Dissertations / Theses on the topic 'Patient compliance'
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Ramones, Valerie. "Patient education and compliance in the hypertensive elderly." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276814.
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This study examined the difference among 3 patient education intervention strategies and compliance in the hypertensive elderly. The strategies were verbal instructions, written instructions and both verbal and written instructions. An ex post facto descriptive design was implemented based on a Cognitive Information Processing Theory of Learning. Forty subjects were recruited and interviewed. Data analysis revealed that compliance did not differ significantly with the type of educational strategy.
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Cochrane, Lorna June. "Redefining compliance education." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84496.
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Calls for innovations and research echo in the latest reviews and meta-analyses of methods to enhance compliance (Haynes, McDonald, Garg, & Montague, 2003; Pekkala & Merinder, 2002; Peterson, Takiya, & Finley, 2003). In spite of effective therapy emerging daily from medical research, non-compliance appears at disappointing rates. Over the past 25 years, the gap is widening between what we could achieve with available and emerging health care and what we are currently achieving. This lack of compliance with proven therapy thwarts health outcomes and adds to the growing health care costs. In Canada, direct and indirect costs resulting from non-compliance with therapies amount to 7 to 9 billion dollars per year (Coambes, Jensen, Hao Her, Ferguson, Jarry, Wong, & Abrahamsohn, 1995; Coambs, 1997; Tamblyn & Perreault., 1997).Many stakeholders play a role in the complex compliance equation. The physician plays a key role. Supporting physician maintenance of competence are continuing health educators. Together, the physicians and educators seek to employ the latest evidence in their practices to enhance compliance. Explicating the thinking that guides their medical and educational practices helps researchers and educators to understand problems in current approaches to compliance.
It is argued that prior knowledge is the basis for learning (Limon & Mason, 2002). Understanding current knowledge and behavior of a learner establishes the baseline to build effective educational activities that will impact targeted outcomes. Further, education designed by using learner's prior knowledge is the scaffold for future learning (Alexander, 1996).
This survey research examines the thinking and behavior of a randomized sample of Canadian physicians and networking sample of educators. Quantitative and qualitative analysis of participant thinking and interventions reveal different perspectives and mental models that guide their clinical and educational decisions. The findings reveal important differences with current clinical recommendations. The study identifies important variables that explain the differences and lack of progress in this area.
Directions for future education and research are forwarded. The recommendations, based in theories of change and cognition, offer important insights and opportunities to make advances toward enhancing current rates of compliance.
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Roberts, Eric Eldon. "Patient compliance and non compliance in orthodontic treatment." Thesis, University of Nottingham, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.328955.
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Morrical, Kathy Jo S. "Readiness to learn as described by adults experiencing a change in health/illness status." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1272425.
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Peng, Siwei, and 彭思玮. "Medication nonadherence among hypertension patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425230.
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Optimal effect of medical treatment requires patients' adherence to those treatments, which plays a even greater role than the medical decision made by physicians. With the epidemiological dynamic evolving, chronic disease becomes the major burden of healthcare, such as AIDS, hypertension, COPD, tuberculosis, asthma, epilepsy, schizophrenia, depression and diabetes, which make the adherence especially medication adherence a sightworthy issue because the risk of poor adherence with the complexity and duration of treatment with both of them are inherent to chronic diseases. Among patients with hypertension, medication nonadherence contributes to poorly controlled blood pressure as an significant yet unrecognized role. With the mediator of negative outcomes of further development of vascular disorders, including stroke, heart failure, renal insufficiency and coronary diseases, medication nonadherence to antihypertensives become the root of all devil in terms of healthcare.
In terms of healthcare utilization, it costs approximately 396 to 792 million dollars per year and creates a significant burden. Effect factors for medication nonadherence among hypertension patients include knowledge about hypertension, beliefs about hypertension, perceived beliefs about medication, inadequate self-management behaviors, physician-patient relationship, social support and healthcare policy. The achievements of current single level interventions are not satisfactory, therefore multiple level interventions are calling for attention.Everyone in the healthcare system are responsible to alter the situation. A comprehensive healthcare system that consummates all the effect factors is the effective and efficient solution.published_or_final_version
Public Health
Master
Master of Public Health
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Heinemann, Stefan. "Data power to the patients! Patient-driven data business, not data-driven patient business: the centrality of the patient in the commerce of digital healthcare." Universität Leipzig, 2018. https://ul.qucosa.de/id/qucosa%3A32044.
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Data-driven business models make up the medical and healthcare market in large parts, a
trend reinforced by further technological developments and regulation. Care must be taken
to avoid a situation where only a few players benefit. It’s weird the patient has to become a
customer in order to be a human being in the health business: The consistent empowerment
of patients to handle their own data is essential.
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Tumelo, Sylvia Mmamoseka 1953. "COMPLIANCE AND FAMILY INVOLVEMENT WITH TUBERCULOSIS PATIENTS IN BOTSWANA." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275566.
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Useman, Tammy. "Patient Compliance and Recovery Outcomes in Rehabilitation Therapy." Honors in the Major Thesis, University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1007.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Health Sciences
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Carpenter, Roger D. "Cognitive appraisal of perceived threat of diabetes and adherence to self-management behaviors." Morgantown, W. Va. : [West Virginia University Libraries], 2008. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5813.
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Thesis (Ph. D.)--West Virginia University, 2008.Title from document title page. Document formatted into pages; contains v, 113 p. : ill. Includes abstract. Includes bibliographical references (p. 96-113).
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Harwood, Susan Elizabeth. "Medication compliance in out-patient clinical trials." Thesis, University of Sunderland, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.330315.
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Wetzels, Gwenndola Elisabeth Clementine. "Patient compliance in hypertension from measurement to improvement." Maastricht : Maastricht : Universitaire Pers Maastricht ; University Library, Universiteit Maastricht [host], 2006. http://arno.unimaas.nl/show.cgi?fid=5735.
