Education is critical for medication adherence in patients with coronary heart disease

Zhao, Shenglong; Zhao, Hongwei; Wang, Lixia; Du, Shisuo; Qin, Yuhua

doi:10.1080/ac.70.2.3073511

Cited by 39 publications

(26 citation statements)

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“…One major reason for those patients to not take statins was because they lack knowledge related to statins; they did not know that they should routinely control their low-density lipoprotein-cholesterol level by statins. Finally, Zhao et al 19 conducted a descriptive correlational study among 159 participants with CHD and revealed that up to 38% of the participants were non-adherent and that lack of knowledge about medication and disease was significantly associated with non-adherence. Patients with good knowledge of the medication and disease were more likely to adhere to medication instructions 19.…”

Section: Resultsmentioning

confidence: 99%

Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Dardas

et al. 2019

Heart Asia

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In China, poor cardioprotective medication adherence is a key reason for the high mortality rate of coronary heart disease (CHD). The aims of this systematic review are to (1) describe and synthesise factors that influence medication adherence among Chinese people with CHD, (2) evaluate the current status of intervention studies, and (3) discuss directions of future research to improve medication adherence. A comprehensive search using PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Scopus, Global Health and PsycINFO was undertaken to describe poor adherence in China. Thirty-three eligible articles were included in the study. The review shows that there are multiple contributing factors to poor medication adherence, including patients’ sociodemographic characteristics, health status and medication characteristics. In addition, from patients’ perspective, lack of medication-related knowledge, such as the name, function, dosage and frequency, contributes to poor adherence. From physicians’ perspective, a gap exists between CHD secondary prevention guidelines and clinical practice in China. Follow-up phone calls, educational lectures, booklets and reminder cards were common methods found to be effective in improving medication adherence. This systematic review indicates that cardioprotective medications were commonly prescribed as secondary prevention medication to patients with CHD in China, but adherence to these medications gradually decreased during a follow-up period. Therefore, more research should be conducted on how to establish high-quality health educational programmes aimed at increasing patients’ medication adherence.

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Section: Resultsmentioning

confidence: 99%

Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Dardas

et al. 2019

Heart Asia

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“…Furthermore, it is easy to understand and feasible to apply among different groups of patients, even during everyday visits. It works well for the assessment of the level of adherence to medications in patients suffering from hypertension or coronary artery disease [3,[42][43][44][45]. However, it does not allow a comprehensive assessment of adherence behaviours because this scale does not provide adequate information regarding factors contributing to non-adherence to medication [42].…”

Section: Morisky Medication Adherence Scales (Mmas-4 and Mmas-8)mentioning

confidence: 99%

“…Cardiovascular diseases are the main cause of death worldwide [1,2], and the number of adults with diagnosed chronic heart failure is increasing systematically [3]. In particular, the rate of acute coronary syndromes in developed countries remains high [4].…”

Section: Introductionmentioning

confidence: 99%

Self-reported questionnaires for assessment adherence to treatment in patients with cardiovascular diseases

Kubica

Kosobucka

Michalski

et al. 2018

Medical Research Journal

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“…There is positive correlation between high level of self-awareness and patients' attitudes to comply with guidelines of secondary prevention [8][9][10]. It is also known that physically active people, independently from demographic and socio-economic factors, are more aware of choosing proper behaviours, especially about diet and stimulants [11].…”

Section: Introductionmentioning

confidence: 99%

Knowledge on cardiovascular risk factors improves the effectiveness of rehabilitation following acute coronary syndrome

Kapko¹,

Krzych

2017

Kardiol Pol

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A b s t r a c tBackground: There is a clear association between knowledge on healthy lifestyle and intensity of healthy behaviours, especially among young people. Aim:We sought to verify this hypothesis among patients after acute coronary syndrome (ACS), who were subjected to early in-hospital complex cardiac rehabilitation (CCR), by assessing the relationship between initial knowledge on cardiovascular risk factors and efficiency of rehabilitation.Methods: Two hundred and five consecutive patients (153 man; age 62 ± 9 years) hospitalised between May 2013 and April 2014 were prospectively enrolled. On admission, the knowledge on risk factors was assessed by questionnaire. At the beginning, in the second and in the third week of CCR the six-minute walk test (6MWT) was performed. Effectiveness of rehabilitation was assessed by the 6MWT in the third week. Distance, speed, and metabolic equivalents (METs) were considered markers of improvement. Results:The most common number of correct answers was 11 (out of 20 questions) about risk factors (on average 54 ± 18%). Knowledge on more than 10 items was found for 99 subjects (48%) (i.e. good level of knowledge). Improvement of haemodynamic parameters and CCR effectiveness was found ('0' vs. Conclusions: Knowledge on the cardiovascular risk factors improves rehabilitation effectiveness among patients after ACS.

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Education is critical for medication adherence in patients with coronary heart disease

Abstract: Knowledgeable patients with CHD are more likely to adhere to medication instructions. Many patients have difficulty acquiring medication information; thus, patients need increased access to education about their medication. Pharmacist services may be required to provide such information.

Cited by 39 publications

References 0 publications

Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Self-reported questionnaires for assessment adherence to treatment in patients with cardiovascular diseases

Knowledge on cardiovascular risk factors improves the effectiveness of rehabilitation following acute coronary syndrome

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