Nursing Department, Nursing Faculty, Aja University of Medical Sciences, Tehran, Iran
3- Nursing Department, Nursing & Midwifery Faculty, Ghazvin University of Medical Sciences, Ghazvin, Iran
4- Shefa Neurosciences Research Center, Khatam Alanbia Hospital, Tehran, Iran
5- Nursing Department, Nursing & Midwifery Faculty, Medical Branch of Tehran, Islamic Azad University, Tehran, Iran
Abstract:   (2397 Views)
Aims: Adherence to therapeutic regimen is one of the important factors in achieving therapeutic goals; prediction of effective factors affecting it, especially in patients with spinal cord injury, is very important due to the nature of the disease. This study aimed at determining correlation between self-efficacy and adherence to therapeutic regimen in veteran with spinal cord injury in Khatamolanbia Hospital in 2018.
Instruments and Methods: This study is a descriptive-correlational study, consisting of all veterans with spinal cord injury referring to Khatamolanbia Hospital, Tehran, in the first half of 2017. 200 veterans were selected, using available sampling method and based on inclusion criteria. To collect the data, we used 3 questionnaires, including demographic, Moorong’s self-efficacy scale (MSES) and Modanloo’s Adherence to Therapeutic Regimen questionnaires. The data were analyzed by SPSS19 software, using Smirnov-Kolmogorov, Pearson correlation, and multivariate regression.
Findings: Self-efficacy of veterans with spinal cord injury was 75.61±14.98 and adherence to therapeutic regimen was 77.04±11.14. There was a positive and significant correlation between self-efficacy and adherence to therapeutic regimen (p=0.008; r=0.214).
Conclusion: The self-efficacy of patients with spinal cord injury is directly and significantly correlated with their adherence to therapeutic regimen. It means that by increasing self-efficacy in these patients, their adherence to the prescribed therapeutic regimen is higher.
Keywords: Self-efficacy, Adherence to Therapeutic Regimen, Veterans, Spinal cord injury
Full-Text [PDF 388 kb]   (548 Downloads)    
Article Type: Original Research | Subject: Nursing Care for Veterans or Handicapped
Received: 2018/05/20 | Accepted: 2018/11/17 | Published: 2019/03/12
* Corresponding Author Address: Shefa Neurosciences Research Center, Khatam Alanbia Hospital, Rashid Yasemi Street، Upper than Mirdamad Street, ValiAsr Street, Tehran, Iran. Postal Code: 1334965617
English Expanded Abstract [HTML 26 KB]  (29 Download)
1. Nemati Sh, Saeidi Moghaddam M, Pirzadi H. Psychological consequences of the Iraqi war against Iran. Defamoghaddas. 2012;1(2):81-95. [Persian]
2. Access Economics Pty Limited, Victorian Neurotrauma Initiative, contributors. The economic cost of spinal cord injury and traumatic brain injury in Australia. Geelong: Victorian Neurotrauma Initiative; 2009.
3. Abdollahi M. The assessment of rate of utilizing rehabilitation services among spinal cord injured cases of Bam earthquake. J Qual Res Health Sci. 2012;11(1-2):1-6. [Persian]
4. Dehghan Nayeri N, Mohammadi S, Pedram Razi Sh, Arazi TM, Kazemnejad A. Effectiveness of family empowerment program on level of adherence to treatment regimens in stroke patients, a randomized controlled trial. Evid Based Care J. 2015;5(14):57-66. [Persian]
5. Ahrari Sh, Toghian Chaharsoughi N, Basiri Moghadam M, Khodadoost Sh, Mohtasham F. The relationship between depression and adherence to treatment regimens in patients with type 2 diabetes admitted to 22 Bahman hospital in Gonabad. Sci Res J Shahed Univ. 2015;22(117):71-7. [Persian]
6. Masror Roudsari D, Dabiri Golchin M, Parsa Yekta Z, Haghani H. Relationship between adherence to therapeutic regimen and health related quality of life in hypertensive patients. Iran J Nurs. 2013;26(85):44-54. [Persian]
7. Fisher JA, Mc Nelis MA, Gorgey AS, Dolbow DR, Goetz LL. Does upper extremity training influence body composition after spinal cord injury?. Aging Dis. 2015;6(4):271-81. [DOI:10.14336/AD.2014.0912]
8. Khalil RE, Gorgey AS, Janisko M, Dolbow DR, Moore JR, Gater DR. The role of nutrition in health status after spinal cord injury. Aging Dis. 2013;4(1):14-22.