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Beckman, Gyllenstrand Anna. "Medication management and patient compliance in old age /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-166-1/.
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Raynor, David Kenneth. "Patient information and its influence on medication compliance." Thesis, University of Bradford, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.293953.
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Thomas, Nancy A. "The physician-patient relationship : empathy, trust, and intentions to adhere to medical recommendations." Virtual Press, 2004. http://liblink.bsu.edu/uhtbin/catkey/1301633.
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The main purpose of this research study was to identify variables within the physician-patient relationship that may have a relationship to patients' intentions to adhere to medical recommendations. A literature review regarding the physician-patient relationship identifies two important variables: trust and empathy. This study investigated the impact of trust and empathy on patients' intentions to adhere to medical recommendations. Ajzen's Theory of Planned Behavior (Ajzen, 1988) (Figure 1) was used as a theoretical cognitive framework to help conceptualize the proposed study. Trust and perceived empathy were proposed as variables in the physician-patient relationship that influence a patient's subjective norm, attitude toward the behavior, and perceived behavioral control sufficiently to affect the patient's intentions to adhere to medical recommendations (Figure 2).The participants in this investigation included 128 adult Family Practice Clinic patients, who completed a set of questionnaires following an appointment with their physician. Participants completed the measures of the Perceived Empathy Scale (Plank, Minton, & Reid, 1996), the Trust in Physicians Scale (Anderson & Dedrick, 1990), and a short author generated measure of intentions to follow medical recommendations. The survey included four demographic variables: sex, age, marital status, and number ofphysicians' appointments.A hierarchical regression was performed which indicated that trust in the physician was not a statistically significant predictor of intentions to adhere to medical recommendations. However, patient perceived empathy from the physician was a statistically significant predictor of patients' intentions to adhere to medical recommendations. The only statistically significant demographic predictor of intentions to adhere to medical recommendations was marital status, indicating that participants who were married were more likely to express intentions to follow medical recommendations that those who were not.Department of Counseling Psychology and Guidance Services
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Pasvogel, Alice Eleanor. "The relationship between health expectations and compliance among cardiac rehabilitation participants." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276879.
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The purpose of this study was to describe the relationship between health expectations and compliance in persons who were attending a cardiac rehabilitation program. Three subscales of the Olivas Health Motivation Scale were administered to a convenience sample of 23 subjects at two points in time: at the beginning and at the completion of the prescribed sessions. A significant relationship was found between Stimulus Outcome Expectations and the duration of exercise at the beginning of the cardiac rehabilitation sessions (r = -.51, p =.02). The relationship between Regimen Efficacy Expectations and the duration of exercise was also found to be significant at the beginning of the sessions (r = -.40, p =.05). There was no significant relationship between health expectations and compliance at the completion of the sessions. One measure of health expectations, Stimulus Outcome Expectations (F = 10.11, p =.01), and two measures of compliance, duration of exercise (F = 406.45, p =.00) and metabolic equivalents (F = 74.14, p =.00), were significantly different between the beginning and the completion of cardiac rehabilitation.
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Smith, Barbara. "A constructive view of the non-compliant patient: Understanding barriers to compliance and proposed solutions." CSUSB ScholarWorks, 1998. https://scholarworks.lib.csusb.edu/etd-project/1654.
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The health care industry is currently experiencing many changes. Managed care is altering the way health care is delivered through advances in technology and new approaches in financing. As part of this transition, importance will be placed on patients becoming better consumers and participants in determining their health care service needs. The focus of this study is on the non-compliant patient and the many factors that revolve around this topic.
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Cady, Paul Stevens. "Patient counseling and satisfaction/dissatisfaction with prescription medication." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184469.
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This study was undertaken to test the satisfaction process as it relates to the consumption of prescription medication. The disconfirmation of expectations model was used as a framework for the study. The study sought to evaluate the impact the provision of drug information has on the satisfaction/dissatisfaction process. To accomplish this, consumers recruited from two community pharmacies were provided with a scenario that described the purchase, and consequences of taking a prescription product intended for the treatment of migraine headache. Each subject received a scenario that contained one of four (4) levels of drug information. The four levels were: (1) no drug information; (2) information about side effects; (3) information about effectiveness; and (4) information about effectiveness and side effects. Each subject also received a scenario that described one of four therapeutic outcomes. They were: (1) no side effects with total elimination of headaches; (2) no side effects with partial elimination of headaches; (3) side effects with total elimination of headaches; and (4) side effects with partial elimination of headaches. The disconfirmation of expectation model was supported by the study. Using an ANOVA model, analyses revealed that the provision of drug information resulted in more positive disconfirmation and higher levels of satisfaction when the outcome of therapy was less than optimal. The measures of future intention were also affected by the provision of drug information. Further analyses revealed satisfaction was a function of expectation and disconfirmation.
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Klingle, Renee Storm. "Patient compliance and satisfaction with physician influence attempts: A reinforcement expectancy approach to compliance-gaining over time." Diss., The University of Arizona, 1994. http://hdl.handle.net/10150/186728.
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Communication expectancy and reinforcement principles are systematically integrated to explain the effectiveness of communication strategies focused on improving initial and long-term medical adherence and patient satisfaction. Study 1 analyzed patients' evaluations of communication regard strategies and the effectiveness of these strategies in initial encounters. It was predicted that physician gender would play a major role in patients' communication evaluations. As predicted, negative regard influence strategies used by male physicians were perceived as more appropriate than negative regard influence strategies used by female physicians. Results did not indicate gender differences in perceptions of expectancies or relational concern as communicated by regard strategies. Study 1 also addressed the effectiveness of influence attempts in initial encounters with a physician. The study supports the predicted interaction for communication effectiveness in initial encounters. Specifically, the results support the claim that female physicians are limited to the use of positive regard strategies whereas male physicians are more effective persuaders using either positive or negative regard strategies. The results also indicate that the use of negative regard strategies by male physicians does not hinder patient satisfaction or physician perceptions, whereas the use of negative regard strategies by female physicians is negatively related to these outcome measures. The reinforcement expectancy framework tested in Study 2 argued that occasional use of nonrewarding communication would facilitate communication effectiveness for both male and female physician in ongoing physician-patient relationships. The results supported this assumption. Physician gender, however, did not mediate the effectiveness of certain strategy combinations as expected. Finally, the investigation found that previous exposure to any type of physician communications style, as opposed to never having seen the physician, facilitated a physician's influence attempts.
