Patient adherence to ischemic heart disease treatment

Nobre, Moacyr Roberto Cucê; Domingues, Rachel Zanetta de Lima

doi:10.1590/1806-9282.63.03.252

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…If analyze modified affecting reasons, it could be suggested that too many prescribed medications with difficult regime of usage (twice or trice daily) with non-adequate outpatient supervision may significantly decrease adherence causing development of complications, that may lead to re-hospitalizations and cardiovascular death, which corresponds to literature data [13,14].…”

Section: Discussionmentioning

confidence: 70%

Investigation of the Adherence to Prescribed Treatment of the Patients with Coronary Heart Disease

Shuper¹,

Shuper²,

Trefanenko³

et al. 2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to investigate the adherence to secondary prevention medications among patients with coronary heart disease and identify factors associated with it. Materials and methods. We examined 40 patients diagnosed with coronary heart disease of more than 50 years old, who were prescribed with optimal medication for 1 year during hospitalization. Patients` adherence was defined according to MMS-8 Morisky values for secondary prevention medications prescribed by doctors. Also, questionnaires about individual reasons of non-compliance and for individual patient`s opinion about importance and usefulness of knowledge according to risk factors of the increase of cardiovascular mortality were designed and proposed to the patients. Simple descriptive statistics were used to elucidate the characteristics of the patient population and results from individual adherence tools. Final score was analyzed and correlation between patients’ data and level of adherence to prescribed treatment were identified. A correlation matrix (using Spearman’s coefficient) was reviewed for any evidence of collinearity. Results and discussion. Our study demonstrated higher level of non-adherence with secondary prevention medications in patients with coronary heart disease (60.0%). This fact can be explained by the socioeconomic reasons, less informative strategies from the medical staff to the patients. Severe regress of adherence was demonstrated after discharge from the hospital due to subjective improvement of the patients` condition with absence of supervision by out-patient specialists. Demographic characteristics of the patients suggested that some non-modified factors can affect compliance with the prescribed treatment. Better adherence was demonstrated by female married patients with higher educational level, with family history about cardiovascular death. Also, too much prescribed medications with difficult regime of usage with non-adequate out-patient supervision may significantly decrease adherence causing development of complications which may lead to re-hospitalizations and cardiovascular death. Our investigation demonstrated also non-complete information of the patients about lifestyle and medical risk factors of the cardiovascular mortality increase. Conclusion. The results of our study can provide useful practical information on the prevalence and severity of non-adherence among patients with coronary heart disease. Analysis of the factors influencing the adherence demonstrated the main reasons from patients and healthcare professionals affecting the level of compliance with the prescribed treatment. The step towards improving adherence can be initiated by the healthcare professional to overcome the patient's concerns about the prescribed medication. It is important to continue personal monitoring of patients by healthcare professionals in the form of regular inspections of intentional and unintentional non-adherence, including factors and reasons that may change and lead to such behavior

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Section: Discussionmentioning

confidence: 70%

Investigation of the Adherence to Prescribed Treatment of the Patients with Coronary Heart Disease

Shuper¹,

Shuper²,

Trefanenko³

et al. 2021

Ukr. ž. med. bìol. sportu

View full text Add to dashboard Cite

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“…To the best of our knowledge, this is the first study to introduce and examine the psychometric properties of such an instrument in a sample of caregivers of CHD patients. Previous research has underscored the importance of the caregivers' role in the care of these patients [31,32]; consequently, having a valid and reliable instrument available to quantify this support is critical.…”

Section: Discussionmentioning

confidence: 99%

Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory

Bolgeo,

Di Matteo,

Simonelli

et al. 2024

PLoS ONE

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Background Caregivers are important contributors to the self-care of patients with coronary heart disease (CHD). Aims The aims of this study are to describe the development and psychometric properties of the caregiver contribution to self-care of coronary heart disease inventory (CC-SC-CHDI). Methods The CC-SC-CHDI was developed from the patient version of the scale, the Self-care of Coronary Heart Disease Inventory (SC-CHDI) and translated into Italian using forward and backward translation. Baseline data from the HEARTS-IN-DYADS study were used. Confirmatory factor analysis (CFA) was conducted to assess factorial validity; Cronbach’s alpha and the model-based internal consistency index were used to test internal consistency reliability, and Pearson’s correlation coefficient was used to test convergent validity, by investigating the association between the CC-SC-CHDI and the SC-CHDI scores. Results We included 131 caregivers (mean age 55 years, 81.2% females, 74% married) of patients affected by CHD (mean age 66 years, 80.2% males, 74% married). The CFA confirmed two factors in the caregiver contribution to self-care maintenance scale (“consulting behaviors” and “autonomous behaviors”), one factor for the CC to self-care monitoring scale, and two factors in the CC to self-care management scale (“consulting behaviors and problem-solving behaviors”). Reliability estimates were adequate for each scale (Cronbach’s alpha and model-based internal consistency indexes ranging from 0.73 to 0.90). Significant and positive correlations were observed between CC-SC-CHDI and SC-CHDI scales. Conclusion The CC-SC-CHDI has satisfactory validity and reliability and can be used confidently in clinical settings and research to assess caregiver contributions to CHD self-care.

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“…Medication adherence is the extent to which the patient adheres to the interval and dosage regimen of the drug prescribed to overcome the disease (Nobre and Domingues, 2017). It has a complex set of behaviours consisting of initiation, implementation, and termination phases (Rehman et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The impact of mobile application: "Friends of Heart" in knowledge and compliance of patients with coronary heart disease

Putra

Rochmawati

Prima

2022

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Background: The quality of life of coronary heart disease (CHD) patients can be improved by increasing patient compliance with treatment and health literacy rates. Over the past decade, mobile health (mHealth) has improved treatment adherence and demonstrated strong potential to increase health literacy rates. Objectives: Analyse the effect of “Friends of Heart” application on the compliance and knowledge of coronary heart disease patients. Methods: A randomised controlled trial (RCT) was conducted. The test group (intervention group) used the Sahabat Jantung/ “Friends of Heart” application developed for the Android 4.1 operating system, while the control group did not. Compliance was measured for 30 days in outpatient settings; it included pill count and time deviations in taking medication. Knowledge was assessed using questionnaires. Results: Statistical results showed significant differences in knowledge and adherence between the intervention and the control group (p = 0.0001). Conclusion: The use of the “Friends of Heart” application could improve compliance and knowledge of coronary heart disease patients.

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Patient adherence to ischemic heart disease treatment

Cited by 5 publications

References 27 publications

Investigation of the Adherence to Prescribed Treatment of the Patients with Coronary Heart Disease

Investigation of the Adherence to Prescribed Treatment of the Patients with Coronary Heart Disease

Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory

The impact of mobile application: "Friends of Heart" in knowledge and compliance of patients with coronary heart disease

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