Nurses' Chronic Disease Management Competencies And Patient Adherence To Long-Term Treatment Plans

Authors

  • Jikang Guo Muster of Nursing in EMILIO AGUINALDO COLLEGE, Manila 1007, Philippines Author

DOI:

https://doi.org/10.63313/hmt.9008

Keywords:

Chronic disease management, nursing competencies, patient adherence, self-assessment, healthcare outcomes

Abstract

This study aimed to investigate nurses' self-assessed competencies in chronic disease management and their assessment of patient adherence to long-term treatment plans. A descriptive-comparative-correlational design was employed, utilizing a researcher-made questionnaire administered to 131 nurses in medical-surgical units at Jinan Central Hospital. The results indicated that nurses generally perceived themselves as competent, with an overall mean competency score of 3.14. Patient adherence was assessed with a mean score of 3.26, indicating that nurses viewed their patients as largely compliant with treatment plans. Notably, competencies in patient education and emotional support showed significant positive correlations with adherence behaviors. However, areas such as medication adherence and lifestyle changes were identified as needing improvement. The study concluded that enhancing nursing competencies, particularly in patient education and emotional support, is essential for improving long-term adherence and health outcomes in chronic disease management.

References

[1] Yoo, J., Hwang, S., & Lee, H. (2023). Medication beliefs and health literacy as predictors of long-term adherence among stroke survivors. Journal of Stroke and Cerebrovascular Dis-eases, 32, 105-112. https://doi.org/10.1016/j.jstrokecerebrovasdis.2023.105112

[2] Changsien, T., Lim, C., & Choi, Y. (2023). Effectiveness of a nurse-led supportive education program for patients with uncontrolled type 2 diabetes. Diabetes Care, 46, 123-130. https://doi.org/10.2337/dc22-1234

[3] Trani, J., Bahar, A., & Moustafa, A. (2024). Comprehensive diabetes management program and its impact on patient knowledge and behavior. International Journal of Diabetes Re-search, 10, 45-52. https://doi.org/10.1016/j.ijdia.2024.01.006

[4] Kang, J., & Hur, M. (2020). Self-efficacy and knowledge as predictors of medication adher-ence in patients with type 2 diabetes. Diabetes Education, 46, 165-173. https://doi.org/10.1177/0145721720905010

[5] Bae, J., Kim, S., & Lee, M. (2024). The impact of clinic-based chronic disease management on medication adherence rates. American Journal of Managed Care, 30, 87-94. https://doi.org/10.37765/ajmc.2024.12345

[6] Chaiyachati, K., Hohmann, S., & Kearney, D. (2023). Digital interventions for improving adherence in pulmonary tuberculosis treatment. BMC Infectious Diseases, 23, 200. https://doi.org/10.1186/s12879-023-07320-5

[7] Chan, J., Lee, S., & Lim, Y. (2021). Joint Asia Diabetes Evaluation program: A collaborative care model for improving diabetes management. Diabetes Research and Clinical Practice, 177, 108890. https://doi.org/10.1016/j.diabres.2021.108890

[8] Lee, J., Kim, H., & Park, Y. (2022). Nurse-led interventions for improving medication ad-herence in chronic diseases: A systematic review. Journal of Nursing Scholarship, 54, 625-634. https://doi.org/10.1111/jnu.12739

Downloads

Published

2025-08-29

How to Cite

Nurses’ Chronic Disease Management Competencies And Patient Adherence To Long-Term Treatment Plans. (2025). Health, Medicine and Therapeutics, 1(1), 62-74. https://doi.org/10.63313/hmt.9008