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Vadher, Atul. "Patient treatment compliance in leprosy : a social psychological perspective." Thesis, University of Oxford, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.303622.
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Powell, Tammy Lynette. "A study of refill non-compliance and predictors of refill non-compliance to tricyclic and SSRI antidepressants in a population setting /." St. John's, NF : [s.n.], 1997.
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Haigler, Susan Lynne. "The persuasive implications of therapeutic touch in doctor-patient relationships /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/8230.
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Vangile, Kirsten M. "Childhood cancer survivorship patient characteristics /." restricted, 2008. http://etd.gsu.edu/theses/available/etd-12042008-133347/.
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Thesis (M.P.H.)--Georgia State University, 2008.Title from file title page. Russ Toal, committee chair; Karen Wasilewski-Masker, committee member. Description based on contents viewed July 7, 2009. Includes bibliographical references (p. 68-72).
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Smith, David Harold. "Medication compliance and cost and utilization outcomes associated with pharmacist's cognitive service interventions /." Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/7941.
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Engström, Birgitta. "Information to the patient : an attempt to satisfy the patient's need for information." Doctoral thesis, Umeå universitet, Neurologi, 1986. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100591.
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Dissatisfaction with medical information is a common problem among patients. There is also evidence that patients lack information that physicians believe they have given to the patient. The aims of this study were to 1) survey patients' subjective need for, and satisfaction with, the information that they received during their hospital stay 2) develop and evaluate systematic routines for giving information to the patients and also communication and collaboration between the medical and nursing staff concerning the satisfaction of the patients' need for information. The study was an intervention project and the research perspective was organizational psychology. Survey study. The patients experienced a considerable need for medical information, especially about the examination results and prognosis. The patients' need for information regarding prognosis was the least satisfied. Intervention 1. A general improvement of the information to the patients occurred when the systematic routines were established. The patients' subjective need for information was unchanged throughout two years. Their satisfaction with information, after an initial improvement, did not increase throughout these two years. There was low correlation between the patients' and their physicians' estimations concerning the patients' need for information on diagnosis, prognosis and examination results. Likewise, concerning the adequacy of that information. Intervention 2. Communication and collaboration between the medical and nursing staff included a system for assessment and solution of the patients' information problems. Problem-solving took place at a multidisciplinary team conference (MTC). Medical problems were better elucidated than the patients' psychological problems. After training of registered nurses (RN) as conference chairpersons, the patients need for information was better understood. The staff reported 42 information problems after training compared to two before. For half of the information problems decisions were discussed on steps to be taken in order to satisfy the patients' need for information. A year after the system for assessment and solution of information problems was established, the patients were more satisfied with information about examinations and their results and on information about medication (p< 0.05). Further, new norms for the patients' need for information were established and a change was initiated. The results are discussed with regard to how and why patients' shall have information, by whom and to whom information shall be given, when and where information shall be given and which content it shall have.S. 1-56: sammanfattning, s. 57-137: 4 uppsatser
digitalisering@umu
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Wilson, M. "Patient education and compliance in non-insulin dependent diabetes mellitus." Thesis, University of Surrey, 1991. http://epubs.surrey.ac.uk/844504/.
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This prospective study investigated many compliance-related aspects involving a population of Type II (non-insulin-dependent) diabetics, who attended the out-patients' clinic of a District General hospital. The investigations were undertaken from both qualitative and quantitative perspectives; activities within the clinic were observed and knowledge levels concerning diabetes mellitus were measured. A teaching programme was constructed, drawing on general educational principles; each stage was subjected to analysis and evaluation. Information, teaching and counselling skills were incorporated and a quality assurance model described. Two groups of subjects - one diagnosed less than one year (n=20), the other diagnosed more than one year (n=18) - were entered into a teaching programme; weight change was chosen as the study variable. Three interventions were planned for each subject. No statistically significant differences were found between the study groups and an historical control group, but clinically significant trends towards the target weight were recorded. Following the intervention study, a clinic-specific video was made, which was positively evaluated by subjects after it was viewed in their own homes. An innovative method of analysis was applied to health belief attributes, including vulnerability and social support-dynamic concept analysis (Kontiainen, 1973) - and models were constructed to determine whether there were common patterns of interview response from which prediction of compliance with clinical advice could be deduced. From the analysis it was concluded that computerised models could be constructed, which would be used in the clinic setting to predict, and subsequently monitor and guide, the behaviour required of individuals with NIDDM. The home viewing of clinic-specific videos would provide an adjunct to effective management through the dissemination of information outside the immediate physician-patient interaction. The main aim of Type II diabetes management is control of body weight. A means of depicting movement out of the obesity grading (Garrow and Webster, 1985) was devised, which could be utilised in a collaborative way by the health care professional and the diabetic person. From this longitudinal study it was concluded that the unique educational needs of individuals must be met by a range of inter-linked skills, methods and materials, if a solution to the non-compliance problem is to be found.
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Shasha, Alethea Christina N. "Patient experiences and perceptions of non-compliance with TB treatment." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80314.
