Abstract
Adherence treatment is an extremely important factor in improving health status and enhancing quality of life, especially in the management of chronic diseases, post-traumatic and post-surgical recovery.
Objective: Analyze the concept of adherence treatment.
Method: The analysis was conducted according to the Walker and Avant method. the document search process was conducted through four databases: PubMed, Google Scholar, CINAHL Database, Cochrane (from 2000 to 2025).
Results: From the literature, the synthesis of “adherence treatment” is the ability to follow the recommendations and recommendations of health workers, which is based on self-care practices and the willingness to cooperate of the patient. There are four attributes of the concept include: (1) self-care behavior, (2) following health recommendations, (3) willingness to cooperate and (4) communicating with medical staff. The premises are: characteristics of the regimen, communication of advice and the patient’s attitude towards advice.
Conclusion: The new definition of adherence treatment proposed in this concept analysis provides clarity and direction for future research on improving nursing practice. Furthermore, this study helps to raise nurses’ awareness of the need to communicate effectively with patients to increase treatment effectiveness, reduce the rate of early complications and improve the quality of life for patients.
Keywords
References
Ekinci F et al (2017). Effects on blood pressure control and compliance for medical treatment in hypertensive patients by sending daily sms as a reminder. 9(2): 136-141. https://doi.org/10.18521/ktd.288633
Tun H (2021). Importance of medication compliance and lifestyle modification in heart failure readmission: Single centre cohort study. European Journal of Preventive Cardiology. 28(1). https://doi.org/10.1093/eurjpc/zwab061.030
Desai R (2019). Rising Trends in Medication Non-compliance and Associated Worsening Cardiovascular and Cerebrovascular Outcomes Among Hospitalized Adults Across the United States. Cureus; 11(8): p. e5389. doi: 10.7759/cureus.5389.
Zoungrana Y (2022). Adherence to HIV Antiretroviral Therapy Among Pregnant and Breastfeeding Women, Non-Pregnant Women, and Men in Burkina Faso: Nationwide Analysis 2019-2020. Patient Prefer Adherence; 16 (1):1037-1047. doi: 10.2147/PPA.S354242. eCollection 2022.
Bunting J (2022). Strategies to Improve Compliance with Clinical Nursing Documentation Guidelines in the Acute Hospital Setting: A Systematic Review and Analysis. SAGE Open Nurs; 8: p. 23779608221075165. doi: 10.1177/23779608221075165.
Walker LO, KC Avant (2019). Strategies for theory construction in nursing 6th.
Cramer JA, Benedict A (2008). The significance of compliance and persistence in the treatment of diabetes, hypertension and dyslipidaemia: a review. Int J Clin Pract; 62(1): 76-87. doi: 10.1111/j.1742-1241.2007.01630.x.
Blackwell B (2015). Treatment adherence. Br J Psychiatry; 129: 513-31. doi: 10.1192/bjp.129.6.513.
Brown MT, Bussell JK (2011). Medication adherence: WHO cares? Mayo Clin Proc; 86(4): 304-314. doi: 10.4065/mcp.2010.0575.
Benner JS (2002). Long-term persistence in use of statin therapy in elderly patients. Jama; 288(4): 455-461. doi: 10.1001/jama.288.4.455.
Murphy J, Coster G (2001). Issues in patient compliance. Drugs; 54(6): 797-800. doi: 10.2165/00003495-199754060-00002.
Kyngäs H (2000). Compliance of adolescents with diabetes. J Pediatr Nurs; 15(4): 260-267. doi: 10.1053/jpdn.2000.6169.
Khan AR et al (2012). Factors contributing to non-compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia. J Family Community Med; 19(1): 26-32. doi: 10.4103/2230-8229.94008.
Chatterjee JS (2006). From compliance to concordance in diabetes. J Med Ethics; 32(9): 507-510. doi: 10.1136/jme.2005.012138.
Cushing A, Metcalfe R. Optimizing medicines management: From compliance to concordance. Ther Clin Risk Manag; 3(6): 1047-1058.
Ibrahim NK et al (2010). Physicians’ therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria. J Family Community Med; 17(3): 121-128. doi: 10.4103/1319-1683.74325.
