Abstract

PURPOSE
The purpose of this study was to identity factors affecting patient adherence and to develop an explanatory model for patient adherence in patients with spinal cord injury. 8 variables that were based on the previous research and a review of literature were used to construct hypothetical model. Social support, economic status, perceived barrier, patient provider relationship and rehabilitation related knowledge were the exogenous variables, depression, self-efficacy and patient adherence were the endogenous variables.
METHODS
Data form 117 patients with SCI were analysed to test the hypothetical model, using SAS and LISREL 8.53 program.
RESULTS
The overall fitness of the model was good (GFI=.991, AGFI=.915, NNFI=1.299, NFI=.953, p=.632) Depression, powerlessness, economic status were the strong factors influencing patient adherence. Powerlessness was significant factors for self-efficacy.
CONCLUSION
To improve of patient adherence should focus on nursing intervention for depression, powerlessness and economic status.

• Keywords: Spinal cord injury; Patient; Rehabilitation; Patient adherence