Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Helvaci, Aylin; İzgü, Nur; Özdemir, Leyla

doi:10.1111/jocn.15251

Cited by 10 publications

(21 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there are no studies on resilience interventions for patients with COPD. Both previous studies and the present study found that spiritual health in patients with COPD was at an intermediate level [ 27 , 78 , 79 ]. One study found that spiritual health scores in patients with COPD were similar to those of lung cancer patients and could be further improved [ 79 ].…”

Section: Discussionsupporting

confidence: 55%

“…The Function Assessment of Chronic Illness Therapy-Spiritual Scale (FACIT-SP-12) was used to assess the spirituality of COPD patients [ 27 , 28 , 47 ]. The scale contained 3 dimensions of peace, meaning, and faith, with 12 entries.…”

Section: Methodsmentioning

confidence: 99%

“…People with high spiritual health are able to have a high sense of self-efficacy [ 22 , 23 ], cope positively with illness, and adopt health-related behaviors and lifestyles that contribute to self-management [ 16 , 24 , 25 , 26 ]. Helvaci et al [ 27 ] showed a significant positive correlation between spiritual health and medication adherence in COPD patients. Mendes et al [ 28 ] found that COPD patients with high levels of spiritual health showed less anxiety and depression, as well as better emotional functioning and disease control, suggesting better emotional management.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Resilience as a Mediator of the Association between Spirituality and Self-Management among Older People with Chronic Obstructive Pulmonary Disease

et al. 2021

View full text Add to dashboard Cite

This study examined the mediating effect of resilience in the relationship between spirituality and self-management among older people with chronic obstructive pulmonary disease (COPD). The participants were 151 older people with COPD in four general hospitals in Jiangsu Province, China. Data were collected from September 2020 to May 2021 using a questionnaire developed by the investigator, the Function Assessment of Chronic Illness Therapy-Spiritual Scale (FACIT-SP-12), 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and COPD Self-Management Scale (CSMS). One-way ANOVA and t-test were used to compare the level of self-management in patients with different sociodemographic and clinical characteristics. Partial correlation analysis was used to explore the correlation between spirituality, resilience, and self-management. Hierarchical multiple regression analyses were performed to examine the contribution of spirituality and resilience to the prediction of self-management. A bootstrapping test was implemented using the SPSS PROCESS macro to test the statistical significance of the mediating effect. There was a pairwise positive correlation between spirituality, resilience, and self-management. Resilience mediated the relationship between spirituality and self-management. These findings suggested that resilience interventions could be incorporated into future COPD self-management interventions to better improve self-management and health outcomes. Moreover, resilience should be an important component of healthy aging initiatives.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Resilience as a Mediator of the Association between Spirituality and Self-Management among Older People with Chronic Obstructive Pulmonary Disease

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Finally, considering the effects of treatment-related factors on medication adherence, it was found in this study that patients who had been diagnosed with COPD for a longer duration had higher medication adherence levels. Previous studies had found inconsistent results for the effect of the duration of chronic diseases on medication adherence (Helvaci et al, 2020;Jarab & Mukattash, 2019). However, other studies had found that patients with a longer duration of the disease were more inclined to accept the nature of the disease, treatment regimens and lifestyle changes, and those conditions might have increased medication adherence (Boratas & Kilic, 2018).…”

