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Objective To explore the influence of procedural nursing on the satisfaction and compliance behavior based on the needs of the elderly physical examinees. Methods From September 2018 to March 2019, 397 patients who underwent physical examination in the Health Management Center of the hospital were randomly divided into the control group (198 cases) and the research group (199 cases). The control group received procedural nursing, and the research group received procedural nursing based on the needs of physical examiners. The nursing satisfaction and compliance behavior of the two groups were compared. Results The satisfaction of the study group was 88.44%, significantly higher than that of the control group ( 77.78%), and the difference was statistically significant (P<0.05). The score of compliance behavior in the study group (74.32 ± 2.31) points was better than that in the control group (63.07 ± 2.64) points, and the difference was statistically significant (P < 0.05). Conclusion In the Health Management Center, procedural nursing based on the needs of the physical examinees may effectively improve the satisfaction of the old people and has positive significance on their compliance behavior, which is worthy popularizing and applying. [ABSTRACT FROM AUTHOR]

Copyright of China Tropical Medicine is the property of China Tropical Medicine Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim. To study in the PROFILE register the rate of new oral anticoagulants (NOAC) taking in patients with atrial fibrillation (AF) and to identify the factors influencing it.Material and methods. Patients with AF who applied to the Cardiology Center in 2013-2014 (n=111) were included into the study. The oral anticoagulants (OAC) were recommended to patients at the reference visit (n=97). Inquiry in questionnaire format was performed to assess the compliance to recommended therapy at the follow-up visit. Patients were divided into two groups according to taking/not-taking NOAC. Analysis of the facts that influence the compliance to NOAC therapy was performed.Results. At the reference visit 70 patients desired to receive NOAC. At the follow-up visit 29 (41.4%) patients refused to take NOAC. Leading causes of NOAC refusal were satisfactory with warfarin (32.6%), the high price of these drugs (23.9%), the description of adverse reactions in the patient information leaflet for medicines (15.2%), and withdrawal by physician in outpatient clinic/hospital (8.7%). Preferential provision of medicines and warfarin therapy at the time of reference visit had a negative impact on the taking of NOAC. Patients taking NOAC were more aware of the possible outcomes of their illness, the possible side effects of OAC and were more familiar with patient information leaflet for medicines.Conclusion. The study assessed NOAC taking rate and the factors influencing patients' compliance to NOAC therapy.

Incidence of pulmonary tuberculosis in 2010 Indonesia was ranked fourth after India, China and South Africa. The spread of tuberculosis cases among others is because of treatment failure is due to medication non-compliance resulting in increased knowledge necessary to improve treatment compliance. With supportive therapy is expected to be an increase in knowledge that will enhance treatment compliance pulmonary tuberculosis that will prevent the transmission and ultimately is expected to decrease the incidence of pulmonary tuberculosis. The purpose of this study was to determine the effect of supportive therapy to obedience treatment of pulmonary tuberculosis patients. The research was conducted at the Regional District Kaligondang Purbalingga.This type of research using the quasi experiment. With a population of 27 patients with pulmonary tuberculosis in District Kaligondang. Samples were taken using a total sampling technique that all patients of pulmonary tuberculosis by 27 respondents. Data were analyzed by using paired t test.Based on the analysis of the data obtained some results as follows: (1) there was a significant increase in adherence (t = -5.790 and p = 0.001). In conclusion there is supportive therapy for pulmonary tuberculosis patient treatment compliance.

The aim of review. To present update on the causes of insufficient treatment response to proton pump inhibitors (PPI) at gastroesophageal reflux disease (GERD) and to inform on the options of increasing patients’ compliance.Summary. Decline of treatment compliance remains to be one of the principal causes of refractory course of gastroesophageal reflux disease. Existing PPIs have some limitations — necessity of intake strictly before meal and short action period. Dexlansoprazole in double delayed release form allows intake without relation to food intake that allows to increase compliance to treatment.Conclusion. The wide prevalence of GERD dictates necessity of search of new effective agents. Thus one of the principal causes of refractory course of disease is decreased adherence to treatment. Application of new PPI i.e. dexlansoprazole with once per day intake will allow to increase compliance to treatment and to reduce frequency and intensity of symptoms both at erosive esophagitis and non-erosive reflux disease.