Van der Wal MH, et al (2010). Qualitative examination of compliance in heart failure patients in The Netherlands. Heart Lung; 39(2): 121-130. doi: 10.1016/j.hrtlng.2009.07.008.
Alikari V, Zyga S (2014). Conceptual analysis of patient compliance in treatment. Health Science Journal; 8(2): 179-186.
Lu X et al (2018). Relationship Between Internet Health Information and Patient Compliance Based on Trust: Empirical Study. J Med Internet Res; 20(8): p. e253. doi: 10.2196/jmir.9364.
Panahi S et al (2022). Patient Adherence to Health Care Provider Recommendations and Medication among Free Clinic Patients. J Patient Exp; 9: p. 23743735221077523. doi: 10.1177/23743735221077523.
López-Campos JL, Quintana Gallego E (2019). Status of and strategies for improving adherence to COPD treatment. Int J Chron Obstruct Pulmon Dis; 14: p. 1503-1515. doi: 10.2147/COPD.S170848.
Hood MM, et al (2016). Managing severe obesity: understanding and improving treatment adherence in bariatric surgery. J Behav Med; 39(6): 1092-1103. doi: 10.1007/s10865-016-9772-4.
Rivera E, et al (2022). Treatment Adherence in CKD and Support From Health care Providers: A Qualitative Study. Kidney Med; 4(11): p. 100545. doi: 10.1016/j.xkme.2022.100545.
Dibaba D, et al (2021). Antiretroviral Treatment Adherence Level and Associated Factors Among Adult HIV-Positive Patients on Both HIV/AIDS Care Models: Comparative Study in Selected Hospitals of Western Ethiopia, 2019. HIV AIDS (Auckl), 2021. 13: p. 1067-1078. doi: 10.2147/HIV.S327784.
Jin J et al (2008). Factors affecting therapeutic compliance: A review from the patient’s perspective. Ther Clin Risk Manag; 4(1):269-286. doi: 10.2147/tcrm.s1458.
Naghavi S (2019). Effective factors in non-compliance with therapeutic orders of specialists in outpatient clinics in Iran: a qualitative study. BMC Health Serv Res; 19(1): 413. doi: 10.1186/s12913-019-4229-4.
Abdallah(20023). Factors Affecting Compliance of Therapeutic Regimen among Patients with Multiple Sclerosis. 2023.
Aremu TO et al (2022). Medication Adherence and Compliance: Recipe for Improving Patient Outcomes. Pharmacy (Basel); 10(5).
Saiz A (2015). Therapeutic compliance of first line disease-modifying therapies in patients with multiple sclerosis. COMPLIANCE Study. Neurologia; 30(4): 214-222. doi: 10.1016/j.nrl.2013.12.008.
Krot Katarzyna & Sousa João Pedro. Engineering Management in Production and Services, Sciendo, vol. 9(2), pages 73-81.
Muliyil DE et al (2017). Compliance to treatment among type 2 diabetics receiving care at peripheral mobile clinics in a rural block of Vellore District, Southern India. J Family Med Prim Care; 6(2): 330-335. doi: 10.4103/2249-4863.219991.
Ogbemudia E (2021). Poor compliance with lifestyle modifications and related factors in hypertension. Highland Medical Research Journal; 21(1):57-62.
Warren-Findlow J et al (2013). Preliminary validation of the Hypertension Self-Care Activity Level Effects (H-SCALE) and clinical blood pressure among patients with hypertension. J Clin Hypertens (Greenwich); 15(9): 637-643. doi: 10.1111/jch.12157.
Sidani S (2014). Development and Validation of a Self-Care Ability Measure. Can J Nurs Res; 46(1): 11-25. doi: 10.1177/084456211404600103.
Fialko L (2008) A large-scale validation study of the Medication Adherence Rating Scale (MARS). Schizophr Res; 100(1-3): 53-59. doi: 10.1016/j.schres.2007.10.029.
Morisky D et al (2008). Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich); 10(5): 348-354. doi: 10.1111/j.1751-7176.2008.07572.x.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2025 Journal of Nursing Science