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Thesis (MCurr)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Non-compliance with (tuberculosis) TB treatment is a problem at the Nyanga Clinic in the Western Cape Province. Non-compliance is defined as when a patient interrupted TB treatment for more than two months consecutively, at any time during the treatment period. The aim of the study was to explore the patient experiences and perceptions of non-compliance regarding their TB treatment. The following research question was posed by the researcher as a guide for this study: “What are the patient experiences and perceptions of non-compliance with TB treatment?” The objectives of this study were to determine the: - patients’ experiences and perceptions of non-compliance with TB treatment - non-compliant patients’ knowledge regarding TB - reasons why patients are not compliant with TB treatment. A qualitative, explorative, descriptive and contextual design was applied. The target population included the 354 non-compliant with TB treatment patients from March 2010 until May 2011. A purposive, non-random sampling technique was used to select participants for the study. Every tenth participant who, according to the TB register, was colour-coded as non-compliant with TB treatment, was selected for interviewing until data saturation should occurred. A sample of fourteen (14) participants was realised. A semi-structured interview schedule was developed based on the objectives of the study, which was validated by experts in nursing and approved by the Human Resources Ethics Committee of the Faculty of Health Sciences of the University of Stellenbosch. Data was collected personally by the researcher. Informed written consent was obtained from the participants. One patient who was not included in the main study was selected at random to pre-test the semi-structured interview. The pilot study revealed no pitfalls. Trustworthiness of the research was enhanced by adhering to the principles of credibility, confirmability, transferability and dependability. Credibility was ensured by member checking, data saturation, triangulation and involvement of an experienced research supervisor. Confirmability was enhanced through member checking and the leaving of an audit trail. Transferability through keeping an intensive description of all the processes and dependability by using an interview schedule and by submitting the transcribed tape-recorded data and field notes to the research supervisor for verification. The quantitative data was summarised in a table format to enhance clarity and facilitate a rapid overview of the results. The qualitative data was analysed manually with the findings coded and divided into subthemes and themes. Four themes emerged, namely: health system, client-related, social-economic and therapy factors. These themes identified the impeding factors regarding the non-compliance with TB treatment. The main conclusion is that there is a need to educate the community regarding the lengthy duration of the TB treatment, its side-effects, its curability and the spread of the infection as well as the consequences of inadequate treatment to empower the community at large about the disease. The National Department of Health framework of contributing to non-compliance with TB treatment was used as the conceptual framework for this study. The researcher applied the problem-solving approach of Faye Glen Abdellah’s theory. According to this theory it is anticipated that by solving the problems or needs of patients, through appropriate and organised health strategies the client will be moved towards ultimate health.
AFRIKAANSE OPSOMMING: Onderbreking van tuberkulose (TB) behandeling is ’n probleem by die Nyanga-kliniek in die Wes-Kaap Provinsie. Onderbreking kan gedefinieer word wanneer’n pasiënt vir twee of drie opeenvolgende maande TB behandeling onderbreek het (Jaggarajamma, Sudha, Chandrasekaran, Nirupa, Thomas, Santha, Muniyandi & Narayanan, 2007:131). Die doel van die studie is om die pasiënte se ervaringe en persepsies betreffende die onderbreking in TB behandeling te ondersoek. Die navorser het die volgende navorsingsvraag as riglyn vir hierdie studie gestel: “Wat is die pasiënte se ervaringe en persepsies wat TB-behandeling onderbreek het?” Die doelwitte van die studie was om te bepaal wat die: - pasiëntervaringe en persepsies is wat TB-behandeling onderbreek - kennis van pasiënte is wat TB-behandeling onderbreek - redes is waarom pasiënte TB-behandeling onderbreek. ’n Kwalitatiewe navorsingsontwerp met’n ondersoekende, beskrywende en kontekstuele benadering is aangewend. ’n Doelbewuste, lukrake steekproef is gebruik om deelnemers te selekteer. ‘n Steekproef van veertien (14) deelnemers uit ’n totale populasie van 354 hetrealiseer en sluit pasiënte in wat behandeling onderbreek het vanaf Maart 2010 tot en met Mei 2011. ’n Semi-gestruktureerde onderhoudsgids is ontwerp, gebaseer op die doelwitte van die studie en gevalideer deur kundiges in verpleegkunde en die Etiese Komitee van die Fakulteit van Gesondheidswetenskappe aan die Universiteit van Stellenbosch. Die data is persoonlik deur die navorser ingesamel. Ingeligte skriftelike toestemming is van die deelnemers verkry. Een deelnemer wat nie ingesluit is by die hoofstudie nie, is lukraak gekies om die semi-gestruktureerde onderhoud te toets. Die loodsondersoek het geen tekortkominge aangedui nie. Betroubaarheid van die studie is verseker deur die beginsels van objektiwiteit, bevestiging, veralgemening en neutraliteit te verseker. Getranskribeerde data is gekontroleer met die deelnemers, volledige beskrywings van alle prosesse is bygehou, ’n onderhoudsgids is gebruik om te verseker dat vir al die deelnemers dieselfde vrae gevra word, en ’n ervare navorsing toesighouers was deurgaans teenwoordig wat alle data gevalideer het. Kwantitatiewe data is in ’n tabel opgesom ten einde goeie oorsig te bied. Kwalitatiewe data-analise is met die hand gedoen. Die data wat uit die analise na vore gekom het, is geënkodeer en in subtemas en temasgekategoriseer. Die vier temas wat hieruit voortspruit, is faktore betreffende die gesondheidsorgsisteem, kliënte, sosio-ekonomiese en terapie-verwante faktore. Die navorser het n geskrewe verslag saamgestel betreffende die weergawe van die data-analise ten einde te verseker dat belangrike data nie verlore gaan. Die belangrikste bevindinge van die studie dui daarop dat die gemeenskap ’n behoefte aan opleiding het betreffende die onderbreking in TB behandeling, die langdurige tydperk van behandeling, newe-effekte van die medikasie, geneesbaarheid daarvan, hoe die siekte versprei en die gevolge betreffende onvoldoende medikasie ten einde die gemeenskap te bemagtig betreffende die siekte. Die raamwerk van die Nasionale Departement van Gesondheid (2009:45) betreffende die faktore wat bydra tot onderbreking in TB-behandeling is gebruik as konseptuele raamwerk vir die studie. Faye Abdellah se teorie (George, 2002:173-1830)verduidelik verpleging as ’n omvattende diens wat insluit: identifisering van die pasiënt se verplegingsprobleme, die besluit van ’n toepaslike plan van aksie, sowel as die voortgesette sorg betreffende die individu se totale behoeftes.