The problem of the compliance is relevant in the treatment of patients with arterial hypertension. The review presents the data to identify mechanisms for improving the compliance in the context of one of the most studied drugs, such as - perindopril. We have indicated the aspects of perindopril monotherapy, as well as in combination with indapamide and amlodipine. We have showed the advantages of fixed combinations. The individual aspect of the easy medicine administration isdispersion form of the drug. This article shows the advantages of usage PrestariumR ORO - innovative form of perindopril, mouth dissolving tablets.

Purpose: Do cell phone text reminders impact the rate of compliance with pneumatic compression device (PCD) therapy among women with breast cancer-related lymphedema (BCRL)?, Methods: A prospective, randomized, 2-group feasibility study conducted at 2 centers. Participants were adult females (≥18 years old) with unilateral BCRL who had the capability of receiving reminder text messages. All participants underwent PCD therapy. Participants were randomized 1:1 to control (no text messages) or test group (received text message reminders if the PCD had not been used for 2 consecutive days). The rate of compliance between treatment groups was the main outcome measure. Secondary outcome measures were changes in arm girth, quality of life (QOL), and symptom severity., Results: Twenty-nine participants were enrolled and randomized, 25 were available for follow-up at 60 days (14 test, 11 control). Overall, 52.2% (12/23) of all participants were completely compliant, an additional 43.5% (10/23) were partially compliant, and 1 patient (4.3%) was noncompliant. The test and control groups did not differ in device compliance. In the pooled population, weight, BMI, and arm girth were improved. Overall disease-specific QOL and symptom severity were improved. Regression analysis showed benefits were greater among participants with higher rates of compliance., Conclusions: Automated text reminders did not improve compliance in patients with BCRL as compliance rates were already high in this patient population. Improvements in weight, BMI, arm girth, disease-specific quality of life, and symptom severity measures were observed regardless of the treatment assignment. Full compliance resulted in greater functional and QOL benefits., Trial Registration: The study was registered at www., Clinicaltrials: gov (NCT04432727) on June 16, 2020., (© 2023. The Author(s).)

Background: Standardized Wilms tumor treatment protocols exist for low- and middle-income countries, but outcomes equivalent to high-income countries are not achieved outside of clinical trials. As Wilms tumor treatment protocols in Africa shift with increasing resource capacity, it is not known how treatment compliance to each stage of therapy affects outcomes and where the critical breakpoints are for protocol adherence in clinical practice., Procedure: We describe both treatment outcomes and treatment protocol adherence in a retrospective single-center cohort study of pediatric Wilms tumor patients at a zonal cancer referral hospital in Tanzania from 2016 to 2019, treated per the International Society of Paediatric Oncology standard (2016-2017) or Tanzania adapted (2018-2019) therapy protocols., Results: A total of 69 patients were evaluated. The two-year overall survival and event-free survival rates were 40% and 29%, respectively. Only 29% of patients completed recommended chemotherapy per protocol, and completion of preoperative and postoperative chemotherapy was predictive of two-year overall survival (odds ratio [OR] 14.4, p < .001). There were delays at almost every stage of treatment, especially time from preoperative chemotherapy to surgery (56 days), from surgery to pathology report (30 days), and from surgery to initiation of postoperative chemotherapy (38 days)., Conclusions: Nonadherence with recommended Wilms tumor treatment guidelines due to key health system delays correlated to reduced overall survival rates, with chemotherapy nonadherence due to abandonment, lack of surgery, and deaths on therapy as the strongest contributors. Future interventions targeting health system delays and reducing deaths during therapy are critical to improving protocol compliance and increasing overall survival for pediatric Wilms tumor patients in low-resource settings., (© 2023 The Authors. Pediatric Blood & Cancer published by Wiley Periodicals LLC.)

