Adherence to treatment regimens in patients with cardiovascular disease

Dimunová, Lucia; Michalková, Jana; Zamboriová, Mária; Bučková, Jana; Nagyová, Iveta

doi:10.5114/hpc.2021.110110

Cited by 2 publications

(5 citation statements)

References 21 publications

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“…Higher medication nonadherence was also found in Slovak male patients with coronary heart disease. 36 The systematic reviews by van der Laan et al 33 and Abegaz et al 26 also show an association between male gender and higher rates of nonadherence similar to our study. Mahmood et al 28 found higher proportion of antihypertensive medication nonadherence in female patients.…”

Section: Discussionsupporting

confidence: 91%

“…Similar results were encountered in a recent study by Essayagh et al 35 in patients with hypertension. Higher medication nonadherence was also found in Slovak male patients with coronary heart disease 36 . The systematic reviews by van der Laan et al 33 and Abegaz et al 26 also show an association between male gender and higher rates of nonadherence similar to our study.…”

Section: Discussionsupporting

confidence: 90%

“…Higher education had beneficial effects on treatment adherence, which may be associated with awareness of the potential risks of untreated hypertension, higher levels of health literacy, better understanding of the disease, drug prescription, or overall therapeutic regimen 34 . However, there are also studies where the relationship between education and adherence to therapy has not been confirmed 34,36 . The aforementioned systematic review by van der Laan et al 33 also showed an association between lower income and nonadherence to therapy, which may be related to lower income patients not being able to afford more expensive, healthier food, or not being able to afford to buy better quality medications or pay for health insurance compared with higher income patients.…”

Section: Discussionmentioning

confidence: 99%

“…34 However, there are also studies where the relationship between education and adherence to therapy has not been confirmed. 34,36 The aforementioned systematic review by van der Laan et al 33 also showed an association between lower income and nonadherence to therapy, which may be related to lower income patients not being able to afford more expensive, healthier food, or not being able to afford to buy better quality medications or pay for health insurance compared with higher income patients. In Slovakia, there is a social insurance system providing universal coverage for medical benefits (covering preventive treatment, medical treatment, hospitalization, medicines) and cash sickness.…”

Section: Discussionmentioning

confidence: 99%

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Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

et al. 2022

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BackgroundLack of adherence to treatment in patients with arterial hypertension leads to poor blood pressure control, increased morbidity and mortality, and increased costs to health and social care. Regular assessment of treatment adherence as well as factors influencing it is important to improve patient adherence and consequently increase treatment efficacy. Personal beliefs, particularly illness representations, are significant factors that influence adherence.ObjectiveThe aim of this study was to assess the associations between adherence to treatment, illness perception, and selected sociodemographic and clinical characteristics in patients with arterial hypertension.MethodsIn this cross-sectional observational study, 235 patients with arterial hypertension completed the Hill-Bone Compliance to High Blood Pressure Therapy Scale and the Brief Illness Perception Questionnaire. Associations between variables were assessed by Spearman ρ and multiple linear regression analysis.ResultsYounger age, male gender, overall number of drugs used, and poorer beliefs related to the timeline, treatment control, and understanding were associated with higher levels of nonadherence. The final regression model significantly (P ≤ .05) explained 19.4% of the variance in diet adherence, 5.0% in appointment keeping, and 17.8% in medication adherence.ConclusionComprehensive care aimed at regular evaluation of illness perceptions with an emphasis on increasing understanding of the disease and its treatment and reducing patient worries and negative emotions seems to be a relevant strategy for improving adherence to antihypertensive treatment in everyday clinical practice.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

et al. 2022

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“…Duminova et al conducted research on a group of 878 patients and showed that men complied with medical recommendations more effectively than women. Their analysis also observed that patients aged 58 and over adhered to medical recommendations more effectively than those below the mentioned age [21]. The study by L. Al-Daken and N. Eshah on patients with hypertension showed that the respondents most often complied with medical recommendations regarding taking medications but were reluctant to follow dietary recommendations (e.g., reduction in sodium intake) or regular check-ups [22].…”

Section: Discussionmentioning

confidence: 98%

Quality of Life in Patients with Coronary Artery Disease—Multicenter POLASPIRE II Study

Dąbek,

Styczkiewicz,

Kamiński

et al. 2024

JCM

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Background: The quality of life of patients with coronary heart disease is extremely important for their treatment. The aim of the study was to assess the quality of life of patients with coronary artery disease, considering education and compliance with medical recommendations regarding lifestyle changes, as well as the presence of selected cardiovascular risk factors. Methods: The study involved 763 patients from 11 Polish cardiology centers. The presented material is part of the multicenter POLASPIRE II study. Patients completed a standardized questionnaire EuroQol 5D-5Lm. A medical interview was conducted with each patient. All patients had their body weight and height measured and BMI determined. Results: The quality of life of patients was better in men, younger people, those with lower body weight and those who followed preventive recommendations and intensified their physical activity. Most of the examined patients complied with the medical recommendations regarding lifestyle changes after a cardiac incident, but they mainly concerned dietary modifications. There was still a large group of patients who did not comply with the recommendations, e.g., regarding increasing physical activity. Conclusions: The assessment of quality of life depended on many factors, such as gender, body weight and compliance with medical recommendations. The health education of patients in the presented study group was not sufficient. Therefore, there is a need for better education regarding the benefits of following medical recommendations in terms of leading a healthy lifestyle, which consequently improves its quality and duration.

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Adherence to treatment regimens in patients with cardiovascular disease

Cited by 2 publications

References 21 publications

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

Quality of Life in Patients with Coronary Artery Disease—Multicenter POLASPIRE II Study

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