Correlates of barriers to medication adherence in patients with coronary artery disease
View File(s)
- Author(s)
- Details
-
Jen Ying Huang, RN; Hsing Mei Chen, RN
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Huang, Jen Ying by View
Title | Page Views |
---|
Popular Works for Huang, Jen Ying by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Adherence to medications can effectively reduce the recurrence of mortality, myocardial infarction or cardiovascular events in patients with coronary artery disease. However, around 50% of the patients do not adhere to medication. The purpose of this study was to explore the predictors of barriers to medication. A cross-sectional, descriptive correlational research design was used, and a non-probability sample of 250 participants was recruited from the cardiology outpatient department and ward of a medical center located in southern Taiwan. Inclusion criteria were as follows: (1) being 20 years or older, (2) having a diagnosis of CAD (ICD-9-CM Diagnosis Code 410-414) as determined by cardiologists, (3) having received CAD medications for at least three months, (4) being able to communicate either by Mandarin or Taiwanese, and (5) willing to participate in this study. The instruments included demographic data, medication-related variables, Cardiac Symptom Survey, Charlson Comorbidity Index, and Medication Adherence Scale (knowledge, attitude, and barriers). Data were analyzed using SPSS version 20.0 for Windows and SAS version 9.3. A tobit regression was conducted to identify significant predictors of barriers to medication adherence. The results showed that the majority of the participants had high medication adherence with a mean knowledge dimension score of1.92 (range, 0-3), a mean attitude dimension score of 26.71 (range, 11-30), and a mean barriers dimension score of 5.90 (range, 0-68). The significant predictors of barriers to medication adherence included poor attitude (p < .0001), younger age (p = .012), employment (p = .016), irregular follow-up (p = .041), and cardiac symptoms (p = .037). Findings from this study can provide nurses as references to early detect and prevent barriers to medication adherence of the patients. It can be done by strategies such as, reviewing the patient's prescribed medications by a physician in order to simplify the medication use and monitoring the side effects of medications by nurse specialists. Likewise, merely 21.2% of the participants had been received a comprehensive medication counseling. Implementing comprehensive medication counseling services is particularly needed to help improve medication adherence of the patients.
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Coronary Artery Disease; Barriers to Medication Adherence; Attitude Toward Medication Adherence |
Name | 43rd Biennial Convention |
Host | Sigma Theta Tau International |
Location | Las Vegas, Nevada, USA |
Date | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
The traditional Chinese medical body constitution status and the related factors of coronary artery patients
Chen, Tung-Mei; Lin, Jun-Dai; Chen, Li-Li (2017-06-19)Purpose: The purpose of this study is to understand the Traditional Chinese Medical body constitution (TCMBC) status and the related factor of coronary artery patients. On the expectation of achieving disease prevention ... -
Fatigue domains correlate sleep quality in Taiwanese people with heart failure
Chen, Hsing-Mei; Lainsamputty, Ferdy; Pragodpol, Padthayawad; Masroni, MasroniThe study found that fatigue severity and fatigue distress domains, but not fatigue timing, were significantly associated with sleep quality. Nurse researchers can use our findings as references further exploring the cause ... -
Care needs and its related factors of primary caregivers for patients waiting for brain tumor surgery
Cheng, Yu-Shin; Chen, Hsing-Mei; Lieu, Ann-Shung (2016-03-21)Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Brain tumors may result in patients with different clinical manifestations, including headaches, mental and memory loss, personality changes, ... -
Self-care related factors in patients with heart failure
Tsai, Pi-Kuang; Chen, Hsing-Mei (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: Heart failure is a complex syndrome and requires the patient to engage in long-term self-care activities, in order to stabilize the condition. American Heart Association ... -
Demoralization syndrome affects health-related quality of life (HRQOL) in patients with heart failure
Chen, Hsing-Mei; Tsai, Liang-Miin; Shie, Yun-Han (2017-07-21)Purpose: Health-related quality of life (HRQOL) is an important outcome measure for guiding appropriate and effective therapeutic interventions for patients with heart failure (HF). Demoralization syndrome consists of a ...