Modern Care Journal最新文献

{"title":"Swimming Training and Nanoformulation of Traditional Herbal Medicines Recovered Sensory-Motor Impairment by Modulating the Molecular Signaling Pathway in Rat Brain Tumor Models","authors":"Fariba Farajizadeh, F. Taghian, Khosro Jalali Dehkordi, Rezvan Mirsafaei Rizi","doi":"10.5812/modernc-131461","DOIUrl":"https://doi.org/10.5812/modernc-131461","url":null,"abstract":"Background: Glioblastoma (GBM) is one of the most aggressive tumors, health-threatening, and resistant to available treatment approaches for people worldwide. Objectives: This study aimed to evaluate effects of swimming training and a supplement comprising four nanoliposome herbal extracts in a rat model with mid-brain tumor. Methods: In this experimental study, 56-male-Wistar rats (230 ± 20 g) were divided into eight groups (n = 7): Normal group, model group, model + exe group, model + lipo, model + extract, model + lipo-extract, model + extract-exe, model + lipo-extract + exe. Mid-brain tumor model was induced by injection of the C6 glioma cell line (5 × 105 cell suspension) using stereotaxic techniques in the substantia nigra area of rats. Consumption of nanoformulation of herbals extract (100 mg/kg/day), crude extract (100 mg/kg/day), and swimming training (30 min, 3 days/week) were performed for six weeks. P53, Hras, IL-10, and Casp8 were studied by bioinformatics analysis. We assessed the relative expression of genes in the mid-brain tumor via the quantitative Real-Time PCR (qRT-PCR) method. Beam test and sciatic functional index assessed nerve function and motor coordination. Results: In-silico analysis highlighted substantial genes with significant differential expression compared to healthy status as biomarkers in pathogenesis conditions. The expression level of the P53 and Hras increased with swimming training and nanoliposomes enriched complex complement. Besides, the expression of the IL-10 and Casp8 decreased with swimming training and nanoliposomes enriched complex complement. Conclusions: Our findings show that swimming training and nanoliposome-enriched combined supplements in rats can possibly be considered effective complementary medicine for motor impairment recovery induced by the brain tumor in the substantia nigra area.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86733197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Nomophobia Levels and Personality Traits of Nursing Students: A Multicenter Study","authors":"Nesibe Gunay Molu, S. İçel, Arzu Aydoğan","doi":"10.5812/modernc-132269","DOIUrl":"https://doi.org/10.5812/modernc-132269","url":null,"abstract":"Background: Nomophobia, short for no mobile phobia, is the fear of being without a smartphone. Nomophobia is common, especially in the young population, with an increase in the use of technology in society. Objectives: This study aimed to determine the nomophobia levels of nursing students and the relationship between nomophobia and personality traits. Methods: This multicenter, descriptive, and relational study was carried out in three different universities. The students were reached via the Web-Anket application within June to July 2021. The nursing department students in Turkey (n = 818) constituted the research population. No sample selection was performed in the study, and all students who accepted to participate and met the inclusion criteria were included in the study. The study was conducted on 424 nursing students. The data were collected via an online personal information form, Nomophobia Questionnaire, and 10-Item Personality Inventory (TIPI). Percentage, mean ± standard deviation, analysis of variance, and Pearson correlation coefficient tests were used to analyze the data. Results: The mean age of the participants was 20.5 ± 1.8 years. Moreover, 84.7% of the participants were female. Additionally, 93.2% of the subjects lived with their parents, and 63.0% reported that the monthly income of the family was equal to monthly expenditures. It was shown that 31.1% of the students had mild nomophobia; nevertheless, 52.6% and 16.3% of the students had moderate and severe nomophobia, respectively. The total nomophobia score was observed to be 74.17 ± 25.53. The TIPI subdimensions’ mean scores were 9.87 ± 2.29, 8.83 ± 2.33, 8.66 ± 2.82, 10.66 ± 2.65, and 9.34 ± 3.04 for openness to experience, agreeableness, emotional stability, conscientiousness, and extroversion, respectively. This study revealed that students’ smartphone usage purposes and personality traits were related to their nomophobia levels. Conclusions: More than half of the nursing students had a moderate level of nomophobia. There is a relationship between the purpose of smartphone use and students’ personality traits with their nomophobia levels.