الفهرس 
الغلافيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Aim of the Study:
Assess factors affecting liver cirrhosis patient compliance toward therapeutic regimen. Through the following objective .
1. Level of compliance among patients with liver cirrhosis toward therapeutic regimen.
2. Factors that affect liver cirrhosis patient compliance toward therapeutic regimen.
3. The effect of those factors on the level of compliance among patients with liver cirrhosis toward therapeutic regimen.
Finding of the current study can be summarized as the following:
63.3% of adult patients were between 41-59 years old and live in rural areas, while 43.3% of them were married and femalein addition while 23.3% of them had irregular work and illiterate.
- 20.0% of them were suffering from disease since 1<5 years and discovered disease through appearing symptom. 46.5 % of patient depended on medication only while 50.0% depended on medication, diet and exercise.
(100%) of studied subjects diagnosed with positive hepatitis C virus that causes liver cirrhosis before compliance with therapeutic regimen but 10% of them become positive after treatment course completion.
- 80% of studied subjects had moderate compliance, 13.3% of them had high compliance to medication regimen while 6.7 % of them had low compliance to therapeutic regimen.
- 56.7% of studied subjects had non- complianceto behavior therapeutic (diet, exercise and follow up) comparing to 43.3% of them had complianceto behavior therapeutic regimen.
- 20% of total study subjected had poor knowledge, 60 % of them had fair knowledge and 20% of them had good knowledge.
- 100% of them had internal desire to complete treatment and change their lifestyle to compliance with therapeutic regimen.
- 70.0% of studied subjects were smokers and 81% of smokers thought that smoking not affects their compliance to therapeutic regimen.
-73.3% of studied subjects had difficult to compliance to treatment due to side effects of medication, had difficult to intake ploy pharmacy, length of treatment period had effect on compliance to therapeutic regimen and had slow body’s response to treatment, on the other hand 96.7% of the studied subjects their family helped to take medication in right time, in addition 90% of them their family helps to compliance to therapeutic treatment regimen and help them to go to their physician
- 83.3% of the studied subjects closed to heath care place, while 66.7% of them found that the service not free.76.7% of patients noted that physicians and nurses concerned with them problem and - doctor answered on all questions.
- There no statistically significant relation between patient demographic characteristics and level of compliance to medication according to Morisky scale such as sex, age, residence, marital state, while There was significant relationship between level of Morisky compliance and some factor such as medication, therapy, motivation, health system factor and knowledge.
- There was statistically significant relationship between patient educational level and level of behavioral compliance(diet, exercise and follow up) , in addition there was significant relationship between level of behavioral compliance and some factors such as, motivation, smoking, disease, therapy factor while knowledge factor, social factor and health system didn’t had statistical significant relationship with level of behavioral compliance.
Based on the results of the present study and research question investigator concluded thefollowing:
Major of subjected studies had moderate compliance to medication regimen while nearly two thirds of them had compliance to fallow up, exercise and diet, in addition to the majority of the studied patient had a knowledge about the therapeutic regimen and a good health care system support them and all of the patient had a motivational force to compliance to therapeutic regimen. One half of them find social support from their family and friends. There is no significant relation between demographic characteristics and level of therapeutic regiment compliance except education level there is a relation with behavior compliance level while, there is significant relationship between all factor and level of therapeutic regimen compliance except (smoking factor and disease factor) not a relation with level of medication compliance, and (knowledge factor, social factor and health care factor) not relation with level of behavior compliance.
Based on the results of the present study and research questions the following recommendations are proposed:
1- Periodic health education programs for adult with liver cirrhosis about nature of disease, therapeutic regimen and how to manage side effect of medication.
2- Disseminating health education booklets to increase adult patient’s awareness about liver cirrhosis at outpatient clinics.
3- Apply more research in other location for generalization.