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Korrapati, Raghu B. "A Bayesian Framework to Determine Patient Compliance in Glaucoma Cases." NSUWorks, 2000. http://nsuworks.nova.edu/gscis_etd/643.
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This dissertation develops a Bayesian framework to assess medication compliance in glaucoma patients. Bayesian Networks have increasingly become tools of choice in solving problems involving uncertainty in the medical domain. These models have been successfully applied to diagnosis applications. This research applied Bayesian modeling to medication noncompliance in glaucoma patients. Medication noncompliance is the failure to comply with a physician's instructions with regard to taking medications at specified times. If the patient is non-compliant, irrespective of the advances in medical field, the person does not benefit from medical intervention. A model-based decision support system using a Bayesian Network was developed to determine whether a patient was complying with the medications prescribed by the physician. The predictive ability of the model was investigated using the existing patient data. To assess research validity, the results obtained through the model were compared against a domain expert's evaluation of the patient cases. The results provided by the Bayesian framework agree with the information provided by the domain expert. The Bayesian model can be used to confirm an ophthalmologist's clinical intuition or to formulate a prescription strategy for a glaucoma patient. The model can be further refined using larger patient data sets and additional variables. A clinical decision support system can be developed using the refined model to prevent medical errors in glaucoma compliance process. Results from this study could potentially improve the decision making process, given the uncertain and incomplete data available to a physician. The Bayesian approach may be generalized to other applications where a decision has to be made based on incomplete and uncertain data sets.
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Stevens, Timothy. "Rehab Tracker: Framework for Monitoring and Enhancing NMES Patient Compliance." ScholarWorks @ UVM, 2019. https://scholarworks.uvm.edu/graddis/1001.
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We describe the development of a cyber-physical system (Rehab Tracker) for improving patient compliance with at-home physical rehabilitation using neuromuscular electrical stimulation (NMES) therapy. Rehab Tracker consists of three components: 1) hardware modifications to sense and store use data from an FDA-approved NMES therapy device and provide Bluetooth communication capability, 2) an iOS-based smartphone/tablet application to receive and transmit NMES use data and serve as a conduit for patient-provider interactions and 3) a back-end server platform to receive device use data, display compliance data for provider review and provide automated positive and remedial push notifications to patients to improve compliance. This system allows for near real-time compliance monitoring via a secure web portal and offers a novel conduit for patient-provider communication during at-home rehabilitation to improve compliance. The system was tested in patients (n=5) who suffered anterior cruciate ligament rupture and surgical repair to provide proof-of-principal evidence for system functionality and an initial assessment of system usability. The system functioned as designed, recording 89% of rehabilitation sessions. Thus, Rehab Tracker is a functionally correct system with the potential to be used as a tool for studying NMES and mobile communication methodologies at scale and improving compliance with at-home rehabilitation programs.
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Reynolds, Shawn Patrick. "Empirical studies of noncompliance to behavioral therapy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0021/NQ27235.pdf.
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Drbalová, Pavla. "Fenomén non-compliance u pacientů s diagnózou diabetes mellitus." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-72183.
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This diploma thesis analyses non-compliance phenomenon incidence rate of patients diagnosed for diabetes mellitus. Theoretical part studies non-compliance phenomenon and characteristics of diabetes mellitus disease. Practical part evaluates information resulting from questionnairing.
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Becker, Darci Lynn Sturtz. "Patient awareness of dysphagia." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/925.
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The purpose of this study was to explore the nature of reduced patient awareness of oropharyngeal dysphagia. While patient awareness of dysphagia has been explored in individuals before participating in formal swallowing assessments, no studies have been identified in the literature that have explored awareness after patients have participated in an examination and received information about their dysphagia. In addition, the relationship between patient compliance and reduced awareness, as well as the application of stages of change in this population were explored.
Twenty-one inpatients and outpatients, newly diagnosed with oropharyngeal dysphagia, participated in this study. A retrospective analysis found that 40% of participants demonstrated reduced awareness of their dysphagia before participating in a videofluoroscopic swallowing examination. Reduced pre-examination awareness of dysphagia occurred most frequently in those with general medical diagnoses versus neurological or structural diagnoses. Reduced pre-examination awareness was not significantly associated with a reduced cough response following aspiration.
Exploration of post-examination patient awareness of dysphagia, the primary intent of this study, revealed that 19% of patients demonstrated reduced awareness of their dysphagia, even after receiving specific verbal and visual information regarding their diagnosis. Reduced post-examination awareness of dysphagia occurred equally in those with structural and neurological diagnoses and was not noted in those with general medical diagnoses. Reduced post-examination awareness was not significantly associated with a reduced cough response following aspiration. Consistent with the literature on reduced patient awareness of deficit, patient awareness of dysphagia was modality specific. That is, some patients with reduced awareness of dysphagia demonstrated awareness of other deficits and vice versa. Overall, participants demonstrated more awareness of concomitant speech impairments than dysphagia and less awareness of concomitant cognitive impairments than dysphagia. No significant relationship between general cognitive impairment and reduced patient awareness of dysphagia was found.
Exploration of diet compliance in inpatient participants revealed no instances of noncompliance, while hospitalized, from the day of the swallowing examination until the day of participation in the study. However, only 67% of these patients requested permissible foods or drinks when compliance was sampled during the study protocol, suggesting that inpatients with newly diagnosed dysphagia may be less compliant if restricted items become accessible. No significant relationship between patient awareness of dysphagia and diet compliance, as sampled during the study protocol, was found in both inpatients and outpatients. The relationships between patient awareness of dysphagia and patient compliance for both swallowing strategies and exercise regimens were also not significant, though these analyses were limited by the small number of participants who had been prescribed strategies and independent exercise programs at the time of their study participation. Lastly, analysis of the relationship between patient compliance and action or post-action stages of change, revealed no significant association between these variables.
