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Adherence Barriers to Treatment of Patients with Cardiovascular Diseases: A Qualitative Study

Mozhgan Kalantarzadeh1, Hojatollah Yousefi2,3,4, Mousa Alavi1,4

  • 1Nursing PhD Candidate, Departments of Adult Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.

Iranian Journal of Nursing and Midwifery Research
|October 24, 2022
PubMed

Insights

Identifying barriers to treatment adherence in Cardiovascular Diseases (CVD) is crucial. Key challenges include patient readiness, healthcare service gaps, and limited access, impacting long-term patient management.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Effective treatment adherence is critical for managing Cardiovascular Diseases (CVD).
  • Patient-related barriers significantly challenge the achievement of care and treatment goals.
  • Understanding these obstacles is essential for improving patient outcomes.

Purpose of the Study:

  • To identify specific barriers to treatment plan adherence in patients diagnosed with Cardiovascular Diseases.
  • To explore the experiences of patients, family caregivers, and healthcare professionals regarding treatment adherence.
  • To inform strategies for enhancing long-term adherence to CVD treatment.

Main Methods:

  • Qualitative content analysis of data from 35 participants (patients, caregivers, healthcare professionals).
  • Study conducted in Isfahan, Iran, between 2019 and 2020.
  • In-depth, semi-structured interviews until data saturation, analyzed using Graneheim and Landman methodology.

Main Results:

  • Three major themes emerged: 'Patients unreadiness to change', 'gap in healthcare services', and 'limited access to healthcare services'.
  • 'Patients unreadiness to change' encompassed misunderstanding conditions and cultural beliefs.
  • 'Gap in healthcare services' included inadequate support and professional discordance; 'limited access' involved physical and financial constraints.

Conclusions:

  • Findings offer a framework for healthcare professionals to develop targeted preventive strategies.
  • Interventions can reduce disease complications and unhealthy behaviors.
  • Enhanced understanding of barriers can lead to prolonged adherence to CVD treatment recommendations.
Abstract

Keywords:
Barrierscardiovascular diseasespatient adherencequalitative research

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