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89606993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Occupation, Ejection Fraction, and Comorbidity Factors with Quality of Life in Heart Failure Patients: A Cross-Sectional Study in Indonesia","authors":"Cut Husna, Halfiah Halfiah, M. Marlina","doi":"10.5812/modernc-132251","DOIUrl":"https://doi.org/10.5812/modernc-132251","url":null,"abstract":"Background: Heart disease causes functional disorders that can cause the sufferer to experience fatigue and dyspnea, leading to low quality of life. Various factors related to the quality of life of heart failure patients include occupation and ejection fraction. The number of heart failure patients treated at Aceh government hospital is still high in 2021, as well as the incidence of recurrent hospitalization. Objectives: This study aimed to determine the relationship between occupation, ejection fraction, and heart failure patients' quality of life. Methods: The study used a quantitative research approach with a cross-sectional design. The sample was 154 heart failure patients who visited the Cardiac Polyclinic of a provincial hospital in Banda Aceh, Indonesia. Data on patient occupation, ejection fraction, and comorbidity factors were obtained from the sociodemographic and clinical characteristics of the respondents. Then, the patient’s quality of life was measured by the Minnesota Living with Heart Failure (MLHF) questionnaire. The chi-square test and logistic regression (with a significance level α = 0.05) were used in data analysis in this study. Results: The results of the study found a significant direct correlation between patient occupation (P = 0.001), ejection fraction (P = 0,001), and an inverse correlation of comorbidity factors (P = 0.001) with quality of life (α = 0.05). The multivariate analysis using logistic regression found that the dominant factor, ejection fraction, was associated with the quality of life of heart failure patients with OR: 12.033, followed by comorbidity factors (OR: 3.565) and occupation (OR: 1.819). Conclusions: The quality of life of heart failure patients is strongly associated with the ejection fraction in heart failure patients; therefore, maintaining the ejection fraction is needed to improve the quality of life.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79251148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Stressors in Parents of Premature Neonates Hospitalized at NICU of Ali-Ibn-Abitaleb Hospital of Rafsanjan, Iran, in 2021: A Cross-sectional Study","authors":"Narjes Soltani, R. Derakhshan, A. Moghadam, T. Sadeghi","doi":"10.5812/modernc-131902","DOIUrl":"https://doi.org/10.5812/modernc-131902","url":null,"abstract":"Background: The hospitalization of premature neonates in the neonatal intensive care unit (NICU) is very stressful for parents. Objectives: This study aimed to assess the stressors in parents of premature neonates hospitalized at the NICU in Ali-Ibn-Abitaleb Hospital of Rafsanjan, Kerman, Iran, within November 2020 to September 2021. Methods: This cross-sectional descriptive study was conducted at the NICU of Ali-Ibn-Abitaleb Hospital of Rafsanjan. A total of 204 parents with premature neonates admitted to the NICU were selected by the convenience sampling method. The data collection tool was a demographic data form and the Parental Stress Scale: Neonatal Intensive Care Unit. The data were analyzed using descriptive and analytic statistic tests, such as the one-sample t-test, by SPSS software (version 22). Results: The most stressful item was in the “sights and sounds” domain belonging to “sudden alarm noises” for both parents, and “needles and tubes put in” in the “neonate’s behavior” domain. The major causes of stress in “parental role alterations” subscales were relevant to “feeling helpless about how to help neonate” and “being separated from neonate” in fathers and mothers, respectively. The comparison of parental stress scores in the total scale for mothers and fathers showed that mothers had higher stress scores in “sights and sounds” and “neonate’s behavior” domains; however, fathers’ scores were higher in “parental role alterations” without any significant differences (P > 0.05). Conclusions: Parents of premature neonates deal with NICU stress levels. Nurses’ manners concerning parents play a major role in handling the stressed situation.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81598723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of the Isolation Compliance and SARS-CoV-2 Infection Status Among Nurses and Doctors Working in Intensive Care Units During the Pandemic in Turkey","authors":"Ayşe Berivan SAVCI BAKAN, H. Alay, Sibel İba Yılmaz","doi":"10.5812/modernc-132392","DOIUrl":"https://doi.org/10.5812/modernc-132392","url":null,"abstract":"Background: Infections associated with healthcare services spread not only among patients but also among healthcare professionals. The risk of transmission is higher in intensive care units (ICUs). Objectives: This study aimed to identify the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection status and compliance with isolation precautions among doctors and nurses working in ICUs during the pandemic. Methods: This cross-sectional study was conducted from March to May 2021 in three different status hospitals (i.e., Education and Research Hospital, University Research Hospital, and City Hospital) in two cities in eastern Turkey. The sample size was calculated at 205 individuals who were selected using the sampling method with a known population. Participants were included in the sample using the convenience sampling method. The data were collected through the sociodemographic form and compliance with isolation precautions scale (Cronbach’s alpha = 0.85, explained variance ratio = 50.50%, Kaiser-Meyer-Olkin = 0.872, Bartlett’s test: P < 0.05). The data were analyzed in SPSS software (version 18) using descriptive and inference statistics. Results: The participants’ average age was 29.95 ± 7.16 years. Moreover, 66.3% of the participants were females, and 77.6% were nurses. The doctors and nurses displayed good compliance with isolation precautions (77.6% [n = 159] and 22.4% [n = 46] of the participants were nurses and doctors, respectively). Furthermore, 40% of the ICU healthcare professionals had a SARS-CoV-2 infection diagnosis, and a significant relationship was observed between having this diagnosis and the diagnosis of other individuals who were sharing the same house (P < 0.001). In addition, statistically significant relationships were observed between having a SARS-CoV-2 infection diagnosis and the duration of working with SARS-CoV-2 patients, hand hygiene and related attitudes, removing masks in common areas, implementing procedures producing aerosols, and inadequacies in the use of protective equipment during close contact with SARS-CoV-2 patients (P > 0.05). Conclusions: The transmission of SARS-CoV-2 in healthcare workers was not related to the interventions they made in the hospital. Healthcare workers should pay attention to domestic contamination.