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

• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Health-Related Quality of Life Based on EQ-5D Utility Score in Patients With Tuberculosis: A Systematic Review
  Hae-Young Park, Hyo-Bin Cheon, Sun Ha Choi, Jin-Won Kwon
  Frontiers in Pharmacology.2021;[Epub]     CrossRef
• Factors Associated with Medication Adherence among the Elderly with Chronic Diseases
  Sook Hee Kang, Eun Ko
  Korean Journal of Adult Nursing.2021; 33(2): 189.     CrossRef
• THE EFFECT VIDEO MEDIA PSYCHEDUCATION ON ANXIETY LEVELS AND SELF EFFICACY OF TUBERCULOSIS PATIENTS IN THE TREATMENT AT PARU CENTER RSUD CILACAP
  Rosi Arista
  Critical Medical and Surgical Nursing Journal.2020; 9(1): 34.     CrossRef

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

• Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
  Eunhee Jo, Su-Jin Lee, Sun Hee Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
• Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
  Da Eun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2023; 35(1): 23.     CrossRef
• Understanding health literacy of deaf persons with hypertension in South Korea: A cross-sectional study
  Gi Won Choi, Sun Ju Chang, Hee Jung Kim, Ha Na Jeong, Pracheth Raghuveer
  PLOS ONE.2023; 18(11): e0294765.     CrossRef
• Nutritional Value and Anti-inflammation Activity of Misutkaru with Added Gryllus bimaculatus Powder
  Jung-Soon Han
  Asian Journal of Beauty and Cosmetology.2021; 19(3): 467.     CrossRef
• Factors associated with health literacy among older adults: Results of the HLS-EU-Q16 measure
  Heeran Chun, Ju Yul Lee
  Korean Journal of Health Education and Promotion.2020; 37(1): 1.     CrossRef
• Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model
  Jeong Eun Sim, Seon Young Hwang
  Journal of Korean Academy of Community Health Nursing.2019; 30(4): 494.     CrossRef
• Factors Influencing Health Behavior Adherence in Middle and Old Aged Men Who Underwent Percutaneous Coronary Intervention
  Lee, Kyung Sim, Kyung Mi Sung
  The Korean Journal of Rehabilitation Nursing.2019; 22(2): 87.     CrossRef
• The necessary tasks for activating health literacy in Korea
  Ju Yul Lee
  Korean Journal of Health Education and Promotion.2019; 36(2): 23.     CrossRef
• Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients
  Young-Mun Cho, Yon-Hee Seo, Mee-Jeong Park
  Korean Journal of Adult Nursing.2018; 30(4): 437.     CrossRef
• Factors related to Coronary Artery Disease in Korean Adults: Based on the Korean National Health and Nutrition Examination Survey 2013~2015
  Sook Young Kim
  The Korean Journal of Rehabilitation Nursing.2018; 21(1): 33.     CrossRef
• Applicability of Sunsik with Cultivated Wild Ginseng Powder as a Beauty Food
  Sei-Woo Lee, Hyoung-Il Choi, Ae-Jung Kim, Jung-Soon Han
  Asian Journal of Beauty and Cosmetology.2018; 16(2): 201.     CrossRef
• Differences between Nurses and Patients' Perception of Nurses' Communication Skills
  Soonjoo Park
  Korean Journal of Adult Nursing.2017; 29(2): 166.     CrossRef