Dr Azra Zebardast, Dr Sajjad Rezaei, Mrs Fatemeh Rezvandel-Ramzi,
Volume 15, Issue 4 (2-2022)
Abstract
| One of the main challenges in treating chronic disease is patients' adherence to treatment instructions. The aim of this study was to determine the mediating role of resilience in the relationship between attachment styles and treatment adherence in patients with chronic disease. The research design was descriptive-correlational. The statistical population included all patients with diabetes and hypertension in Guilan province in 2020. A sample of 399 people were selected by purposive sampling method. Data were collected through the Collins and Reed's Adult Attachment Scale (RAAS), the Connor-Davidson Resilience Scale(CD-RISC), and the Modanloo Adherence to Treatment Questionnaire. Data processing was performed using path analysis technique in AMOS-24 software setting and bootstrap analysis in Macro program of Preacher and Hayes (2008). There was a significant direct relationship between adherence to treatment with resilience and secure and avoidant attachment style(p<0.01). However, there was no relationship between adherence to treatment and ambivalent attachment(p>0.05). The fit of the mediator model was improved after deleting the two non-significant paths and it was obtained a good fit by releasing the covariance error between the ambivalent attachment and the secure and avoidant attachment (CFI=1.00, RMSEA=0.086). Bootstrap analysis revealed that resilience mediates the associations between endogenous and exogenous variables. The coefficient of determination in the final model demonstrated that all exogenous and mediating variables predict 21% of the changes in the adherence to treatment. Resilience and attachment pattern are important in patients' adherence to the treatment procedure and it is suggested that skills and strategies for coping with the disease stress and increasing the capacity to adaptive coping to life-threatening conditions be included in the treatment program of patients with chronic diseases. |
Miss Maryam Habibpour Dehkordi, Ph.d Azra Zebardast, Ph.d Sajjad Rezaei,
Volume 20, Issue 2 (Volume20 Issue 2 2023)
Abstract
The present study was conducted to investigate the role of meaning in life and time perspective in predicting treatment adherence of cardiovascular patients with a history of angiography. The research design is descriptive. The population included all cardiovascular patients with a history of angiography referred to Shahid Chamran Cardiac Hospital of Isfahan in 1402. The sample included 169 patients with a history of angiography who were selected purposefully. For collecting data, questionnaires about treatment adherence Seyed Fatemi et al (2017), time perspective Zimbardo and Boyd's (1999), meaning in life Steger et al (2006) were used. The results showed that dimensions of meaning in life and dimensions of time perspective have a significant relationship with adherence. The results of the hierarchical multiple regression analysis showed that the dimensions of meaning in life explain 46% of the variance of treatment adherence. These findings show that treatment adherence is influenced by meaning in life and time perspective. Therefore, it is possible to develop educational programs based on meaning in life and to adjust the time perspective to increase treatment adherence of cardiovascular patients who have been diagnosed at risk using an angiography diagnostic test to prevent the worsening of the disease through secondary prevention.
