Trust in nurses and its association with medication adherence of cardiovascular patients: A descriptive correlational study

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2024-12-05 DOI:10.1016/j.ijnsa.2024.100278

Ebrahim Aliafsari Mamaghani, Ali Soleimani, Mohammad Zirak

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引用次数: 0

Abstract

Background

Medication adherence plays an important role in managing cardiovascular diseases. Trust in nurses may be effective in enhancing medication adherence in patients with cardiovascular diseases.

Aim

This study aimed to investigate the correlation between trust in nurses among cardiac patients and their medication adherence and explore the predictors of medication adherence.

Methods

This descriptive correlational design was conducted among "302″ cardiac patients hospitalized at Amir Al-momenin Teaching Hospital affiliated with Maragheh University of Medical Sciences. Data was gathered using a demographic characteristics questionnaire, Medication Adherence Scale, and Trust in Nurses’ Scale. Data was analyzed using descriptive (frequency, percentage, mean, standard deviation, median, and descriptive tables) and inferential (Kruskal-Wallis, Mann-Whitney, Spearman correlation coefficient, and quartile regression) statistics. Data was gathered from October 2023 to January 2024. The data was analyzed using SPSS software ver.21.

Findings

The mean and standard deviation of medication adherence and trust in nurses were 91.6 ± 6.9 and 10.5 ± 3.9, respectively. A significant positive correlation was found between trust in nurses and medication adherence(r = 0.61). There was a significant difference in medication adherence based on the type of disease. So that, the median medication adherence was the highest for coronary artery patients and the lowest for hypertensive patients. The results of quartile regression analysis showed that trust in nurses and type of disease are the main predictors of medication adherence (R² =20 %.)

Discussion and conclusions

The results indicated that medication adherence among cardiovascular patients was moderate and patients' trust in nurses was less than average. Considering the type of disease as an unmodifiable variable, trust in nurses was the main modifiable factor that plays an important role in increasing medication adherence of cardiovascular patients. Therefore, appropriate strategies such as teaching communication skills to nurses, and training and attracting interested individuals with high communication skills should be taken to enhance patients' trust in nurses.

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对护士的信任及其与心血管患者药物依从性的关系：一项描述性相关研究。

背景：药物依从性在心血管疾病的治疗中起着重要作用。对护士的信任可以有效地提高心血管疾病患者的药物依从性。目的：本研究旨在探讨心脏病患者对护士的信任与依从性的关系，并探讨依从性的影响因素。方法：对马拉赫医科大学附属Amir Al-momenin教学医院住院的302例″心脏病患者进行描述性相关设计。使用人口统计学特征问卷、药物依从性量表和护士信任量表收集数据。使用描述性统计（频率、百分比、平均值、标准差、中位数和描述性表）和推断性统计（Kruskal-Wallis、Mann-Whitney、Spearman相关系数和四分位数回归）对数据进行分析。数据收集时间为2023年10月至2024年1月。数据采用SPSS软件ver.21进行分析。结果：护士用药依从性和信任度的平均值为91.6±6.9，标准差为10.5±3.9。护士信任感与服药依从性呈显著正相关（r = 0.61）。基于疾病类型的药物依从性有显著差异。因此，冠状动脉患者的药物依从性中位数最高高血压患者最低。四分位数回归分析结果显示，对护士的信任和疾病类型是影响患者服药依从性的主要预测因素（R2 = 20%）。讨论与结论：结果表明，心血管患者的药物依从性一般，患者对护士的信任度低于平均水平。考虑到疾病类型是一个不可改变的变量，对护士的信任是增加心血管患者药物依从性的主要可改变因素。因此，应采取适当的策略，如向护士传授沟通技巧，培训和吸引有兴趣的高沟通技巧的个人，以增强患者对护士的信任。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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