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86957376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Internet-based Cognitive Behavioral Therapy for Mental Health, Post-traumatic Stress Disorder, and Obsessive-compulsive Disorder in Students with COVID-19 Anxiety","authors":"F. Bagheri Sheykhangafshe, A. Fathi-Ashtiani, Vahid Savabi Niri, Mahlagha Jahani Zangir, Zeynab Bourbour","doi":"10.5812/modernc-131399","DOIUrl":"https://doi.org/10.5812/modernc-131399","url":null,"abstract":"Background: The COVID-19 pandemic has aroused fear and anxiety in many people worldwide. Objectives: The study was conducted to measure the efficacy of internet-based cognitive-behavioral therapy (ICBT) for mental health, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD) in students with COVID-19 anxiety. Methods: This semi-experimental study was conducted as a pre-post-test with a control group. The statistical population of the research included the students of the Tarbiat Modares University in the academic year 2021. To collect the required data, 30 students with COVID-19 anxiety were randomly allocated to control (n = 30) and experimental (n = 30) groups. The data collection tools included a questionnaire on COVID-19 anxiety, mental health, PTSD, and OCD. Following the pre-test, ICBT was implemented in eight 90-minute sessions for the experimental group. To analyze the data, SPSS software version 24 and the multivariate covariance analysis were used. Results: It was revealed that ICBT could significantly increase mental health (M = 54.26, F = 33.38) and reduce PTSD (M = 67.20, F = 30.43) and OCD (M = 116.13, F = 19.11) in students with COVID-19 anxiety (P < 0.01). Conclusions: In general, it can be acknowledged that ICBT has promoted mental health and reduced PTSD and OCD. Accordingly, it is suggested to hold workshops and virtual programs by psychologists for students with COVID-19 anxiety.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75384841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Solution-focused Thinking and Hope Levels of Turkish Midwifery Students During Distance Education: A Cross-sectional Study","authors":"N. Kaya, Handan Guler","doi":"10.5812/modernc-131139","DOIUrl":"https://doi.org/10.5812/modernc-131139","url":null,"abstract":"Background: The uncertainty caused by the COVID-19 pandemic has adversely affected the physical and psychosocial health of each individual in the community. Although the psychosocial impact of COVID-19 has been studied in different populations, psychosocial factors (such as solution-focused thinking (SFT) and hope) have not been previously studied in midwifery students. Objectives: This study aimed to determine the SFT and hope levels of midwifery students after distance education applied due to the COVID-19 pandemic. Methods: This descriptive cross-sectional study was conducted in June 2020 in the Midwifery Department of the Health Sciences Faculty of Ondokuz Mayıs University, Turkey. The research data were collected using a student identification form (SIF), Solution-focused Inventory (SFI), and Dispositional Hope Scale (DHS). The data were analyzed using SPSS version 20. The compliance of the variables to normal distribution was evaluated using the Kolmogorov-Smirnov test. Mean, SD, number and percentage values, t-test, analysis of variance (ANOVA), and Pearson correlation were used in the analysis of the data. P values less than 0.05 were considered statistically significant. Results: The average age of students was 20.78 ± 1.97 years. The SFI total score mean was 49.63 ± 5.72, and the mean scores of the subdimension of problem disengagement, goal orientation, and resource activation were 12.97 ± 3.55, 17.68 ± 3.17, and 18.97 ± 3.25, respectively. The mean total score for DHS was 48.53 ± 7.18, and the mean scores of the alternative ways thought and acting thinking subdimensions were 24.75 ± 3.86 and 23.78 ± 3.99, respectively. A high level of positive correlation was found between SFI and DHS (r = 0.432; P < 0.001). Conclusions: Students who have higher SFT have higher levels of hope. For this reason, as future health professionals, an SFT approach that allows midwifery students to cope with mental disorders to serve in extraordinary situations should be added to educational curricula (such as the solution-focused midwifery course).","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74361118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Different Aspects of Nursing Leadership: An Integrative Review of Qualitative Studies","authors":"Ana Luiza Ferreira Aydogdu","doi":"10.5812/modernc-130402","DOIUrl":"https://doi.org/10.5812/modernc-130402","url":null,"abstract":"Context: Leadership is the process of influencing people to achieve common goals. In all nurses' roles, leadership is emphasized since nurse