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The Mediating Role of Coping Strategies in Relationship Between Illness Perception and Perceived Social Support with Treatment Adherence in Cardiovascular Patients
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Mahdi Pouresmaeel Niyazi    , Farnaz Farshbaf Mani Sefat * , Ali Khademi , Shahla Meshgi |
| Islamic Azad University , f.farshbaf@iaurmia.ac.ir |
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Abstract: (2502 Views) |
Introduction: Adherence to treatment is the main determinant of success in the treatment of chronic diseases, which are affected by various factors. The aim of this study was to investigate the mediating role of coping strategies in the relationship between Illness Perception and Perceived Social Support with Treatment Adherence in Cardiovascular Patients.
Methods: This research is correlation research. The statistical population of the study is cardiovascular patients hospitalized or referred to the specialized cardiology clinic of Shahid Madani in Tabriz in the first quarter of 1400, where 234 of them were selected as available samples for the present study. Data were collected using Broadbent's Illness Perception, Zimet's Perceived Social Support, coping with the stressful situations of Endler & Parker, and Modanloo's Adherence questionnaires. then, through the Pearson correlation coefficient, bootstrap and Sobel were analyzed using SPSS and AMOS (version 24).
Results: The results showed Perceived social support (p<0.05), Illness perception, and coping strategies (p<0.001) have a direct, positive, and significant effect on Treatment Adherence. Also, Illness perception on coping strategies (p<0.001) and perceived social support on coping strategies (Problem-Focused and Avoidance strategies, p<0.001; Emotion-Focused, p<0.01), have a direct, positive, and significant impact. The results of the Sobel test showed that the Illness Perception through coping strategies (Problem-Focused Strategy, p˂0.001; Emotion-Focused and Avoidance, p˂0.01) had an indirect, positive and significant effect on treatment adherence. Perceived social support is also due to coping strategies (Problem-Focused Strategy, p˂0.001; Emotion-Focused, p˂0.05; Avoidance, p˂0.01) having an indirect, positive and significant effect on treatment adherence.
Conclusions: According to the research findings, planning and goals can be designed to promote Illness Perception and the necessity of social support, and training the use of effective coping strategies in cardiovascular patients.
Keywords: Treatment Adherence, Coping Strategies, Illness Perception, Perceived Social Support. |
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| Keywords: Treatment Adherence, Coping Strategies, Illness Perception, Perceived Social Support |
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Full-Text [PDF 355 kb]
(885 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2021/11/10 | Accepted: 2022/03/1 | Published: 2022/03/1 | ePublished: 2022/03/1
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