Self-efficacy and compliance with treatment regimen in tuberculosis
Advances in Nursing & Midwifery,
Vol. 22 No. 77 (2013),
25 April 2013
,
Page 26-31
Abstract
Abstract
Background and aim
Tuberculosis is a major public health problem in the world, affecting 30% of the world’s
population. Treatment of tuberculosis is the most effective strategy to stop the spread of the
disease. However, non-adherence remains an important cause of treatment failure. It is believed
self-efficacy may affect patient’s compliance to treatment regimen. The purpose of this study is to
determine the correlation between self-efficiency and treatment compliance in tuberculosis patients
attending to medical centers of Kurdistan University of medical sciences Kudistan, Iran.
Materials and Method
A descriptive-correlational design was used. The sample of the study consisted of 161 tuberculosis
patients attending to health centers in Kurdistan province .Data were collected using a self efficacy
questionnaire and the review of patients' medical records. he validity of the questionnaires were
determined by 12 experts through the content validity and formal validity methods. The minimum
index of content validity for self-efficiency questionnaire was calculated to be 75.5 percent and that
of compliance was 83.5 percent. The reliability of the questionnaires was determined using the
Krunbach's Alpha-Test. The coefficient of reliability for self-efficiency questionnaire and
compliance questionnaire were 0.94 and 0.97 respectively. Data were analyzed using the SPSS 16
software.
Findings
The average age for patients was 58±12 years old. 61.5 percent of studied samples were male and
the rest were female. The amount of compliance by patients was moderate (average scores of
30.23) and correlated to age, marital status, job, income level, education and place of living but, its
relation to gender was not statistically significant. The amount of self-efficiency of the majority of
patients was moderate (41.6 percent) and it was also related to age, marital status, job, income
level, education and place of living but its relation to gender was not statistically significant. There
was a direct and strong correlation between self-efficiency and compliance (P<0.001, r=0.90).
Conclusion
The reason why the compliance level in this study has been higher with respect to the previous
similar studies could be due to the implementation of direct supervision and control system over
treatment. In this study there was a significant correlation between compliance and self-efficiency
which was in consistency with most studies in this field while in Hamilton (2000) no significant
correlation between the two variables was reported. Given that the correlation coefficient of
Pearson in this study is positive and close to 1 (P < 0.001, r = 0.90), it indicates a direct and strong
correlation between the two variables of self-efficiency and compliance.
Corresponding Author:
Zhila Abed Saeedi, Assistant professor Shahid Beheshti Department ofNursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences,
Tehran Iran
. Email: jilasaeedi@sbmu.ac.ir
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