بررسی تبعیت از رژیم درمانی در بیماران تحت جراحی پیوند عروق کرونر بستری در بیماستان‌های تامین اجتماعی تهران

Background: The number of coronary artery bypass grafts is increasing as one of the most effective treatments. Adherence to the treatment regimen is one of the determinants of the effectiveness of this intervention. The aim of this study was to evaluate the compliance of treatment regimen in patients underwent coronary artery bypass graft surgery in Tehran's Social Security Hospitals. Materials and methods: This descriptive-analytical study was performed on 255 patients in Milad and Shahid Lavasani Hospitals in 2017. Data were collected through a demographic and adherence to treatment regimen questionnaire. Data were analyzed using SPSS v18 software by applying descriptive statistics and regression modeling. Results: Most subjects had a rather favorable diet (98.8%), drug (72.9%) and physical activity (90.6%) adherence. In terms of drug and physical activity, the share of people who had unfavorable compliance was 25.9% and 9.4%, respectively. The mean score for the treatment regimen was 3179.76. Gender, having caregivers, history and frequency of admission, blood lipids, and blood pressure had a role in explaining the rate of compliance with the treatment regimen. Conclusion: The findings of this study showed that the overall adherence rate of the treatment regimen in patients underwent coronary artery bypass graft surgery was at a relatively desirable level. The importance of adherence to the treatment regimen in preventing recurrence of disease and future disabilities encourages us to design and implement some interventions to improve the patients' willingness and ability to adhere the treatment regimen.