Background: Patients with ischemic heart disease (IHD) gradually reduce their follow-up treatment due to the vulnerable physical condition and high involvement with the disease-related treatment process. The purpose of this research was to investigate the effect of intervention based on the protection motivation theory (PMT) on treatment adherence in patients with IHD. Methods: This quasi-experimental research used a pretest-posttest design with a control group. The statistical population included all patients with IHD referred to the Payambar Azam hospital in Bandar Abbas, Iran for more than once between March 2019 and May 2020. A total of 16 patients were selected through the matched targeted sampling and randomly assigned into two equal groups of experimental and control (n = 8 each). The test group received an intervention based on the PMT in six 90-minute sessions within 45 days. We used the Modanloo Treatment Adherence Questionnaire (TAQ), and the data were analyzed using the analysis of covariance (ANCOVA) in the SPSS23 statistical software. Results: The results of ANCOVA showed that the intervention based on the PMT significantly increased the treatment adherence and its subscales in patients with IHD (P<0.001). Conclusion: Intervention based on the PMT can be used as an effective intervention to increase treatment adherence in patients with IHD, depending on proper nutrition training, self-care skills, awareness-raising, and relaxation exercises.
Background: Development of psychological skills can be used to improve physical illnesses. Pain management strategies are one of the most important psychological skills and strategies that can help improve the disease. We aimed to investigate the effectiveness of self-care education and mindfulness-based stress reduction therapy on pain management strategies in patients with rheumatoid arthritis (RA). Methods: The statistical population of the study included patients with RA referred to rheumatology centers in Isfahan, from which 30 people were selected as a sample. In the study, the effect of two interventions of self-care education and mindfulness-based stress reduction therapy on coping strategies was evaluated and compared. Results: The results showed that self-care training could have a significant effect on coping strategies (P=0.001). Mindfulness-based stress reduction therapy also had a significant effect on coping strategies (P=0.005) and comparing the effectiveness of two interventions showed that self-care training was significantly more effective than mindfulness-based stress reduction therapy on coping strategies in patients with RA. Conclusion: Self-care training was more effective than mindfulness-based stress reduction therapy on coping strategies, and in general, both interventions were able to improve coping strategies in patients.
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