9. Sabour H, Norouzia Javidan A, Vafa MR, Shidfar F, Nazari M, Athari Nik Azm S, et al. Dietary intake in people with spinal cord injury based on sex, obesity and injury related variable in brain and spinal injury repair research center. Iran J Epidemiol. 2011;7(1):51-9. [Persian]
10. Simms DC, Gibson K, O'Donnell S. To use or not to use: Clinicians' perceptions of telemental health. Can Psychol Psychol Can. 2011;52(1):41-51. [DOI:10.1037/a0022275]
11. Shamsi M, Tajik R, Mohammad Beigi A. Effect of education based on health belief model on self-medication in mothers refering to health centers of Arak. J Arak Univ Med Sci. 2009;12(3):57-66. [Persian]
12. Rifkin DE, Laws MB, Rao M, Balakrishnan VS, Sarnak MJ, Wilson IB. Medication adherence behavior and priorities among older adults with CKD: A semistructured interview study. Am J Kidney Dis. 2010;56(3):439-46. [DOI:10.1053/j.ajkd.2010.04.021]
13. Browne T, Merighi JR. Barriers to adult hemodialysis patients' self-management of oral medications. Am J Kidney Dis. 2010;56(3):547-57. [DOI:10.1053/j.ajkd.2010.03.002]
14. Salehi Z, Norouzi Tabrizi K, Hoseini MA, Sedghi Gouy Aghaj N, Soltani PR. The study of the correlation between medication adherence and quality of life of rheumatoid arthritis patients. J Clin Nurs Midwifery. 2017;6(2):1-13. [Persian]
15. Pasma A, Schenk C, Timman R, Van 't Spijker A, Appels C, Van Der Laan WH, et al. Does non-adherence to DMARDs influence hospital-related healthcare costs for early arthritis in the first year of treatment?. PLoS One. 2017;12(2):e0171070. [DOI:10.1371/journal.pone.0171070]
16. Kazemi S, Didarlo AR, Khalkhali HR, Feizi A. Studing the relationship between self-efficacy and dietary adherence in patients under hemodialisis. J Urmia Nurs Midwifery Fac. 2018;15(11):835-42. [Persian]
17. Hoseinzadeh T, Paryad E, Kazemnejad E, Asiri Sh. A study of self-efficacy in patients with coronary artery disease and predictors. Qom Univ Med Sci J. 2013;7(2):41-8. [Persian]
18. Fathi A, Khayer M, Atigh M. The relationship between self-efficacy and quality of life due to the mediating role of resilience in cardiovascular patients. J Psychol Models Methods. 2011;2:109-22. [Persian]
19. Ferla J, Valcke M, Cai Y. Academic self-efficacy and academic self-concept: Reconsidering structural relationships. Learn Individ Differ. 2009;19(4):499-505. [DOI:10.1016/j.lindif.2009.05.004]
20. Craig A, Tran Y, Middleton J. Psychological morbidity and spinal cord injury: A systematic review. Spinal Cord. 2009;47(2):108-14. [DOI:10.1038/sc.2008.115]
21. Middleton J, Tran Y, Craig A. Relationship between quality of life and self-efficacy in persons with spinal cord injuries. Arch Phys Med Rehabil. 2007;88(12):1643-8. [DOI:10.1016/j.apmr.2007.09.001]
22. Craig A, Wijesuriya N, Tran Y. The influence of self-efficacy on mood states in people with spinal cord injury. ISRN Rehabil. 2013;2013:232978.
23. Brooks J, Smedema SM, Tu WM, Eagle D, Catalano D, Chan F. Psychometric validation of the moorong self-efficacy scale in people with spinal cord injury: A brief report. Rehabil Couns Bull. 2014;58(1):54-7. [DOI:10.1177/0034355214523506]
24. Chen HY, Lai CH, Wu TJ. A study of factors affecting moving‐forward behavior among people with spinal cord injury. Rehabil Nurs. 2011;36(3):91-7. [DOI:10.1002/j.2048-7940.2011.tb00072.x]
25. Sweet SN, Martin Ginis KA, Tomasone JR. Investigating intermediary variables in the physical activity and quality of life relationship in persons with spinal cord injury. Health Psychol. 2013;32(8):877-85. [DOI:10.1037/a0032383]
26. Hampton NZ. Self-efficacy and quality of life in people with spinal cord injuries in China. Rehabil Couns Bull. 2000;43(2):66-74. [DOI:10.1177/003435520004300202]
27. Modanlo M. Designing and psychometric adaptation tools in chronic patients [Dissertation]. Tehran: Iran University of Medical Sciences; 2013. [Persian]
28. Poshtchaman Z, Jadid Milani M, Atashzadeh Shoorideh F, Akbarzadeh Bagheban AR. Assessing patient adherence to treatment after coronary artery bypass graft. J Sabzevar Univ Medl Sci. 2015;22(4):668-75. [Persian]
29. Rezai Asl H, Seyyed Mazhari M, Pishgooee SAH, Alhani. F. The effectiveness of "family-centered empowerment model" on the treatment adherence of patients with type II diabetes and heart disorder admitted to AJA hospitals, during year 2015. J Mil Caring Sci. 2017;4(1):58-69. [Persian]
