Correlates of Barriers to Medication Adherence in Patients with Coronary Artery Disease

2.50
Hdl Handle:
http://hdl.handle.net/10755/602778
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Correlates of Barriers to Medication Adherence in Patients with Coronary Artery Disease
Author(s):
Huang, Jen Ying; Chen, Hsing Mei; Chen, Hsing Mei
Lead Author STTI Affiliation:
Non-member
Author Details:
Jen Ying Huang, RN, 930642@ms.kmuh.org.tw; Hsing Mei Chen, RN
Abstract:
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 of 1.92 (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.
Keywords:
coronary artery disease; barriers to medication adherence; attitude toward medication adherence
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15CL2.33
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleCorrelates of Barriers to Medication Adherence in Patients with Coronary Artery Diseaseen
dc.contributor.authorHuang, Jen Yingen
dc.contributor.authorChen, Hsing Meien
dc.contributor.authorChen, Hsing Meien
dc.contributor.departmentNon-memberen
dc.author.detailsJen Ying Huang, RN, 930642@ms.kmuh.org.tw; Hsing Mei Chen, RNen
dc.identifier.urihttp://hdl.handle.net/10755/602778en
dc.description.abstractSession 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 of 1.92 (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.en
dc.subjectcoronary artery diseaseen
dc.subjectbarriers to medication adherenceen
dc.subjectattitude toward medication adherenceen
dc.date.available2016-03-21T16:36:32Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:36:32Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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