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:: Volume 19, Issue 6 (Iranian South Medical Journal 2017) ::
Iran South Med J 2017, 19(6): 989-1004 Back to browse issues page
The Challenge of Adherence From Treatment-Care Regimens Among Patients With Chronic Diseases: A Qualitative Study
Hakemeh Vahedparast1, Esae Mohammadi 2, Fazllolah Ahmadi3
1- Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
Department of Nursing, School of Medical Sciences, Tarbiat Modares University Tehran, Iran
2- Department of Nursing, School of Medical Sciences, Tarbiat Modares University Tehran, Iran , mohamade@modares.ac.ir
3- Department of Nursing, School of Medical Sciences, Tarbiat Modares University Tehran, Iran
Abstract:   (4294 Views)

Background: Adherence from treatment-care regimens is very essential to achieve health promotion and improve quality of life as well as affordable healthcare. Nevertheless, broaden of chronic diseases is still growing in the world because of lack of adherence. Understanding the perceived challenges can facilitate planning to increase adherence. This study aimed to explain the perceived challenges in non-adherence from the prescribed regimen among patients with chronic diseases.

Materials and methods: This qualitative study was done in 2015 by using the conventional content analysis approach. Thirty four participants with the most common chronic diseases were recruited purposively and they were entered in the study. Data was collected through semi-structured interviews and simultaneously with data collection; a comparative analysis was conducted by using the conventional qualitative content analysis method.

Results: Four main themes extracted from the data included: flaw in the possibility of observing the recommended regimensafter  devotion for family; frustration in facing the conflict between work and recommended regimens; inability in self-adaption with the recommended regimens; broaden cost of prescribed regimens; and limiting and inductive enclosure of beliefs. These themes indicate the nature of challenges in personal, family, and social dimensions of patients with chronic diseases in terms of adherence with treatment regimen.

Conclusion: The findings show that the perceived challenges has special complexity and diversity. Although they are sometimes internal and personal, some others are external and beyound the will and control of individuals. Therefore, it is necessary that health system policy-makers and planners intervene and plan according to the nature, diversity, and complexity of these perceived barriers in order to facilitate in the adherence of patients process from the treatment care regimens.

Keywords: Adherence, Chronic diseases, Perceived Barriers, Treatment regimens, Qualitative Study
Full-Text [PDF 535 kb]   (1125 Downloads)    
Subject: Public Health
Received: 2016/12/27 | Accepted: 2016/12/27 | Published: 2016/12/27
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Vahedparast H, Mohammadi E, Ahmadi F. The Challenge of Adherence From Treatment-Care Regimens Among Patients With Chronic Diseases: A Qualitative Study. Iran South Med J. 2017; 19 (6) :989-1004
URL: http://ismj.bpums.ac.ir/article-1-847-en.html

Volume 19, Issue 6 (Iranian South Medical Journal 2017) Back to browse issues page
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