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Evaluation of treatment adherence and illness perception in cardiology patients
1Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey.
Insights
Cardiology patients’ illness perception did not significantly correlate with medication adherence. However, educational background influenced personal control perceptions, impacting treatment adherence strategies.
Area of Science:
- Medical Science
- Psychology
- Public Health
Background:
- Illness perception significantly influences patient adherence to treatment regimens.
- Understanding patient perspectives is crucial for effective healthcare interventions in cardiology.
Purpose of the Study:
- To investigate the relationship between illness perception and medication adherence in cardiology patients.
- To inform the development of targeted training and consultancy strategies for improving treatment adherence.
Main Methods:
- A study involving 110 cardiology patients (over 18, diagnosed >6 months prior).
- Data collected via patient information forms, Illness Perception Questionnaire (IPQ), and Morisky Medication Adherence Scale (MMAS).
Main Results:
- High rates of forgetting medication (72.7%), difficulty remembering (38.2%), and stopping medication based on feeling good (29.1%) or bad (32.7%).
- No significant correlation found between MMAS and IPQ subscale scores (P >0.05).
- A significant difference in personal control subscale scores was observed based on educational background (P=0.003).
Conclusions:
- Illness perception, shaped by personal experiences and beliefs, is a key factor in treatment adherence.
- Both illness perception and treatment adherence are demonstrably influenced by a patient's educational level.
- Educational interventions may be vital for enhancing personal control and improving medication adherence in cardiac care.
Objective:
The aim of this study was to investigate the effects of the cardiology patients' illness perception on their medication adherence will guide in the development of training and consultancy strategies.
Material And Method:
The study was conducted with 110 patients who were followed up in the cardiology clinics of a university hospital. The study included patients over the age of 18 years, who agreed to participate in the study and were diagnosed with a cardiovascular disease at least six months before. The data were collected using a patient information form questioning the subjects such as the patients' age, gender, marital status and economic condition, the Illness Perception Questionnaire and the Morisky Medication Adherence Scale.
Results:
The results showed that 72.7% (n=80) of the group had forgotten to take their medicine, 38.2% (n=42) had a trouble remembering to take their medicine, 29.1% (n=32) stopped taking their medicine when they felt good and 32.7% (n=36) stopped taking their medicine because they sometimes felt bad after taking their medicine. It was determined that there was no statistically significant correlation between Morisky Medication Adherence Scale scores and Illness Perception Questionnaire subscale scores (P >0.05). It was determined that there was a statistically significant difference between the educational backgrounds, in terms of the personal control subscale mean scores (P=0.003; P<0.01).
Conclusion:
Patients try to explain their disease in the light of their personal experiences, knowledge, values, beliefs, and needs. Illness perception which is among the most important factors providing treatment adherence is an important factor affecting many areas from the person's psychological adaptation to the course of disease. Illness perception and treatment adherence are affected by educational level.
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