Related Experiment Videos

Association between perceived life chaos and medication adherence in a postmyocardial infarction population

Leah L Zullig1, Ryan J Shaw, Matthew J Crowley

  • 1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC.

Circulation. Cardiovascular Quality and Outcomes
|November 14, 2013
PubMed

Insights

Life chaos significantly impacts medication adherence in cardiovascular disease patients. Screening for life chaos can help identify individuals at risk of not taking their medications as prescribed.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Cardiovascular disease (CVD) management relies on medication adherence, yet nonadherence is prevalent.
  • The impact of life chaos on medication adherence remains largely unexplored.
  • This study investigates the association between life chaos and nonadherence to CVD medications.

Purpose of the Study:

  • To assess the relationship between life chaos and nonadherence to cardiovascular disease medications.
  • To identify patient factors associated with life chaos.
  • To evaluate an instrument designed to measure life chaos in relation to CVD medication adherence.

Main Methods:

  • Utilized baseline data from a randomized trial for post-myocardial infarction (MI) management (n=406).
  • Employed multivariable logistic regression to analyze the association between life chaos and CVD-medication nonadherence.
  • Assessed factors including sex, race, education, health literacy, and financial status.

Main Results:

  • Nearly 43% of patients reported CVD-medication nonadherence in the past month.
  • Higher life chaos was associated with medication nonadherence, female sex, minority race, lower education, low health literacy, and inadequate financial status.
  • A 1-unit increase in life chaos was linked to a 7% increase in the odds of medication nonadherence (OR, 1.07; 95% CI [1.02-1.12]).

Conclusions:

  • Life chaos emerges as a significant determinant of medication adherence in CVD patients.
  • Implementing life chaos screenings may effectively identify patients at risk for medication nonadherence.
  • Addressing life chaos could be a novel strategy to improve CVD management.
Abstract

Keywords:
cardiovascular diseasesmedication adherencemyocardial infarction

Related Concept Videos

Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
450
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
525
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
761
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
567
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
495
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
747