Medication adherence and predictive factors in patients with cardiovascular disease: A cross‐sectional study

Abstract

We express our gratitude to the Cardiac Rehabilitation Clinical Nurse Consultant and the Clinical Pharmacist of the study site for their support. We acknowledge the contributions of all patients who took part in the study. Thanks to Dr.

Social Support and Self-Efficacy as Mediating Factors Affecting the Association Between Depression and Medication Adherence in Older Patients with Coronary Heart Disease: A Multiple Mediator Model with a Cross-Sectional Study

“…Our results revealed that older CHD patients with higher self-efficacy had better medication adherence, which is in line with those of prior studies supporting a strong association between self-efficacy and medication adherence among CHD patients. 14 , 28 Patients with higher self-efficacy may dedicate more effort and have a greater tendency to persist in their attempts to perform a target activity. 29 Also, our study confirmed self-efficacy as a mediator of the association between depression and medication adherence, revealing that older CHD patients with depressive symptoms have a lower confidence in their adherence to medication, ultimately leading to poor medication adherence.…”

“…In summary, existing literature demonstrates that depression, social support, and self-efficacy are significantly associated with medication adherence among patients with CHD. 14 , 23 , 28 Self-efficacy partially mediates the relationship between depression and medication adherence, 30 , 31 and social support also mediates the association between the two. 23 In addition, self-efficacy totally mediates the association of social support with treatment adherence, after adjusted for demographic and medical covariates.…”

“…27 Previous studies found that CHD patients with lower self-efficacy might show a poor medication adherence. 14 , 28 Polsook et al 29 developed a self-efficacy enhancement program (SEP) based on Bandura’s self-efficacy components and implemented the SEP in patients with acute myocardial infarction, and found that SEP was significantly effective in improving medication adherence.…”

Adherence to treatment regimens in patients with cardiovascular disease

“…Adherence is defined by the World Health Organization as the extent to which a person's behavior such as taking medication, following a diet, or executing a certain lifestyle corresponds with the recommendations of their health care provider [2]. Cardiac medication adherence is important to avoid morbidity and premature mortality in patients with cardiovascular diseases [3]. Adherence to prescription medications is necessary for one to receive the full benefits of the medication, but it is a complex and dynamic process.…”

Nurse‐led counseling for coronary artery disease patients: A 1‐year follow‐up study

“…Counseling on medicine, a pillbox reminder, and the simplification of dosages together with a nurse‐led intervention increased the self‐management of medication (Al‐Ganmi et al, 2016; Laukkanen, 2015). Al‐Ganmi et al (2020) observed that more than one‐third of cardiac patients had medium or low cardiac medication self‐management and suggested that it could be because of poor counseling. Promoting self‐management of medication together with systematic counseling and the management of risk factors can improve the long‐term prognosis of CAD and reduce mortality (Du et al, 2016).…”