Background: The psychology of pain is an important field of study that focuses on understanding the psychological factors associated with pain and developing effective approaches to its management. Pain is a complex sensation that affects a person's physical and mental well-being, and psychological factors can have a significant impact on the perception, response and coping with pain. This research study examines the contribution of psychotherapy in managing chronic pain and improving quality of life and treatment adherence., Participants and Procedure: The sample consisted of 87 participants who completed the McGill Pain Assessment Questionnaire, SF-36 Quality of Life questionnaire, and the Morisky Medication Adherence Scale (MMAS-8) questionnaire. Two groups were created: one group received psychotherapy to manage pain and illness, while the other group either did not receive psychotherapy or had no contact with this therapeutic method., Results: The results showed that patients who received psychotherapy had higher scores in the dimensions of mental health, vitality, general health, physical pain, physical functioning, and social functioning compared to patients who did not receive psychotherapy. Statistical analysis confirmed significant differences between the two groups. Additionally, psychotherapy was associated with higher treatment adherence, as indicated by the mean scores of patients receiving psychotherapy compared to those who did not., Conclusions: This suggests that psychotherapy can contribute to increased treatment adherence. The results clearly show that patients who received psychotherapy have significantly higher levels of mental health, vitality, general health and functioning compared to patients who did not receive psychotherapy., (Copyright © Institute of Psychology, University of Gdansk.)

Objectives: To identify risk factors for loss to follow-up in periodic intravitreal anti-vascular endothelial growth factor injections for the treatment patients with diabetic macular edema, subretinal neovascularization, age-related macular degeneration, and retinal vein occlusion in a single eye center in São Paulo, Brazil., Methods: This was a retrospective longitudinal study that gathered information from 992 patients who required intravitreal anti-vascular endothelial growth factor drugs over 6 months. The authors included age, eye disease, laterality, monthly income, distance, and payment mode as risk factors., Results: Two hundred and seventy patients (29.93%) were lost to follow-up. Multivariate analysis showed age, monthly income, eye involvement, and type of medical assistance independently associated with loss to follow-up. The odds of loss to follow-up were greater among older patients than those less than 50 years (reference), p  < 0.001. The odds of loss to follow-up were greater among patients who received unilateral treatment than those who received bilateral injections ( p  = 0.013). Concerning gross monthly income, there were no differences in the odds of the four salary strata; the data also indicate an absence of difference in the three strata of patients' distance to the clinic. Considering the diagnosis, only age-related macular degeneration showed greater odds of loss to follow-up ( p  = 0.016). Finally, the data suggest greater odds of loss to follow-up in private patients than in those on a health care plan ( p  < 0.001)., Conclusion: Loss to follow-up is paramount because many patients may remain unassisted concerning their eye diseases. Identifying the risk factors is crucial to enforcing measures to increase adherence and the long-term success of the treatment., Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2023.)

Background: Multidrug therapy (MDT) is a safe and effective drug combination for leprosy treatment that can prevent drug resistance. Mycobacterium leprae resistance, especially to rifampicin, is a serious problem as it potentially thwarts the worldwide leprosy-elimination program by the World Health Organization (WHO). One of the suspected causes of rifampicin resistance is poor treatment compliance. It was necessary to assess the association between the treatment compliance and the occurrence of mutation rifampicin resistance in multibacillary (MB) leprosy patients. Methods: A comparative, analytical, cross-sectional study was performed in MB leprosy patients who had completed treatment at the Dermatovenereology Outpatient Clinic in Cipto Mangunkusumo Hospital and the Sitanala Center for Leprosy Hospital from October 2012 to April 2013. Based on treatment regularity and history of drug discontinuation, the subjects were classified as either having good or poor compliance. Skin smear from a slit skin smear (SSS) examination was further analyzed by using the polymerase chain reaction (PCR) sequencing technique to detect rifampicin resistance. Results: Fifty-seven study subjects were enrolled in this study. In the good treatment compliance group (29 subjects), only 1 case of mutation for rifampicin resistance was found. Meanwhile, in the poor drug compliance group (28 subjects), 8 cases of mutation for resistance (29%) were found. This difference in mutation rate was statistically significant (OR=11.2; 95% CI=1.296-96.787; p=0.012). Conclusion: This study revealed that the risk of occurrence of M. leprae resistance to rifampicin in patients with poor drug compliance was significantly higher than in those with good drug compliance. [ABSTRACT FROM AUTHOR]

