Advances in Nursing & Midwifery

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:

Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences,

Tehran Iran

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