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Factors predicting medication adherence among coronary artery disease patients in Saudi Arabia: A descriptive study

Abdulaziz M Almarwani1, Bayan M Almarwani1

  • 1From the Department of Psychiatric Nursing (A. M. Almarwani), College of Nursing; and from the Department of Internal Medicine (B. M. Almarwani), College of Medicine, Taibah University, Al-Madinah Al-Munawarah, Kingdom of Saudi Arabia.

Saudi Medical Journal
|September 17, 2023
PubMed

Insights

Medication adherence is poor in about 30% of coronary artery disease patients. Factors like family support and regular cardiologist visits improve adherence.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Coronary artery disease (CAD) requires long-term medication management.
  • Medication adherence is crucial for managing CAD and preventing complications.
  • Understanding factors influencing adherence is vital for improving patient outcomes.

Purpose of the Study:

  • To quantify medication adherence rates in coronary artery disease (CAD) patients.
  • To identify sociodemographic predictors of medication adherence in this population.

Main Methods:

  • Cross-sectional correlation study adhering to STROBE guidelines.
  • Data collected from 278 patients at a cardiac center in Saudi Arabia (March 2019 - January 2020).
  • Survey used to assess medication adherence and related factors.

Main Results:

  • 59.4% reported moderate, 30.6% poor, and 10% good medication adherence.
  • Higher adherence observed in women, highly educated patients, non-smokers, those with regular cardiologist follow-up, and those with family support.
  • Gender, doctor visits, family support, and education level significantly predicted medication adherence.

Conclusions:

  • A significant proportion (around 30%) of CAD patients exhibit poor medication adherence.
  • Increased cardiologist visits and strong family support are key factors associated with better medication adherence.
  • Targeting these factors may improve medication adherence and cardiovascular outcomes.
Abstract

Keywords:
Saudi Arabiacoronary artery diseasedoctor visitsfamily supportmedication adherence

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