Educational Intervention for Improving Medication Adherence, Knowledge, and Practice Regarding Intrafamilial Transmission among Helicobacter Pylori Patients | ||
| Egyptian Journal of Health Care | ||
| Article 23, Volume 11, Issue 3, September 2020, Pages 350-368 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.146141 | ||
| Authors | ||
| Manar D. Mohammed1; Rokaia Fathi Mohammed* 2; Heba Mohamed Fahmy3 | ||
| 1Community Health Nursing, Faculty of Nursing, Minia University, Egypt. | ||
| 2Gerontological Nursing, Faculty of Nursing, Minia University, Egypt. | ||
| 3Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt. | ||
| Abstract | ||
| Background: The helicobacter pylori (H. pylori) infects more than half of the world's population and is associated with the development of 78% of all gastric cancers primarily in developing countries. Patients' education is vital in preventing intrafamilial transmission as well as in improving medication adherence for H. Pylori eradication therapy. Aim: To investigate the effectiveness of an educational intervention on improving medication adherence, knowledge, and practice regarding intrafamilial transmission among helicobacter pylori patients. Methodology: Quasi experimental research design (Pre/post-test) was utilized. Sample: A purposive sample of two hundred patients met the following inclusion criteria; patients aged ≥ 18 yrs. of both sexes, diagnosed with H. pylori infection by positive stool antigen test, and under the same strategy of H. pylori eradication therapy. Setting: The current study was carried out at the medical clinic of Minia university hospital, Minia governorate, Egypt. Tools of data collection: Two tools were utilized to collect data; 1st one: Is a Structured interviewing questionnaire sheet covered three parts (demographic data, knowledge assessment questionnaire regarding to the H. pylori infection, and self reported practices regarding its intrafamilial transmission), and the 2nd one: Medication adherence scale. Results: It was founded that near to three-quarters of the intervention group adhered to H. pylori eradication therapy after the educational intervention compared with only about one-third of the control group. Moreover, there was a significant improvement in the total score of knowledge and practices among the study group regarding H. pylori infection and its intrafamilial transmission after receiving the educational intervention than before. Conclusion: The application of educational intervention was effective in improving medication adherence, as well as improving the knowledge and practices regarding H. pylori infection, and its intrafamilial transmission among infected patients of the study group versus the control group. Recommendations: General population education must be implemented in Egypt, especially among at-risk populations around H. pylori infection and its intrafamilial transmission, as well as the importance of adherence to H. Pylori eradication therapy especially among older adults. | ||
| Keywords | ||
| Educational intervention; Intrafamilial transmission; Helicobacter pyloriKnowledge; Practices; Medication adherence | ||
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