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Arnold, Tava L. "Predicting fluid adherence in hemodialysis patients via the illness perception questionaire - revised." unrestricted, 2007. http://etd.gsu.edu/theses/available/etd-11122007-020016/.
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Thesis (Ph. D.)--Georgia State University, 2007.Title from file title page. Roger O. Weed, committee chair; Gregory Brack, Phillip Gagne, Kenneth B. Matheny, committee members. Electronic text (67 p.) : digital, PDF file. Description based on contents viewed on July 11, 2008. Includes bibliographical references (p. 61-67).
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Kardas, Edward Joseph. "The effects of a selected health education intervention upon the compliance behavior of individuals diagnosed as having high blood pressure /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487327695622214.
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Johnson, Pamela J. "Using pharmacy claims data to evaluate adherence and persistence with prescribed medications in patients with diabetes mellitus /." View online ; access limited to URI, 2004. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3135905.
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Grindley, Emma J. "Predicting adherence in injury rehabilitation utility of a screening tool and physical therapists' predictions /." Morgantown, W. Va. : [West Virginia University Libraries], 2005. https://etd.wvu.edu/etd/controller.jsp?moduleName=documentdata&jsp%5FetdId=3931.
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Salmon, Becky A. "Differences between men and women in compliance with risk factor reduction : pre and post coronary artery bypass surgery." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865938.
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Coronary Artery Bypass Graft(CABG) Surgery increases blood flow to the endangered myocardium but does not slow the process of atherosclerosis. The only way to slow the process of coronary artery disease is to acknowledge the risk factors present and minimize or totally eliminate them from an individual's lifestyle. Men and women respond differently to stress and lifestyle modifications. The purpose of this study was to determine if there was a difference between genders in compliance to a heart healthy lifestyle pre and post CABG surgery.Thirty men and thirty women who had CABG surgery at least one year earlier were interviewed to assess coronary artery disease risk. The procedure for the protection of human subjects were followed. The instrument used was the RISKO Heart Hazard Appraisal Tool. This instrument was developed in 1985 by the American Heart Association and scored individuals on systolic blood pressure, weight, serum cholesterol level and cigarette smoking habits. Pre-operative records were also reviewed using the same tool to assess individuals preoperative risk. The research design used was 2 x 2 repeated measures. Data were analyzed using 2 x 2 repeated measures analysis of variance (ANOVA).Two findings were discovered. First there was a statistically significant difference between men and women (F=5.82 p=0.019) with men scoring lower RISKO scores than women, indicating lower risk and better compliance to a heart healthy lifestyle, both pre- and postoperatively. Second there was a significant difference between preand postoperative RISKO scores in the total population (F=8.77 p=0.004). Postoperative RISKO scores were lower indicating an improvement in heart healthy lifestyle. There was no statistically significant difference between genders in the difference of pre- and postoperative RISKO scores (F=2.56 p<.115). The significance of this study was that it looked specifically at gender differences and assessed disparities in cardiovascular risk factors and the impact of surgery on men and women.This study found that overall, men had lower RISKO scores than women. Both genders also had improved RISKO scores postoperatively from preoperatively. No statistically significant difference between genders of the RISKO scores from preoperatively to postoperatively was found. Education needs to continue to play a big part in the cardiac rehabilitation process for both genders and specifically women need to become the target of further research and education to improve compliance to a heart healthy lifestyle.School of Nursing
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Smith, Nerida Ann. "The effects of intervention on medication compliance and asthma control in children with asthma." Thesis, The University of Sydney, 1987. http://hdl.handle.net/2123/1613.
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Asthma can be a chronic disorder requiring regular medications if the symptoms are persistent. The regimen is often complex, involving a number of drugs and a variety or routes of administration. Although drug therapy may not alter the natural history of asthma it can improve lung function enabling those with asthma to lead as near a normal life as possible. Thus medication compliance is an important factor in the managemnt of asthma. (Note : Special enclosures (Publication reprints) at end of thesis have been removed for digital submission, with permission of author)
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Smith, Nerida Ann. "The effects of intervention on medication compliance and asthma control in children with asthma." University of Sydney, 1987. http://hdl.handle.net/2123/1613.
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Doctor of PhilosophyAsthma can be a chronic disorder requiring regular medications if the symptoms are persistent. The regimen is often complex, involving a number of drugs and a variety or routes of administration. Although drug therapy may not alter the natural history of asthma it can improve lung function enabling those with asthma to lead as near a normal life as possible. Thus medication compliance is an important factor in the managemnt of asthma. (Note : Special enclosures (Publication reprints) at end of thesis have been removed for digital submission, with permission of author)
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Williams, Mark A. "Assessment of cognitive functioning and medical regimen compliance in hemodialysis patients." Diss., Online access via UMI:, 2006.
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Strumínská, Petra. "Non-compliance pacienta v ordinaci rehabilitace." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-193767.
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The aim of this thesis is to analyze the phenomenon of non-compliance (patient and healthcare provider services) in public rehabilitation surgery, with private physiotherapist and in special lymfocentre surgery using questionnaire. The theoretical part deals with the issue of non-compliance and explains the terms associated with it, describes the kind of rehabilitation, physiotherapy and mention epidemiological data. The result of practical part is the evaluation questionnaire and testing hypotheses.
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Shiri, Clarris. "Patient education : the effect on patient behaviour." Thesis, Rhodes University, 2006. http://eprints.ru.ac.za/1348/.
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Michel, Marielena. "Health literacy and treatment adherence among Latinos with end stage renal disease." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3359.