Section: Discussionmentioning

confidence: 99%

Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease

Aldan

Helvaci

Özdemir

et al. 2021

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

Aims and Objectives:This study aimed to investigate the effects of socioeconomic-, patient-, treatment-, condition-and health system-related factors on medication adherence in patients with chronic obstructive pulmonary disease (COPD).Background: Medication adherence is essential for the management of chronic diseases. The World Health Organization created a Multidimensional Adherence Model (MAM) and showed that medication adherence is affected by a combination of numerous factors.Design: A descriptive correlational study was conducted.Methods: A total of 114 patients with COPD were included. Data were collected on five dimensions based on the MAM framework. Medication adherence, self-efficacy and symptoms were evaluated using the Adherence to Refills and Medications Scale-7 (ARMS-7), COPD Self-Efficacy Scale (CSES) and COPD Assessment Test (CAT), respectively. The data were analysed using descriptive statistics, correlational statistics and structural equation modelling. The STROBE checklist was used. Results:The ARMS-7 scores were associated with the body mass index of patients (F = 4.245, p = .017), smoke pack-years (r = .277, p = .004) and the CSES total score (β = -0.249, p = .002) in patient-related factors. The ARMS-7 score was not associated with socio-economic and health system-related factors. The ARMS-7 score showed a significant correlation between COPD diagnosis duration (r = −.276, p = .003) and the total number of drugs (r = −.215, p = .022) in treatment-related factors. The ARMS-7 scores were associated with the number of comorbid illnesses of patients with COPD in condition-related factors (F = 3.533, p = .033). Conclusion:This study showed that medication adherence in COPD was mostly affected by patient-, treatment-and condition-related factors.Relevance to clinical practice: Healthcare professionals should establish training and counselling programs to increase the medication adherence level of patients, particularly for patients who are newly diagnosed, require multiple drugs and have comorbid diseases or low self-efficacy.

show abstract

“…Incorporating the uniqueness of each client's situation into the daily routines of the health professional, leads to increased well-being and satisfaction [40]. Well-being and satisfaction promote improved adherence and selfmanagement behaviors in people with chronic health issues [41][42][43]. Therefore, it is necessary for a health professional to have insight in the client's perspectives.…”

Section: Overall Findingsmentioning

confidence: 99%

Perspectives of older adults with a chronic condition on functioning, social participation and health: a qualitative study

et al. 2021

View full text Add to dashboard Cite

Background Problems with mobility, functioning and social participation make living independently difficult for frail older adults. To continue living independently, therapy adherence is a prerequisite. The causes for non-adherence among older adults are multiple and complex, which is why insight into older adults’ perspectives regarding their functioning is an essential factor to increase therapy adherence. This study investigates the perspectives of older adults on their functioning, social participation and health, and the factors influencing these elements. Methods We conducted a qualitative study on the older adult’s perceived functioning, social participation and health. Fourteen home-dwelling older adults suffering from chronic health issues were purposively selected. Semi-structured interviews were conducted with open-ended questions. Data were analysed following the Basic Logical Model of Abduction and Creswell’s coding method. Results Assistive devices, the older adult’s dwelling and living environment, professional and informal support, and medication are perceived as important determinants for retaining functioning and social participation. Attitude, social influence and personal effectiveness were found to influence whether a person performs or participates in an activity. A person’s attitude is related to the significance the activity has to that person, the activity’s importance, personal wellbeing, the person’s values, and their desire for autonomy. Peers and children have a social influence on the level of activity of the older person. Traditions, in particular religious activities, along with personal effectiveness are motivating factors determining whether a person performs or participates in an activity. Personal effectiveness is linked to the person’s belief in their personal competencies and to the relationship between effort and result. Finally, it appears that the type of coping strategy the older adult adopts, has an influence on their behavior. The participating older adults often used remarkable problem-focused strategies, which had a positive effect on their level of autonomy. Conclusions Older adults have identified barriers and facilitators that influence their level of functioning and social participation. These findings help to create a framework for maintaining and increasing therapy adherence, which may be helpful in facilitating occupational therapists and other healthcare professionals to detect determinants of therapy adherence.

show abstract

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Cited by 10 publications

References 49 publications

Resilience as a Mediator of the Association between Spirituality and Self-Management among Older People with Chronic Obstructive Pulmonary Disease

Resilience as a Mediator of the Association between Spirituality and Self-Management among Older People with Chronic Obstructive Pulmonary Disease

Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease

Perspectives of older adults with a chronic condition on functioning, social participation and health: a qualitative study

Contact Info

Product

Resources

About