Eun Young Jung | 2 Articles |
PURPOSE
This study aimed to explore medication adherence and its related factors, stigma, self-efficacy, and sense of coherence in patients with tuberculosis. METHODS A cross-sectional survey was conducted with a convenience sample of 130 adult outpatients with tuberculosis at a university hospital in Busan during from May 1 to August 21, 2017. The data were collected using structured questionnaires comprising research instruments measuring medication adherence, stigma, self-efficacy, and sense of coherence and face-to-face interviews and medical records for treatment delays and participant characteristics. The SPSS/WIN 22.0 program for descriptive statistics, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data. RESULTS The mean score for medication adherence was 4.86±1.48. The factors related to medication adherence in adult outpatients with tuberculosis were stigma (β=−.23, p=.004), self-efficacy (β=.20, p=.036), perceived family support (β=.19, p=.012), and alcohol (β=−.19, p=.021), which explained 38.9% of the variance in medication adherence. CONCLUSION The study results suggest that a nursing intervention must be designed to reduce stigma, improve self-efficacy, promote family support, and stop alcohol consumption in order to enhance the medication adherence in adult patients with tuberculosis. Efforts need to educate and encourage tuberculosis patients to adhere strictly to their drugs and conduct various campaigns against the negative perception of tuberculosis. Citations Citations to this article as recorded by
PURPOSE
The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease. METHODS A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance. RESULTS The average linguistic health literacy score was 32.23+/-21.46, the functional health literacy score was 6.51+/-5.08, and the health behavior compliance score was 61.66+/-15.53. The levels of education (beta=.35), income (beta=.27), and perceived health status (beta=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (beta=.23), income (beta=.27), age (beta=-.24), and family support (beta=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (beta=.27), family support (beta=.20), and linguistic health literacy (beta=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance. CONCLUSION Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease. Citations Citations to this article as recorded by
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