The Challenge of Adherence From Treatment-Care Regimens Among Patients With Chronic Diseases: A Qualitative Study

Background: Adherence from treatment-care regimens is very essential to achieve health promotion and improve quality of life as well as affordable healthcare. Nevertheless, broaden of chronic diseases is still growing in the world because of lack of adherence. Understanding the perceived challenges can facilitate planning to increase adherence. This study aimed to explain the perceived challenges in non-adherence from the prescribed regimen among patients with chronic diseases. Materials and methods: This qualitative study was done in 2015 by using the conventional content analysis approach. Thirty four participants with the most common chronic diseases were recruited purposively and they were entered in the study. Data was collected through semi-structured interviews and simultaneously with data collection; a comparative analysis was conducted by using the conventional qualitative content analysis method. Results: Four main themes extracted from the data included: flaw in the possibility of observing the recommended regimensafter  devotion for family; frustration in facing the conflict between work and recommended regimens; inability in self-adaption with the recommended regimens; broaden cost of prescribed regimens; and limiting and inductive enclosure of beliefs. These themes indicate the nature of challenges in personal, family, and social dimensions of patients with chronic diseases in terms of adherence with treatment regimen. Conclusion: The findings show that the perceived challenges has special complexity and diversity. Although they are sometimes internal and personal, some others are external and beyound the will and control of individuals. Therefore, it is necessary that health system policy-makers and planners intervene and plan according to the nature, diversity, and complexity of these perceived barriers in order to facilitate in the adherence of patients process from the treatment care regimens

Designing model for improving relationship of wives with men with erectile dysfunction

AbstractBackground and Aim: Studies have shown erectile dysfunction is a common problem in men whichhas negative impact on both man and his partner. This dysfunction causes sexual and maritalrelationship difficulties. Efforts are not effective until relationship has not been improved. Thus thepurpose of this study is to design a model for improving relationship of wives with men witherectile dysfunction.Materials and Methods: This is a qualitative study; data collecting method was unstructuredinterview with 16 female partners of men with erectile dysfunction. Field notes were also used asdata. Constant comparison analysis was done simultaneously using Strauss and Corbin method.Sexuality in female partners of men with erectile dysfunction was explained using grounded theory.The model which improves the relationship between wives and men with erectile dysfunction wascomposed using the findings of grounded theory and literature review based on the Walker andAvant theory synthesis method.Findings: results of this grounded theory indicted that loss of intimacy was the main concern offemale partners of men with erectile dysfunction. And main strategy in facing with sexuality waspreserving the family unity. In this model, unlike the existing models, the starting point for sexualdysfunction treatment is the female partner. This model designed through three phases: first phasewas aimed to identify the status of marital relationship, second phase was aimed to empowerwomen participation of spouses, and third phase was aimed to perform holistic interventions tostabilize desirable marital relationship.Conclusion: Using this model, in sexual problem condition, at first woman, then couple will beempowered. Thus the overall marital relationship will not be damaged or the intensity of damagewill be reduced.Key word: Erectile dysfunction, Sexual problem, Sexual relationship, Marital relationship, Mo

Spiritual beliefs and quality of life: A qualitative research about diabetic adolescent girls' perception

Introduction: Spirituality is an important aspect of health of people with chronic health conditions such as diabetes. Awareness from adolescents’ perception about life quality and its effective factors is useful for controlling blood glucose in adolescents and causes motivation in adolescents for self care. The aim of this study was to explore spirituality effects on life quality in diabetic adolescent girls. Materials and Methods: A qualitative design using content analysis was applied in order to seek the purpose. Data were collected using in-depth semistructured interviews and focus groups with participation of 28 adolescent girls with type 1diabetes. The participants were recruited by purposeful sampling of "West Azerbaijan Diabetes Association" members as well as some patients' referral to Urmia city hospitals diabetes clinics. Results: Following data analysis, participants in this study were categorized in four general groups people with religious attitude and satisfied from their life, people who perform religious etiquettes and satisfied from their life, people with spiritual beliefs and adaptation with diabetes, and finally people with spiritual beliefs and self care. Conclusion: Spirituality is an important factor that influences on the life quality of diabetic adolescent girls. In addition, spirituality helps adolescent girls with diabetes to cope with stressful situations and needs to be considered in management and care from these patients

Comparison of nurses' and nursing students' attitudes toward care provision to opposite-gender patients

Background: Nurses often have to care for the patients of the opposite gender. This can be challenging for both nurses and patients in Iran due to the Iranians' cultural and religious beliefs.Objectives: The aim of this study was to compare nurses' and nursing students' attitudes toward care provision to opposite-gender patients. Methods: This cross-sectional study was conducted in 2018 on a random sample of 107 nurses who worked in four teaching hospitals, and 95 bachelor's and master's nursing students from the Hamadan University of Medical Sciences, Hamadan, Iran. A 21-item researcher-made self-report questionnaire was used for data collection. The data were analyzed through the independent samples t-test and the linear regression analysis. Results: The mean scores of nurses' and nursing students' attitudes were 72.54 ± 15.47 and 66.87 ± 14.80, respectively (P = 0.02). The significant predictors of nurses' and nursing students' attitudes were their educational degree, history of care provision to opposite-gender patients, and clinical work experience. Conclusion: Many nurses and nursing students have moderate attitudes toward care provision to opposite-gender patients. Nursing students' poorer attitudes compared with nurses highlight the need for revisions to the nursing academic curriculum to prepare them for quality care provision to the patients of both genders