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Zahmatkeshan, Nasrin, Rakhshan, Mahnaz, Zarshenas, Ladan, Kojuri, Javad, Khademian, Zahra. (1400). The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study. سامانه مدیریت نشریات علمی, 9(3), 225-237. doi: 10.30476/ijcbnm.2021.88987.1563
Nasrin Zahmatkeshan; Mahnaz Rakhshan; Ladan Zarshenas; Javad Kojuri; Zahra Khademian. "The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study". سامانه مدیریت نشریات علمی, 9, 3, 1400, 225-237. doi: 10.30476/ijcbnm.2021.88987.1563
Zahmatkeshan, Nasrin, Rakhshan, Mahnaz, Zarshenas, Ladan, Kojuri, Javad, Khademian, Zahra. (1400). 'The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study', سامانه مدیریت نشریات علمی, 9(3), pp. 225-237. doi: 10.30476/ijcbnm.2021.88987.1563
Zahmatkeshan, Nasrin, Rakhshan, Mahnaz, Zarshenas, Ladan, Kojuri, Javad, Khademian, Zahra. The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study. سامانه مدیریت نشریات علمی, 1400; 9(3): 225-237. doi: 10.30476/ijcbnm.2021.88987.1563

The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study

International Journal of Community Based Nursing & Midwifery
مقاله 5، دوره 9، شماره 3 - شماره پیاپی 35، مهر 2021، صفحه 225-237    اصل مقاله (411.53 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2021.88987.1563
نویسندگان
Nasrin Zahmatkeshan1؛ Mahnaz Rakhshan1؛ Ladan Zarshenas2؛ Javad Kojuri3؛ Zahra Khademian* 1
1Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
2Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: Non-adherence complicates the management of patients with cardiovascular disease. This study aimed to determine the effect of applying the information-motivation-behavioral skills (IMB) model on the treatment adherence among these patients.
Methods: This quasi-experimental study was conducted on 112 patients with cardiovascular disease in Nemazee and Al-zahra hospitals in Shiraz, Iran, from October 2019 to July 2020. Eligible patients were selected and divided into intervention and control groups. The intervention was based on an integration of IMB model constructs and included 10 motivational-educational sessions for three months, followed by telephone consultations for six months. Data were collected before, and three and six months after the end of the motivational-educational sessions using adherence questionnaire in patients with chronic diseases, and adherence in chronic disease scale for medication adherence. Data were analyzed using SPSS 22, and descriptive statistics, chi-square, independent t-test, and repeated measure ANOVA were performed. P<0.05 was considered significant.
Results: The intervention and control groups were homogenous based on demographic characteristics. Repeated measure ANOVA findings revealed an increasing trend in the mean scores of the intervention group in treatment adherence from 51.10±3.20 at baseline to 66.40±5.50 three months and 73.80±6.80 six months after the end of the intervention (P<0.001). Furthermore, based on repeated measure ANOVA findings, the mean score of the intervention group in medication adherence significantly increased from 20.10+3 at baseline to 24.10+2.40 three months and 24.50+3.20 six months after the end of the intervention (P<0.001).
Conclusion: Applying the IMB model promoted adherence to treatment and medication among patients with cardiovascular disease. Therefore, such interventions are recommended for these patients.
کلیدواژه‌ها
Cardiovascular diseases؛ Psychological Model؛ Educational Model؛ Medication adherence؛ Treatment adherence
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