Background and Aims: Poor attendance increases the likelihood of relapse in alcohol dependence treatment. Evidence for improved attendance rates following introduction of short message service (SMS) appointment reminders is available in other health care domains. Patients high in impulsivity, characterized by a lack of planning, may particularly benefit from reminders. The study investigated the impact of SMS reminders on outpatient treatment attendance for alcohol dependence, and whether effects were moderated by impulsivity.Design: Prospective natural history study, with historical case control. Alcohol-dependent outpatients attending treatment received SMS appointment reminders (n = 102). These were compared to a historical control group (n = 91) treated prior to the introduction of SMS (totalling 1149 scheduled sessions).Setting: A metropolitan university hospital alcohol and drug outpatient clinic.Participants: 193 alcohol-dependent patients participated in a 12-week cognitive-behavioral therapy (CBT) program with a treatment goal of abstinence.Measurements: Trait impulsivity, severity of dependence, psychological distress at baseline. Attendance at each scheduled session.Findings: SMS reminders significantly increased probability of session attendance (0.90 versus 0.84, p = .02). The effect was qualified by a significant SMS x Impulsivity interaction whereby reminders became less effective with increasing patient impulsivity (p = .003).Conclusions: SMS appointment reminders improve treatment attendance for alcohol-dependent outpatients. More impulsive patients benefited less from reminders, suggesting their non-attendance may be related more to motivational factors. [ABSTRACT FROM AUTHOR]

Introduction Subcutaneous immunotherapy (SCIT) is an effective treatment for allergic disease such as allergic rhinitis and asthma. Reported adherence rates to SCIT have been low, ranging between 50% and 89%. This study sought to evaluate compliance to SCIT in an urban "safety net," tertiary care center, and to evaluate for disparities in compliance based upon insurance and socioeconomic status. Methods A retrospective chart review of SCIT patients between 2003 and 2016 was performed. Demographic data, insurance carriers, and comorbidities were collected. Compliance was evaluated on treatment adherence (percentage of injections administered/scheduled appointments). Statistical analysis was performed using R statistical software. Linear regression analysis was performed to compare compliance to the variables, asthma, duration of therapy, payor, and age. Analysis of variance was used to compare mean compliance between payor groups. Results Two hundred five patients met our inclusion criteria and 28 were excluded. Insurance composition was Medicaid (67, 33%), Medicare (18, 9%), Health Safety Net (HSN) in Massachusetts (33, 16%), and commercial payors (82, 42%). Linear regression demonstrated that age, duration of therapy, and asthma status were not related to the percentage of missed doses (P > .05). Payor status was statistically predictive of missed doses (P = .02). When comparing average percentage of missed immunotherapy shots, Medicaid patients missed the most 34.2%, followed by Medicare 24.4%, commercial insurance 19.9%, and HSN in Massachusetts 18.5% (P ≤ .02). Conclusion In a cohort of patients at a tertiary care "safety-net" center serving a low-income population, compliance to SCIT was found to be overall high but lower in the Medicaid population. [ABSTRACT FROM AUTHOR]

Introduction: Compliance with drug treatment is an important issue in schizophrenia for which many scales have been devised. Turkish version of the Drug Attitude Inventory is frequently employed due to ease of use and high predictive value, although it is not as accurate as blood level testing.To determine the validity and reliability of the Turkish version of the Drug Attitude Inventory-10. Methods: Eighty-two schizophrenia patients were included in the study. Subjects were evaluated using Drug Attitude Inventory-10, a Sociodemographic Data Form, Positive and Negative Symptom Scale PANNS, Social Functioning Scale, and Quality of Life Scale for schizophrenia patients. Results: Reliability analysis revealed Cronbach's α coefficient for internal consistency to be 0.798 and item-total item correlation coefficients to be between 0.420 and 0.647. Test-retest correlation coefficient (r) was 0.809. Construct validity analysis revealed a tri-factorial construct which accounts for 62.68% of variance. Good conformity to single factor construct was found with confirmatory factor analysis. Conclusion: Turkish version of the Drug Attitude Inventory-10 is valid and reliable for evaluation of schizophrenia patients which makes it suitable for research and clinical settings. [ABSTRACT FROM AUTHOR]

