Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study

Abstract

BackgroundNon-adherence to dietary recommendations, exercise and prescribed drug regimens, in coronary heart disease (CHD) patients following coronary artery bypass grafting (CABG), is a major health care issue worldwide.Aims and objectivesThe primary objective of this study was to investigate the frequency and predictors of non-adherence to lifestyle changes and medication among CHD patients after undergoing CABG surgery.MethodThe sample of this cross sectional descriptive study was 265 patients who underwent isolated primary CABG. Participants who met the eligibility criteria were provided with a pre-coded questionnaire 4 weeks or more after surgery. Adherence was assessed on the basis of patient's self-report. Significance of results was analyzed using Chi square test.ResultsRoughly half of the patients were non-adherent to dietary recommendations (n = 120, 45.3%) and exercise (n = 109, 41.1%) while about one third (n = 69, 26%) were non-adherent to prescribed medications. Unwillingness to adopt a new lifestyle and more than one social gathering per week, were found to be statistically significant predictors of non-adherence to diet (p-values < 0.001). Reluctance to follow exercise regimen, busy schedule, and fear that exercise will aggravate heart issues were commonly reported as reasons for non-compliance to exercise. As for non-adherence to medication, forgetfulness, affordability of drugs and too many medications to take were important predictors.ConclusionNon-adherence to lifestyle modifications and medication is an emerging problem worldwide. It is essential for medical health professionals to discuss these predictors and address them individually. Our findings highlight the need for a healthy physician and patient relationship.

Lifestyle advice and interventions for cardiovascular risk reduction: A systematic review of guidelines

“…guideline. This appears to be a problem in primary prevention (including those with diabetes [20], hypertension [21] and obesity [22], and secondary prevention [23,24] and is not limited to specific countries. Causes for lack of compliance or adherence are multifactorial and may include lack of understanding/education of the condition, motivation and which healthcare provider delivers the advice [20,22].…”

Study On The Biomechanical Properties Of Rabbit Venous Arterialization

“…At present, few studies have focused on treatments targeting smooth muscle cell proliferation and intima thickening in the middle stage of restenosis after surgery. Further molecular biology, haemodynamic, and pathophysiological research to investigate intima thickening of the blood vessels, and explore possible clinical solutions, will positively influence efforts to prevent restenosis of conduits (especially venous conduits) in the middle-late stage of restenosis after CABG [18][19][20][21][22].…”

The Role of Basic Pharmacotherapy in the Prevention of Late Adverse Events After Elective Coronary Artery Bypass Grafting

“…There is still a significant gap between evidence-based medicine and actual clinical practice, which is largely due to the insufficient risk factor correction and poor adherence to drug therapy [5][6][7]. Only a few studies of the long-term survival prognosis of patients after elective surgical revascularization of the myocardium have been carried out in the context of the real use of pharmacotherapeutic agents for secondary prevention of cardiovascular events [3,[8][9][10].…”