Adherence to health regimens and the factors associated with it and the effects of nurse-led case management intervention on frequent attenders
Thesis event information
Date and time of the thesis defence
Place of the thesis defence
Lecture Hall K101 (Aapistie 7). Remote access: https://oulu.zoom.us/j/67861507253?pwd=WU5aeHNSRk5BajZKQUhwNHpEcnREUT09
Topic of the dissertation
Adherence to health regimens and the factors associated with it and the effects of nurse-led case management intervention on frequent attenders
Doctoral candidate
Master of Health Sciences Sari Hirsikangas
Faculty and unit
University of Oulu Graduate School, Faculty of Medicine, Medical Research Center Oulu
Subject of study
Nursing science
Opponent
Docent Jari Kylmä, Tampere University
Custos
Professor Helvi Kyngäs, University of Oulu
Adherence to health regimens and the factors associated with it and the effects of nurse-led case management intervention on frequent attenders
The purpose of the study was to describe adherence to health regimens and the factors associated with it. In addition, the study evaluate the effects of nurse-led case management intervention on frequent attenders. The study is a quasi-experimental intervention study in which the participants were measured at the initial stage of the study (whole study group n = 462), one-year follow-up (intervention group n = 200 and control group n = 166) and 2 years follow-up (intervention group n = 161 and control group n = 153).
The study answered three research questions. The first research question described adherence to health regimens and the factors associated with it on frequent attenders. The second research question with an intervention and control group evaluated the effects of the intervention on frequent attenders’ adherence to health regimens, depression, somatization, and hypochondriasis. The third research question with an intervention and control group evaluated the effects of the intervention on the quality of life, sense of coherence, and daily activities. The data were collected using structured instruments and analyzed using descriptive statistics and methods.
Frequent attenders adhered well to health regimens. The variables that predict the best adherence to health regimens were feeling responsible for self-care, carrying out self-care, and receiving medical care. The intervention had a positive effect on customers’ somatization, depression symptoms, and adherence to health regimens. In the intervention group, hypochondriasis increased. Hypochondriacal beliefs were more common among those who had poor adherence to health regimens. These results indicated a correlation between the quality of life and amount of daily activities and between the sense of coherence and the quality of life among frequent attenders.
The findings can be utilized when designing better evidence-based service processes, and models for frequent attenders needs.
The study answered three research questions. The first research question described adherence to health regimens and the factors associated with it on frequent attenders. The second research question with an intervention and control group evaluated the effects of the intervention on frequent attenders’ adherence to health regimens, depression, somatization, and hypochondriasis. The third research question with an intervention and control group evaluated the effects of the intervention on the quality of life, sense of coherence, and daily activities. The data were collected using structured instruments and analyzed using descriptive statistics and methods.
Frequent attenders adhered well to health regimens. The variables that predict the best adherence to health regimens were feeling responsible for self-care, carrying out self-care, and receiving medical care. The intervention had a positive effect on customers’ somatization, depression symptoms, and adherence to health regimens. In the intervention group, hypochondriasis increased. Hypochondriacal beliefs were more common among those who had poor adherence to health regimens. These results indicated a correlation between the quality of life and amount of daily activities and between the sense of coherence and the quality of life among frequent attenders.
The findings can be utilized when designing better evidence-based service processes, and models for frequent attenders needs.
Last updated: 1.3.2023