Introduction: Caregiver intervention studies typically assess whether participants attain general goals (eg, improved mental/ physical health) but not their own individual goals. We used goal attainment scaling to evaluate whether participants of a telephone intervention based on cognitive behavioral therapy (CBT) attained their personal goals. We also evaluated treatment compliance and implementation. Methods: A sample of 139 family caregivers of people with dementia received 12 telephone sessions over 6 months. Participants personal goals were specified during the first and second sessions. Participants and therapists assessed goal attainment at the end of the intervention. Results: Nearly all participants reported meaningful improvements with regard to their personal goals. Specifically, 20.9% exceeded, 56.4% completely attained, and 21.8% partially attained at least one of their personal goals. There was high agreement between self- and therapist ratings. Treatment compliance and implementation were highly satisfactory. Conclusions: The CBT telephone intervention successfully helped participants attain their personal goals. [ABSTRACT FROM AUTHOR]

Introduction: Adherence to the prescribed therapy is the most important factor influencing the treatment outcome. The aim of study was to assess human immunodeficiency virus (HIV) patients' compliance and satisfaction with recommended antiretroviral and concomitant therapies. Material and methods: A survey was conducted among HIV-infected patients. Therapeutic regimens for HIV and co-morbidities were described by the number of daily doses and total daily number of tablets. Patients' satisfaction was assessed on a six-point scale, and a Visual Analogue Scale (VAS) was used to assess the compliance with a recommended therapy. Results: A total of 120 patients (M = 87, F = 33) aged 18-72 (46 ± 15) years with HIV treated for 1-288 (109 ± 77) months filled in the questionnaire. Patients received 1-9 tablets in 1-3 doses a day as part of the antiretroviral therapy - 36% of subjects received only one tablet a day, and 74% received treatment in one daily dose. Eighty-nine percent of subjects were 'very satisfied' and 'satisfied' with the received anti-HIV treatment. Therapeutic compliance was the best for patients receiving only one tablet per day as single-tablet regimens (STR). Eighty patients also received 1-21 tablets in 1 - > 3 daily doses of co-morbidities therapy. Fifty-four percent of patients received non-HIV therapy in one single dose. Eighty-one percent of subjects were 'very satisfied' and 'satisfied' with treatment for other-than-HIV diseases. Conclusions: In the population under study, patients' compliance and satisfaction with both HIV and non-HIV concomitant disease therapies were high. The compliance with recommended HIV therapy was the best for patients receiving only one tablet per day, and the satisfaction with antiretroviral treatment was greater in patients receiving = 2 tablets per day. [ABSTRACT FROM AUTHOR]

Background and Objective: Compared to the general population, psychiatric problems are more prevalent in Type 1 Diabetes patients and can affect the success of diabetes treatment. The aim of this study was to investigate the effectiveness of group reality therapy in decreasing depression/anxiety and increasing treatment compliance in patients with Type 1 Diabetes in Zanjan in 2017. Materials and Methods: This quasi-experimental study with a pretest-posttest design was performed on 40 patients that were selected through convenient sampling and were randomly assigned into two groups (experimental and control) after equalizing the groups according to age, sex, education and illness duration. Both groups were tested via Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Morisky compliance with treatment (MMAS) and Gus overall compliance questionnaires. The experimental group received reality therapy for 8 sessions each week for two months and then performed the posttest. Data were analyzed with MANOVA and ANOVA. Results: Findings showed that reality therapy decreased depression and anxiety and increased treatment compliance in the experimental group compared to the control group. There was a significant difference between the experimental and control group (P<0.01). Conclusion: Considering the results of this study, reality therapy could be used for patients with Type 1 Diabetes who suffer from depression, anxiety and have low treatment compliance [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Good adherence to continuous positive airway pressure (CPAP) treatment improves the patient’s quality of life and decreases the risk of cardiovascular disease. Previous studies that have analyzed the adherence to CPAP were performed in a sleep unit (SU) setting. The involvement of primary care (PC) in the management of obstructive sleep apnea (OSA) patients receiving CPAP treatment could introduce factors related to the adherence to treatment.Objectives: The objective was to compare the baseline predictors of CPAP compliance in SU and PC settings.Methods: OSA patients treated with CPAP were followed for 6 months in SU or PC setting. We included baseline clinical and anthropometrical variables, the Epworth Sleep Scale (ESS) score, the quality of life index, and the Charlson index. A logistic regression was performed for each group to determine the CPAP compliance predictors. Discrimination and calibration were performed using the area under the curve and Hosmer-Lemeshow tests.Results: We included 191 patients: 91 in the PC group and 100 in the SU group. In 74.9% of the patients, the compliance was ≥ 4 h per day, with 80% compliance in the SU setting and 69.2% compliance in the PC setting (p = 0.087). The predictors of CPAP compliance were different between SU and PC settings. Body mass index, ESS, and CPAP pressure were predictors in the SU setting, and ESS, gender, and waist circumference were predictors in the PC setting.Conclusions: The predictors of adequate CPAP compliance vary between SU and PC settings. Detecting compliance predictors could help in the planning of early interventions to improve CPAP adherence. [ABSTRACT FROM AUTHOR]

