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The impact of cardiovascular medication use on patients' daily lives: a cross-sectional study
Danielle M van der Laan1, Petra J M Elders2, Christel C L M Boons3
1Department of Clinical Pharmacology and Pharmacy and the Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands. d.vanderlaan1@vumc.nl.
Insights
Managing multiple long-term cardiovascular medications impacts patients daily lives, causing burden. Adherence levels did not significantly alter this medication-related burden experienced by patients.
Area of Science:
- Pharmacology
- Patient Care
- Chronic Disease Management
Background:
- Managing multiple long-term medications for chronic diseases poses a significant burden on patients.
- Limited research exists on the specific impact of this medication management on patients' daily lives.
Purpose of the Study:
- To explore the impact of cardiovascular medication on various daily life aspects.
- To compare these impacts between patients adherent and non-adherent to their medication regimens.
Main Methods:
- Cross-sectional study involving patients aged 45 years and older using cardiovascular medication.
- Two equally sized groups of adherent and non-adherent patients were selected based on pharmacy refill data.
- The Living with Medicines Questionnaire was used to measure the impact of medication use on daily life.
Main Results:
- 196 patients participated, with 96 identified as non-adherent.
- Significant patient burden was reported concerning acceptance of long-term use, concerns, dissatisfaction, interference with daily/social life, and healthcare provider interactions.
- No statistically significant differences in daily life impact were found between adherent and non-adherent patient groups.
Conclusions:
- Healthcare providers must recognize the substantial impact of multiple long-term medications on patients' daily lives.
- Reducing medication-related burden requires enhancing patient-provider relationships and providing tailored information.
- Improved support can facilitate better integration of long-term medication use into patients' daily routines.
Abstract:
Background The management of multiple long-term medicines of patients with chronic diseases creates a burden for patients. However, limited research is performed on its impact on patients' daily lives. Objective The aim of this study was to explore the impact of cardiovascular medication on different daily life aspects and to examine differences of these aspects between adherent and non-adherent patients. Setting Two community pharmacies in the Netherlands. Method In this cross-sectional study patients (≥ 45 years) using cardiovascular medication participated. Two equally group sized samples of patients non-adherent as assessed with pharmacy refill data, and patients adherent were selected. Main outcome measure Data were collected by means of the Living with Medicines Questionnaire measuring the impact of medicines use on patients' daily lives. Results In total, 196 patients participated, including 96 non-adherent patients. Substantial proportions of patients experienced medication-related burden on different daily life aspects. This burden was mainly related to the acceptance of long-term medicine use, medication-related concerns or dissatisfaction, the interference of medicines with social and daily lives, and the interaction and communication with health care providers. No statistically significant results were found when comparing the impact on patients' daily lives between adherent and nonadherent patients. Conclusion Health care providers should acknowledge the impact of multiple long-term medicines on patient's daily lives and should make an effort to diminish patients' medication-related burden by improving patient-provider relationships and by providing adequate treatment information incorporating patients' individual circumstances. This may facilitate the integration of long-term medicine use in patients' daily lives.
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