leaders' attitudes influence nurses’ job satisfaction and retention and, consequently, the quality of care. Objective: This study aimed to explore the scientific literature concerning different aspects of leadership in nursing. Methods: This is an integrative review of qualitative studies in which four electronic databases (Medline, PubMed, Scopus, and Google Scholar) were searched. Articles published in the last ten years (2013 - 2022) were searched by titles using the descriptors \"qualitative,\" \"leadership,\" and \"nursing\" linked by the Boolean Operator AND. The search carried out in July 2022 was not limited by the publication language. A total of 63 studies were identified, and 11 original primary research articles were included. The quality of articles was assessed using the Critical Appraisal Skills Program (CASP). Qualitative content analysis was performed to analyze the obtained data. Results: The results were organized into three categories: (1) the importance of nursing leadership and leaders' roles; (2) ethical leadership; and (3) nursing leadership education. Personal characteristics of nurse leaders and leadership skills were indicated as factors influencing staff nurses’ attitudes and reflecting on the quality of care. Training in nursing leadership since the early years of nursing education is essential for future nursing leaders. Conclusions: Nurse leaders influence other team members and patients; consequently, nursing leadership impacts the quality of care. Therefore, training on leadership should be addressed in nursing schools in undergraduate and postgraduate courses and health institutions through continuing education.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80106812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Validity and Reliability of the Persian Version of Coronavirus Anxiety Scale (CAS) Among Healthcare Workers","authors":"Nasim Kamalahmadi, S. Akhlaghi, Saeedeh Hajebi Khaniki, Jamshid Jamali, Hosein Mohaddes Ardabili, F. Farhoudi","doi":"10.5812/modernc-130238","DOIUrl":"https://doi.org/10.5812/modernc-130238","url":null,"abstract":"Background: There is a limited number of psychometric tools for measuring the psychological impacts of COVID-19 on healthcare workers (HCWs). The Coronavirus Anxiety Scale (CAS) is a brief questionnaire that identifies dysfunctional anxiety induced by the COVID-19 pandemic. Method: The authors translated the CAS into Persian and assessed its validity and reliability among Iranian HCWs. First, they calculated the content validity index (CVI) and the content validity ratio (CVR) based on six psychiatrists’ assessments. Then, 10 medical interns modified the questionnaire for face validity. In addition, 30 psychiatric residents contributed to the test-retest method to evaluate the intergroup correlation coefficient (ICC). Finally, they examined confirmatory factor analysis (CFA) for construct validity, based on the responses of participants to the scale, and they used Cronbach's alpha coefficient to assess the internal consistency. Results: 185 healthcare workers filled out the Persian version of the CAS. In the assessment of the content validity, all five questions of the CAS had CVI > 0.79 and CVR > 0.99, and all were statistically approved. The construct validity showed that the scale is one-dimensional. The internal consistency (Cronbach’s α= 0.878) and test-retest stability (ICC= 0.931) were accepted. Conclusions: After the localization of the questionnaire, no items were added or subtracted. The CAS presented adequate reliability and validity among Iranian HCWs. Therefore, future epidemiologic studies can consider it a valid scale for HCWs.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83479524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medication Adherence and Perception of Satisfaction in the Healthcare of Children with Mental Disorders","authors":"Lina Díaz Castro, Paloma Suárez Brito","doi":"10.5812/modernc-130650","DOIUrl":"https://doi.org/10.5812/modernc-130650","url":null,"abstract":"Background: Medication non-adherence among children with mental disorders (MD) is frequent. Objectives: This research examines the association between medication adherence (MA) in children with MD and the perception of satisfaction with the healthcare received. Methods: A cross-sectional, descriptive, and analytical study was carried out; the survey method was applied to 800 participants who attended from January 2018 to January 2020 at two Children's Psychiatric Hospitals in Mexico City. The Morisky-Green test was applied. Moreover, the patient's perception of their improvement and the reasons for their satisfaction were investigated. A Spearman's correlation analysis was performed between adherence and variables on the patient's perception of improvement. Results: Sample of 400 dyads (400 children and their 400 caregivers), children's sample included 63% boys (n = 252). The most prevalent diagnoses were hyperkinetic disorder, with 51% and 34% with depression. Of the sample, 27% adhered to pharmacological treatment. Statistically significant positive correlations were found between adherence and perception of improvement with the functioning variable (rs = 0.550, P < 0.001, and improvement with quality of life (rs = 0.206, P < 0.001). Conclusions: Adherence to treatment in children is related to satisfaction in care, and satisfaction is directly related to improvement in functionality and quality of care.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77016264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}