The Relationship between Trust in Nurses and Medication Adherence Among Individuals with Chronic Illnesses

Abstract

Aim: This study aimed to determine the relationship between trust in nurses and medication adherence among individuals with chronic diseases.

Method: This cross-sectional and correlational study was conducted between January and April 2025 with 358 individuals who applied to the internal medicine outpatient clinic of a state hospital. Data were collected using a Personal Information Form, the Trust in Nurses Scale, and the Modified Morisky Medication Adherence Scale. Descriptive statistics, Mann–Whitney U test, Kruskal–Wallis test, and Spearman correlation analysis were used for data analysis.

Results: The mean score of the Trust in Nurses Scale was 27.03±4.29, and the mean score of the Modified Morisky Medication Adherence Scale was 4.46±1.53. Significant differences were observed in trust in nurses according to duration of chronic illness, economic status, access to healthcare, perceived health status, presence of individuals with the same disease in the social environment, and frequency of physician visits (p<0.05). Medication adherence differed significantly according to family type, disease-related knowledge, and frequency of physician visits (p<0.05). A statistically significant positive correlation was found between trust in nurses and medication adherence (r=0.216, p<0.001).

Conclusion: The findings of the study demonstrated that there is a positive and significant relationship between trust in nurses and medication adherence among individuals with chronic diseases. Strengthening the trust relationship between nurses and patients may contribute to increased treatment adherence and improved health outcomes.

Keywords

• Chronic disease
• trust in nurses
• medication adherence
• nursing care
• patient compliance

Ethical Statement

Ethical approval for the study was obtained from Tarsus University Noninvasive Clinical Research Ethics Committee (approval date: 27/11/2024, approval number: 2024/121). In addition, written permission was obtained from the institution where the study was conducted (approval date: 23/01/2025, approval number: 12). The study was also conducted in accordance with the principles of the Declaration of Helsinki.

Kronik Hastalığı Olan Bireylerde Hemşirelere Duyulan Güven ile İlaç Uyumu Arasındaki İlişki

Abstract

Amaç: Bu çalışma, kronik hastalığı olan bireylerde hemşirelere güven ile ilaç uyumu arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır.

Yöntem: Bu kesitsel ve ilişkisel araştırma, Ocak–Nisan 2025 tarihleri arasında bir devlet hastanesinin dahiliye polikliniğine başvuran 358 bireyin katılımıyla yürütülmüştür. Veriler; Kişisel Bilgi Formu, Hemşirelere Güven Ölçeği ve Modifiye Morisky İlaç Uyum Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ile birlikte Mann–Whitney U testi, Kruskal–Wallis testi ve Spearman korelasyon analizinden yararlanılmıştır.

Bulgular: Hemşirelere Güven Ölçeği puan ortalaması 27,03±4,29, Modifiye Morisky İlaç Uyum Ölçeği puan ortalaması 4,46±1,53 olarak bulunmuştur. Hemşirelere güvenin; kronik hastalık süresi, ekonomik durum, sağlık hizmetine ulaşım, sağlık algısı, çevrede aynı hastalığa sahip birey varlığı ve doktora gitme sıklığına göre anlamlı farklılık gösterdiği belirlenmiştir (p<0,05). İlaç uyumunun ise aile tipi, hastalıkla ilgili bilgi varlığı ve doktora gitme sıklığına göre anlamlı düzeyde farklılık olduğu belirlenmiştir (p<0,05). Hemşirelere güven ile ilaç uyumu arasında pozitif yönde ve istatistiksel açıdan anlamlı bir ilişki bulunmuştur (r=0,216, p<0,001).

Sonuç: Çalışma bulguları, kronik hastalığı olan bireylerde hemşirelere duyulan güven ile ilaç uyumu arasında pozitif yönlü ve anlamlı bir ilişki olduğunu göstermiştir. Hemşire-hasta arasındaki güven ilişkisinin güçlendirilmesi, tedavi uyumunun artırılmasına ve sağlık sonuçlarının iyileştirilmesine katkı sağlayabilir.

Keywords

• Kronik hastalık
• hemşireye güven
• ilaç uyumu
• hemşirelik bakımı
• hasta uyumu

Ethical Statement

Araştırma için etik kurul onayı, Tarsus Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan alınmıştır (onay tarihi: 27/11/2024, karar sayısı: 2024/121). Ayrıca, araştırmanın yürütüldüğü kurumdan yazılı izin alınmıştır (izin tarihi: 23/01/2025, izin sayısı: 12). Çalışma, Helsinki Bildirgesi ilkelerine uygun olarak gerçekleştirilmiştir.

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