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Medication adherence among patients with cardiovascular diseases: a cross-sectional study
Maha M Subih1, Fadwa Abu Saleh2, Malakeh Z Malak3
1Assistant Professor, Adult Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.
Insights
Medication adherence is low among Jordanian cardiovascular disease patients. Smoking predicts poor adherence, while marital status and disease count correlate positively, highlighting areas for intervention.
Area of Science:
- Cardiology
- Public Health
- Health Outcomes Research
Background:
- Medication adherence is crucial for improving patient health outcomes and reducing healthcare costs.
- Poor adherence to medication regimens is a complex issue with multiple contributing factors that require thorough investigation.
- Understanding these factors is essential for developing effective interventions.
Purpose of the Study:
- To assess medication adherence levels in patients diagnosed with cardiovascular diseases (CVDs) in Jordan.
- To identify and analyze the sociodemographic and clinical factors associated with medication adherence in this patient population.
Main Methods:
- A cross-sectional, descriptive correlational study design was employed.
- A convenience sample of 250 patients with CVDs was recruited from Jordanian hospital outpatient clinics.
- Data were collected using validated scales (Morisky Medication Adherence Scale, Multidimensional Scale of Perceived Social Support) and clinical/sociodemographic information.
Main Results:
- The study revealed a low level of medication adherence, with a mean adherence score of 2.84 (SD = 1.9).
- Significant positive correlations were observed between medication adherence and marital status, as well as the number of diagnosed diseases.
- Smoking emerged as a significant negative predictor of medication adherence.
Conclusions:
- There is a clear need to enhance medication adherence among patients with cardiovascular diseases in Jordan.
- Healthcare professionals should implement targeted strategies and interventions informed by the identified factors influencing adherence.
- Addressing factors such as smoking cessation and considering marital and disease burden are vital for improving patient outcomes.
Background:
Medication adherence has been recognised as one of the greatest areas to improve health outcomes and reduce health expenditure. Poor medication adherence has multifactorial causes that need to be understood.
Aim:
To determine the levels of medication adherence and examine the factors associated with medication adherence among patients with cardiovascular diseases (CVDs) in Jordan.
Methods:
A cross-sectional, descriptive correlational design was used to conduct this study. A convenience sample was used to recruit 250 patients with CVDs from outpatient clinics of Jordanian hospitals. Data were collected using the Multidimensional Scale of Perceived Social Support and Morisky Medication Adherence Scale, in addition to sociodemographic and clinical-related factors during the period from June to September 2019.
Results:
It was found that the total mean score of medication adherence was 2.84 (standard deviation = 1.9), which reflected low adherence. A significant positive correlation was found between medication adherence and marital status and the number of diseases. However, smoking was negatively correlated with medication adherence. Smoking was the predictor of medication adherence.
Conclusions:
Medication adherence among patients with CVDs needs to be improved. Thus, healthcare professionals should develop strategies and interventions based on identifying factors to enhance medication adherence among those patients.
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