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The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

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Abstract

Background

Adherence to treatment regimen is one of the behaviors related to diabetes, which has predicted successful control of the disease and reduced its intensity as well as negative consequences. This study aimed to determine the relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with type II diabetes referred to diabetes clinics.

Methods

In this descriptive-correlational study, 227 diabetic patients referred to healthcare centers and diabetes clinics affiliated to Shiraz University of Medical Sciences were selected via cluster sampling (clinics) followed by convenience sampling (patients). The study data were collected using a demographic information form, spiritual well-being scale developed by Ellison and Paloutzian, Herth hope scale, and adherence to treatment regimen questionnaire. Then, the data were entered into the statistical software and were analyzed using descriptive and inferential statistics.

Results

The results indicated that most participants had moderate spiritual well-being, high hope, and low adherence to treatment regimen. Additionally, spiritual well-being was directly associated with hope and reversely related to adherence to treatment. A significant reverse correlation was also observed between hope and adherence to treatment.

Conclusion

Considering the fact that spiritual well-being and hope were reversely associated with adherence to treatment regimen, further studies should be done in this field. Also patients’ image of God and their interpretations of being sick might not be appropriate and need correction.

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Acknowledgments

The authors would like to express their sincerest gratitude towards Shiraz University of Medical Sciences for financially supporting the research (grant No. 95-1-08-13909). They would also like to appreciate the deans of the diabetes clinics in Shiraz and all patients who cooperated in the study. Thanks also go to Ms. A. Keivanshekouh at the Research Improvement Center of Shiraz University of Medical Sciences for improving the use of English in the manuscript.

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Authors and Affiliations

  1. Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

    Sorur Javanmardifard & Fatemeh Shirazi

  2. Department of Nursing, Urmia branch, Islamic Azad University, Urmia, Iran

    Shiva Heidari

  3. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Mahnaz Sanjari

  4. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Mahnaz Sanjari

  5. Department of Ophthalmology, Shahid Motahari Specialty and Sub-specialty Complex, Shiraz University of Medical Sciences, Shiraz, Iran

    Mohammad Yazdanmehr

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  1. Sorur Javanmardifard
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Javanmardifard, S., Heidari, S., Sanjari, M. et al. The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes. J Diabetes Metab Disord 19, 941–950 (2020). https://doi.org/10.1007/s40200-020-00586-1

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