Most of the global cases of tuberculosis (TB) are found in Asia and Africa. This is largely due to deficient educational information, myths, beliefs and suboptimal service delivery as a result of inadequate infrastructure. Even though proper treatment can cure TB, bureaucratic difficulties and problems with caring for patients mean procedures to ensure that patients receive and complete treatment may stifle the treatment regimen. This paper looks at the service factors that affect adherence to TB treatment, while seeking to explore good practices to improve support for patients. It discusses a study that used a qualitative interpretive descriptive design involving interviews across health facilities in one district in Ashanti Region, Ghana. Ten patients were recruited in 2014 and interviewed. They revealed the challenges and facilitators that affected their adherence to their treatment. Three main themes were identified: institutional support, staff attitude and patients' unmet needs. Staff commitment, proper supervision of TB patients and individualising care encourages adherence, while organisational challenges, poor supervision of patients and unfriendly staff attitudes discourage the continuity of treatment. [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Coronary Artery Disease (CAD) forefronts the development of international action plans on chronic non-communicable diseases. Study aim is to reveal the relation between disease perception and therapy compliance according the level and profiles of experienced pain, disease concept, and psychosocial functioning in patients undergoing cardiac catheterization, but differing in diagnosis, focusing on new angiographic finding slow coronary flow (SCF). There have been used clinical status data and such gathered with express questionnaires to reveal pain level, perception and attitudes towards disease with tracing of psychosocial functioning 6 weeks after discharge (follow-up). The results reveal differences in the felt pains, disease perception and treatment compliance depending on diagnosis and significant correlation between the perception of own disease and the p sychosocial f unctioning l ater, r = 0.188. A nxiety and depression have an impact on subjective disease perception and compliance. The findings serve as a base to create structured guidance to support the proper disease understanding of patients with SCF and to motivate them for compliance to medical treatment aimed at prevention of recurrent hospital admission, health and workability promotion of the patients. [ABSTRACT FROM AUTHOR]

According to the randomization method, 82 patients can be divided into two groups, the control group and the study group, each with 41 patients participating in the investigation. All patients in the control group were cared for, and the study group used a health education model. The treatment mode of each group needs to adopt adherence, and it is necessary to maintain a healthy diet, smoking cessation and alcohol cessation, and regular review during the treatment of regular exercise and emotional regulation. To enable patients to accurately grasp health knowledge during treatment, score self-management ability (ESCA), and maintain a level of satisfaction with care. (1) In the study group, the standard treatment of patients directly reached 97.56%, regular review reached 95.12%, regular exercise reached 90.24%, the degree of smoking cessation reached 92.68%. (2) The mastery of disease and health knowledge in the first group (95.12%) was significantly higher than that of (78.05%) (P < 0.05). (3) After the intervention, the first group scored higher for self-responsibility (27.07 ± 3.15), self-awareness (25.59 ± 3.11), health knowledge (40.38 ± 4.54), and self-care skills (36.45 ± 3.19). (4) The nursing satisfaction level of the first group was (92.68%), which was significantly higher than that of the other group (75.61%). According to the conclusions, it can be shown that health education for tumor patients can improve patients' compliance with treatment and mastery of disease health knowledge, which is conducive to improving patients' self-management ability. • Health education for tumor patients can improve patients' compliance with treatment. • Omnimedia health education is a new intervention model. • Nanomedicine can improve the stability of the patient's loaded drug. [ABSTRACT FROM AUTHOR]