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The purpose of this study was to examine health literacy and treatment adherence among Latinos with end stage renal disease. Health literacy has been overlooked as one of the factors that affects one's ability to comply with the physician's prescribed medical treatment.
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Bhattacharya, Baishali. "Evaluation of Directly Observed Therapy in Pulmonary Tuberculosis Patients in Nepal: Treatment Outcome and Patient Compliance." TopSCHOLAR®, 2001. http://digitalcommons.wku.edu/theses/678.
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Tuberculosis is the leading cause of infectious disease in Nepal. An estimated 60% of the adult population aged between 15-45 years is infected with tuberculosis, and 45% of the total population is infected. Ten percent of people infected with TB progress to active disease. To combat tuberculosis, Directly Observed Therapy (DOT) was adopted in Nepal in 1996. DOT was administered at four national demonstration sites in 1996 and expanded over time so that 56% of the population to date have been covered by DOT. This study aimed to evaluate DOT in pulmonary TB patients in Nepal in terms of patient outcome and compliance. DOT was compared against a conventional treatment program or self-administered therapy (SAT), which served as the control group. The project was a retrospective nonconcurrant cohort study. Patients were sputum positive pulmonary TB patients aged over 15 years from Bhaktapur district in Nepal, who had undergone DOT or SAT between 1996 and 1998. Medical records of all the patients were sent to the National TB Center in Thimi, Nepal. A total of 261 patients (DOT, 161 patients and SAT, 100 patients) were included in the study. The two groups were similar in terms of age, ethnicity, and religion status. The cure rate was 86.3% for DOT, which was significantly higher than the 75.0% for the SAT group (p<0.05). The compliance rate was also higher for DOT at 90.2% versus 81.8% for the SAT group (p<0.05). The mean treatment length was 6.8 months for the SAT group and 7.4 months for the DOT group (p<0.05). Higher rates of treatment compliance and cure rate were achieved in the DOT group versus the SAT group. Thus, DOT is advocated as a means of ensuring greater TB program success.
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Benea, Victoria R. "Clinician perceptions of factors that enhance patient compliance in physical therapy." FIU Digital Commons, 2000. http://digitalcommons.fiu.edu/etd/1501.
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The purpose of this study was to determine physical therapists utilization of methods to increase compliance with home exercise programs, and to determine their perceptions of barriers patients have to completing exercise programs. The secondary purpose of this study was to describe the association, if any, between therapists' age, participation in exercise and/or lifestyle changes and the utilization of methods to increase exercise compliance. A sample of 73 physical therapists attending the American Physical Therapy Association Combined Sections Meeting were surveyed for this study. This study found that barriers listed by patients were similar to those found in the literature. This study also found that a significant association, p = .015, existed between therapists engaging in behavioral changes and use of lifestyle activities.
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Chang, Nai-Chung Nelson. "Identifying factors influencing hand hygiene compliance during the patient care sequence." Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6390.
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Healthcare-associated infections (HAI) are a significant issue in healthcare facilities worldwide. Hand hygiene (HH) remains the most effective method for preventing the incidence of HAI in routine patient care. Past and current interventions focused on the overall improvement of HH compliance, but studies found that the amount of time required to achieve full HH compliance with the existing guidelines may not be practical. Improving HH compliance at critical moments during patient care may be more effective than improving HH compliance at all opportunities. However, there are little to no studies on healthcare workers’ (HCWs) behavior regarding HH during the patient care process.
Secondary data analysis on a prospective dataset from the STAR-ICU trial was completed to identify HCWs’ behavior patterns regarding HH during the patient care process. Multiple logistic regression for transitions with random effects using repeated measures and transition modeling was used to identify possible associations between HH compliance and patient care tasks, the order of tasks, and workload. The models adjusted for the effects of HCW type, glove use, and isolation precautions.
The study identified 28,826 task sequences and 42,349 HH opportunities. HCWs were slightly less likely to do HH before critical tasks compared with other tasks (OR: 0.97, 95% CI: 0.96-0.99), but more likely to do HH after contaminating tasks compared with other tasks (OR: 1.12, 95% CI: 1.10-1.13). HCWs are also more likely to move from task sequences that have a relatively lower risk to patients to task sequences that have a relatively higher risk to patients than vice versa (65.4% versus 34.7%). HCWs are also less likely to do HH after moving from tasks that have a relatively lower risk to patients to tasks that have a relatively higher risk to patients than vice versa (OR: 0.93, 95% CI:0.92-0.95). HCWs’ HH compliance rates decreased as the workload level increased (OR: 0.93, 95% CI: 0.89-0.98). Workload did not appear to affect HH compliance before critical tasks or after contaminating tasks and did not affect the order in which HCWs perform patient care tasks. Increase in workload was associated with an increase in the odds of critical tasks occurring (OR: 1.55, 95% CI: 1.45-1.65).
In conclusion, HCWs are more likely to perform HH after contaminating tasks to prevent contaminating themselves and to reduce the risk of transmission in subsequent task sequences. However, they do not perform tasks in an order that minimizes risk to the patient; instead, it appears that they perform tasks as they come up in routine care. Furthermore, HH is not being performed at critical moments during patient care. Lastly, workload did not affect the order in which HCWs perform patient care tasks, suggesting that HCWs behavior patterns contribute significantly to how they care for patients and perform HH. Interventions targeting the order in which HCWs perform patient care tasks and improving HH compliance before critical tasks may be more effective than those designed to improve HH compliance at all HH opportunities for reducing HAI rates.
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Kirk, Rhonda Rae. "Myocardial infarction : a study of the effects on patient compliance of structured education and participation of a significant other." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24416.
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Myocardial Infarction: A Study of the Effects On Patient Compliance of Structured Education and Participation of the Significant Other This study was designed to explore the effects of the independent variables of patient education and the significant other on compliance. The purpose of the study was to test three hypotheses predicting that subjects who receive structured education with their significant other would have higher compliance rates with health care recommendations than would subjects who receive structured and unstructured education without their significant other.
