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Abstract

Aim: The aim of this study was to determine the effect of self-care management on compliance with chronic disease on the patients included in the research.

Method: Study sample consisted of patients ( n=222 ) being treated in Internal Medicine, Pulmonary Diseases, and Cardiology clinics of Ege University Medical Faculty Hospital and who were diagnosed with Chronic Obstructive Pulmonary Disease (COPD), Chronic Heart Failure (CHF), or Diabetes (DM) at least six months prior to the treatment. For data collection, Chronic Disease Assessment Form, SCMP-G scale and Compliance questionnaire were applied to the patients by face-to-face interview technique.

Results: A statistically significant correlation was found between the mean self-care management score and mean compliance score of the patients in the study (B = 136.20, P < 0.001). According to the results of the regression analysis which was performed based on chronic diseases within the scope of the study to further examine the findings, a statistically significant correlation was found between Diabetes (B = 125.51, SD = 10.97, t = 11.43, P < 0.001), CHF (B = 113.18, SD = 15.85, t = 7.13, P < 0.001) and COPD (B = 182.18, SD = 16.05, t = 11.35, P < 0.001) disease groups.

Conclusion: As a result, as the self-care management of the patients within the scope of this study increased, the compliance of patients with chronic disease also increased; and as self-care management of patients in the disease groups increased, compliance also increased.

Keywords: Chronic Disease, Self-Care, Compliance

Introduction

Incidence of chronic diseases (CD) has been increasing in all countries as a result of demographic and epidemiological transformation. It has been found that CDs, which are a global health problem, are responsible for 71% of 57 million deaths in 2016. In developing countries, this ratio is 78%. CDs also lead to early mortality. In developing countries, 75% of deaths related to CDs are reported to be in the 30-69 age range. It has been reported that 44% of deaths related to CDs are caused by cardiovascular diseases, 9% by chronic respiratory diseases, and 4% by diabetes (WHO (2018)). Combating chronic diseases requires a joint approach and coordination in primary, secondary and tertiary care in terms of preventive, curative and rehabilitative services (WHO (2018). The...

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