Determinants of adherence to tuberculosis treatment in Iranian patients: Application of health belief model
Determinants of adherence to tuberculosis treatment in Iranian patients: Application of health belief model
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DOI：
10.3855/jidc.9653
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发表时间：
2018-09-01
影响因子：
1.9
通讯作者：
Salahshour, Vahid Naseri
中科院分区：
文献类型：
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作者：
Azizi, Nemat;Karimy, Mahmood;Salahshour, Vahid Naseri
导言：坚持结核病治疗是结核病控制的一个重要问题，具有关键的健康后果。确定与这种坚持有关的因素也很重要。本研究的目的是利用健康信念模型（HBM）确定与结核病治疗依从性相关的因素。方法：采用普查方法共招募了297名结核病患者。所有患者匿名完成了一份包含40个问题的调查表格。问卷是基于健康信念模型开发的。通过访谈和问卷调查以及观察医疗记录和医疗绩效检查清单中使用的医疗卡来收集数据。结果：参与者包括159名男性和138名女性，平均年龄为56.8岁（19-72岁）。结果显示，感知威胁、益处、障碍和自我效能等变量占治疗依从性方差的42%。研究发现，最能预测依从性的因素是自我效能感。结论：HBM似乎是预测结核病患者治疗依从性的合适模型。我们的研究结果强调了自我效能感在治疗依从性中的中心地位，健康教育者在制定激励患者坚持治疗的计划时应该考虑到这一点。
Introduction: Adherence to TB treatment is an important issue for TB control, with key health consequences. Identification of the factors associated with that adherence is also important. The objective of this study was to identify factors associated with adherence to tuberculosis treatment, using the health belief model (HBM).Methodology: Overall 297 TB patients were recruited to the study using the census method. All patients completed a 40-question survey form anonymously. The questionnaire was developed based on the Health Belief Model. Data collection was carried out through interviews and questionnaires, as well as observing medical records and medical cards to be used in medical performance checklists.Results: The participants comprised 159 men and 138 women with an average age of 56.8 years (range 19-72 years). The results showed that the variables of perceived threat, benefits, barriers, and self-efficacy accounted for 42% of the variance in therapeutic adherence. The strongest predictor of adherence was found to be self-efficacy.Conclusion: HBM appears to be a suitable model in predicting therapeutic adherence in TB patients. Our results emphasize the centrality of self-efficacy in treatment adherence, that health educators should consider when developing programs to motivate patients to adhere to treatment.