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Medication adherence in persons with cardiovascular disease
Jacqueline Dunbar-Jacob1, Patricia Bohachick, Mary Kay Mortimer
1University of Pittsburgh School of Nursing, PA 15261, USA. dunbar@pitt.edu
The Journal of Cardiovascular Nursing
|July 3, 2003
Summary
Medication adherence was studied in elderly individuals with cardiovascular disorders. Findings highlight adherence rates and factors influencing medication management in this population.
Area of Science:
- Gerontology
- Cardiology
- Pharmacology
Background:
- Elderly individuals often manage multiple health conditions (comorbidities).
- Cardiovascular disorders are prevalent among older adults.
- Medication adherence is crucial for managing chronic conditions, especially in the elderly.
Purpose of the Study:
- To assess medication adherence rates in elderly patients (≥62 years) with comorbid conditions, including cardiovascular disorders.
- To identify sociodemographic factors that predict medication adherence in this demographic.
- To present risks associated with poor adherence and propose strategies for improvement.
Main Methods:
- Data collected over a 3-week period from three distinct groups of elderly participants.
- Calculation of adherence metrics: percentage of prescribed doses taken, percentage of days with correct dosing, and percentage of doses administered at the correct time.
- Application of multiple linear regression analysis to evaluate the predictive power of sociodemographic variables on adherence.
Main Results:
- Quantification of medication adherence rates across the studied elderly groups.
- Identification of specific sociodemographic variables significantly associated with medication adherence.
- Analysis of common risks contributing to non-adherence in elderly patients with cardiovascular conditions.
Conclusions:
- Understanding adherence patterns is vital for optimizing treatment outcomes in elderly patients with cardiovascular comorbidities.
- Sociodemographic factors play a role in medication adherence and should be considered in care strategies.
- Targeted interventions are needed to mitigate risks and enhance medication adherence in this vulnerable population.