30. Middleton JW, Tran Y, Lo C, Craig A. Reexamining the validity and dimensionality of the moorong self-efficacy scale: Improving its clinical utility. Arch Phys Med Rehabil. 2016;97(12):2130-6. [DOI:10.1016/j.apmr.2016.05.027]
31. Miller SM. The measurement of self-efficacy in persons with spinal cord injury: Psychometric validation of the moorong self-efficacy scale. Disabil Rehabil. 2009;31(12):988-93. [DOI:10.1080/09638280802378025]
32. Rajati F, Ghanbari M, Hasandokht T, Hosseini SY, Akbarzadeh R, Ashtarian H. Persian version of the moorong self-efficacy scale: Psychometric study among subjects with physical disability. Disabil Rehabil. 2017;39(23):2436-45. [DOI:10.1080/09638288.2016.1226404]
33. Shahinzadeh A, Elahi N, Jahani S, Hakim A. Relationship of personal-social and therapeutic factors with medication compliance in TB patients in Ahwaz. J Shahid Sadoughi Univ Med Sci. 2012;19(6):726-35. [Persian]
34. Gholamaliei B, Karimi Shahanjarini A, Roshanaei Gh, Rezapour Shahkolaei F. Medication adherence and its related factors in patients with type II diabetes. J Educ Community Health. 2016;2(4):3-12. [Persian] [DOI:10.21859/jech-02042]
35. Al-Noumani H, Wu JR, Barksdale D, Alkhasawneh E, Knafl G, Sherwood G. Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study. Sultan Qaboos Univ Med J. 2017;17(3):e329-33. [DOI:10.18295/squmj.2017.17.03.012]
36. Glombiewski JA, Nestoriuc Y, Rief W, Glaesmer H, Braehler E. Medication adherence in the general population. PLoS One. 2012;7(12):e50537. [DOI:10.1371/journal.pone.0050537]
37. Daniali SS, Darani FM, Eslami AA, Mazaheri M. Relationship between self-efficacy and physical activity, medication adherence in chronic disease patients. Adv Biomed Res. 2017;6:63. [DOI:10.4103/2277-9175.190997]
38. Heidari M, Fayyazi S, Borsi SH, Moradbeigi Kh, Akbari Nassaji N, Skandari Sabzi H. Relationship between self efficacy and clinical status indexes in chronic obstructive pulmonary disease. J Urmia Nurs Midwifery Fac. 2016;14(3):233-41. [Persian]
39. Esmaeil R, Ahmadi HR, Jannati Y, Khalilian AR, Espahbodi F. The relationship between perceived social support and self-efficacy with diet adherence among hemodialysis patient. Sci J Hamadan Nurs Midwifery Fac. 2013;21(3):59-67. [Persian]
40. Afkhami Ardakani M, Zare H, Alipour A, Poursharifi H, A'rab Sheibani Kh. Correlation between self efficacy, type D personality and health locus of control with control of blood sugar in patients with diabetes type II. J Shahid Sadoughi Univ Med Sci. 2013;20(6):805-13. [Persian]
41. Van Diemen T, Crul T, Van Nes I, SELF-SCI Group, Geertzen JH, Post MW. Associations between self-efficacy and secondary health conditions in people living with spinal cord injury: A systematic review and meta-analysis. Arch Phys Med Rehabil. 2017;98(12):2566-77. [DOI:10.1016/j.apmr.2017.03.024]
42. Náfrádi L, Nakamoto K, Schulz PJ. Is patient empowerment the key to promote adherence? a systematic review of the relationship between self-efficacy, health locus of control and medication adherence. PLoS One. 2017;12(10):e0186458. [DOI:10.1371/journal.pone.0186458]
43. Martos-Méndez MJ. Self-efficacy and adherence to treatment: The mediating effects of social support. J Behav Health Soc Issues. 2015;7(2):19-29. [DOI:10.5460/jbhsi.v7.2.52889]
44. Huang L, Li L, Zhang Y, Li H, Li X, Wang H. Self-efficacy, medication adherence, and quality of life among people living with HIV in Hunan province of China: A questionnaire survey. J Assoc Nurses AIDS Care. 2013;24(2):145-53. [DOI:10.1016/j.jana.2012.04.006]
45. Van Leeuwen CM, Post MW, Westers P, Van Der Woude LH, De Groot S, Sluis T, et al. Relationships between activities, participation, personal factors, mental health, and life satisfaction in persons with spinal cord injury. Arch Phys Med Rehabil. 2012;93(1):82-9. [DOI:10.1016/j.apmr.2011.07.203]
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sedghi Goyaghaj N, Pishgooie A, Ghorbani S, Basatin M, Azadehjoo N. Correlation between Self-efficacy and Adherence to Therapeutic Regimen in Veterans with Spinal Cord Injury. Iran J War Public Health. 2019; 11 (1) :41-47
URL: http://ijwph.ir/article-1-774-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 11, Issue 1 (2019) Back to browse issues page
مجله طب جانباز Iranian Journal of War and Public Health
Persian site map - English site map - Created in 0.05 seconds with 31 queries by YEKTAWEB 4374