RESUMO Descreve-se o estudo realizado com duas adolescentes (P1 e P2) com diagnóstico de lúpus acompanhadas em ambulatório de reumatologia. Investigaram-se os efeitos do uso de registros de automonitorização (RA) e de recordatório 24 horas (R24h) sobre o índice de adesão ao tratamento (IAT) por meio de entrevistas semiestruturadas. P1 foi submetida à sequência R24h-RA e P2, à ordem inversa. Em linha de base, ambas obtiveram valores de IAT abaixo ou igual a 50%. Após intervenção, alcançaram valores acima de 71%, indicando melhora no índice de adesão independentemente da ordem em que os instrumentos foram apresentados. Discute-se o controle do comportamento por regras e a importância da instalação de repertórios de relatos fidedignos sobre comportamentos de adesão ao tratamento do lúpus

Chronic heart failure (CHF) is a serious health problem today. Despite all advances in modern medicine, the high morbidity and mortality rates of CHF force physicians to search for new more effective methods for its control. At the same time, the fact that the designing of new effective medicaments is complex and expensive and that patients show low compliance with drug therapy increases the value of non-drug treatments for heart failure, such as patient education, higher treatment compliance, which make it possible to significantly enhance the efficiency of current combined drug therapy, to improve quality of life, and, possibly, to reduce future heart failure death rates.

Objective. The aim is to test national questionnaire of treatment compliance of patients with arterial hypertension in the outpatient setting. Materials and methods. The study enrolled 60 patients with stages 1 and 2 arterial hypertension at the age of 45-75 years. We made general clinical examination, measurement of office blood pressure (BP) and biochemical blood assay, run questionnaire survey (hospital anxiety and depression scale (HADS), Morisky-Green test (4-item Medication Adherence Report Scale - MARS), national questionnaire of treatment compliance, assessment of quality of life using Visual Analogue Scale (VAS), calculated the number of pills taken by the patient, issuance and the analysis of returned diaries for self-monitoring. Total sampling was accounted for 43 patients.Results. National enquirer demonstrates statistically significant correlation of results compared to the results of treatment compliance, using Morisky-Green test, and compared to the index commitment based on the total number of pills taken by the patient from the blisters which had been prescribed by the doctor.

Background: Hypertension and diabetes are major risk factors for cardiovascular and cerebrovascular disease. Adherence is a primary determinant of the effectiveness of treatment because poor adherence attenuates optimum clinical benefit and paves the way for complications. Methods: The cross-sectional community-based survey was carried out among men and women aged 30 years and above in the field practice area of a medical college to assess treatment compliance with respect to hypertension and type 2 diabetes mellitus. The study comprised of 426 subjects, already diagnosed with hypertension (287) and type 2 diabetes mellitus (139). During house visits, data were collected by personal face-to-face interview using a pre-tested structured questionnaire. Compliance was determined by indirect methods, which included self-reporting and interviews with the patients. Results: Compliance to hypertension treatment was found to be 82.2%, while 83.6% of individuals with type 2 diabetes mellitus were on regular medication. Among the individuals on regular medication, 88 (37.3%) of them had controlled blood pressure. Although the compliance was good, blood pressure control was not optimal. Adherence was better among females as compared with males. Literacy status and socio-economic background were not found to be associated with treatment compliance. High cost of treatment for hypertension (39.3%) and diabetes (30.4%) and asymptomatic nature of the disease were the most common reasons cited for not taking regular medications. Conclusions: Adherence to hypertension and diabetes treatment was good. High cost of medications and asymptomatic nature of the disease were the reasons identified among the non-adherent patients.