The study was conducted with a convenience sample of 12 male patients who had a significant other and had not experienced a previous myocardial infarction within five years. The convenience sample was then randomly and equally allocated into three groups. The control group received unstructured education as currently practiced by nursing staff. One experimental group received structured education from the investigator and the other experimental group of subjects and their significant other received structured education from the investigator. Using a semi-structured interview guide, the investigator interviewed each subject at one month and at three to four months postdischarge from hospital to determine compliance rates with physical activity, dietary, and medication health care recommendations as prescribed by the subject's physician. Open-ended questions were used to determine recommendations and difficulties encountered by noncompliers. More specific questions were used to allow subjects to rate their compliance. Results were subjected to the Kruskal-Wallis rank-sum test with one-way analysis of variance.
Statistically significant differences (p < .05) were not found suggesting that method of patient education was not a valid prediction of compliant behaviour. The insignificant findings of this study need to be interpreted with caution because of the small sample size and between group differences of the demographic variables of age and employment.
From general observations of the total sample, personal definitions of health, simultaneous demands and the extent of behavioural changes required, and the demographic variables of education and employment appear to influence compliance. These findings suggest that individual differences have an impact on compliant behaviour. Findings also suggest that the significant others of patients with myocardial infarctions are actively involved with the therapeutic regimen prescribed for their mates.
The study discusses implications and recommendations for nurse practitioners and researchers who wish to improve their care of myocardial infarction patients and their significant others.Applied Science, Faculty of
Nursing, School of
Graduate
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Hsueh, Hsiu-Feng. "Compliance with dietary recommendations in adults with irritable bowel syndrome /." Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/7190.
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Grusell, Annelie, and Jeerawan Pirzadeh. "Vårdrelationen mellan sjuksköterska och patient med sustansbrukssyndrom : Litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7639.
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Bakgrund: Patienter med substansbrukssyndrom har ofta komplexa problem och sjuksköterskan behöver ha kunskap och medkänsla för att vårdrelationen skall fungera. Sjuksköterskan behöver hantera både sina egna och patientens känslor för att vårdrelationen skall fungera. Sjuksköterskan behöver vara ett stöd för patienten när hen skall hitta en hälsosam livsstil utan substansbruk. En fungerande vårdrelation mellan sjuksköterska och patient med substansbrukssyndrom är betydelsefull för att omvårdnaden skall fungera. Syfte: Syftet var att beskriva vårdrelationen mellan sjuksköterska och patient med substansbrukssyndrom ur ett sjuksköterskeperspektiv. Metod: En litteraturstudie valdes som metod. Artiklarna söktes databaserna PubMed och Cinahl. Totalt inkluderades 18 vetenskapliga originalartiklar i resultatet. Resultat: Resultatet visade att synsätt och perspektiv samt negativa erfarenheter påverkar relationen mellan sjuksköterska och patient med substansbrukssyndrom. Sjuksköterskan upplever svårigheter med kunskapsbrist och patienters manipulativa beteende. Slutsats: Vårdrelationen mellan sjuksköterskan och patienten med substansbrukssyndrom kan utvecklas genom stöd och utbildning till sjuksköterskor i deras yrkesroll.Background: Patients with substance use disorder often have complex problems and the nurse needs knowledge and compassion to make the care relationship work. The nurse needs to handle both her own and the patient's feelings in order for the care relationship to work. The nurse needs to support the patient as he or she finds a healthy lifestyle without substance use. A functioning care relationship between nurse and patient with substance use disorder is important for the care to work successfully. Aim: The aim of the study was to describe the care relationship between nurse and patient with substance use disorder from a nursing perspective. Method: A literature review was chosen as method. The article search was conducted in the databases PubMed and Cinahl. In total, 18 original scientific articles were included in the results. Results: The results showed that attitude and perspective as well as negative experience affect the relationship between nurse and patient with substance use disorder. The nurse experiences difficulties related to lack of knowledge and patients' manipulative behavior. Conclusions: The care relationship between the nurse and patient with substance use disorder can be improved by providing support and education for nurses in their professional role.
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Adam, Paul Marcel. "Chronic nonadherence to therapeutic regimes : an in-depth analysis of male arthritis patients." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27710.
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Chronic nonadherence is the complete lack of adherence on the part of a patient to at least one aspect of their therapeutic regime for extended periods of time. Chronic nonadherence is similar to other forms of nonadherence in that it is a phenomena which is dangerous for patients, frustrating for practitioners, and costly to the health care system. However, unlike other forms of nonadherence, very little is known about this subject.
In order to determine factors related to chronic nonadherence to a home exercise program, 15 male arthritis patients of varying ages underwent an in-depth structured interview. Eight of these patients were identified by the Arthritis Society as being chronic, treatment nonadherents. The other seven patients were randomly chosen from among the population of male arthritis patients in order to provide a comparison to the chronic nonadherent population.
Ten variables were examined in this study in the hopes of determining factors related to chronic nonadherence. These variables were as follows: demographics, The Health Beliefs Model, patient's explanatory model, nature of the illness, satisfaction with practitioner attributes, shared responsibility, overall satisfaction, attitudes of significant others, use of unorthodox treatments, and problems with the home exercise program. Data analysis failed to produce any statistically significant findings, however the study did point to some interesting associations. One finding from this study is that nonadherence seems to be related to patient's Health Beliefs Models. Based on this finding the study then goes on to recommend an appropriate intervention which can be used by practitioners to enhance patient adherence. A second finding from this study is that a small number of the chronic nonadherent group were actually adherent to their home exercise programs. Several explanations have been provided as to how these patients might have been falsely labelled as chronic nonadherents.Arts, Faculty of
Social Work, School of
Graduate
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Bhosle, Monali Jaysing. "Outcomes associated with adjuvant hormonal therapy are there any differences between black and white women with primary breast cancer? /." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1189093998.
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