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Quality of life, compliance with treatment, and challenges among patients undergoing cardiac intervention
Shiv Kumar Mudgal1, Ashis Ranjan2, Vipin Patidar1
1College of Nursing, All India Institute of Medical Sciences, Deoghar, Jharkhand.
Insights
Cardiac patients show high medication adherence and regular follow-up. However, financial difficulties and drug accessibility challenges impact cardiovascular disease management and quality of life.
Area of Science:
- Cardiology
- Public Health
- Health Economics
Background:
- Cardiovascular disease (CVD) is a major global cause of death and disability.
- Effective CVD management hinges on patient adherence to treatment regimens.
- Non-adherence to medication exacerbates morbidity, mortality, and healthcare expenditures.
Purpose of the Study:
- To investigate quality of life, treatment adherence factors, and challenges faced by cardiac patients.
- To identify barriers to optimal cardiovascular disease management.
- To understand the interplay between medical, economic, and lifestyle factors in CVD patient outcomes.
Main Methods:
- A cross-sectional study involving 111 cardiac patients at All India Institute of Medical Sciences Deoghar.
- Data collected via purposive sampling from January 2023 to April 2024.
- Analysis included demographics, clinical characteristics, quality of life, and treatment adherence using descriptive and inferential statistics.
Main Results:
- High medication adherence (82.0%) and regular follow-up (71.2%) were observed.
- Significant barriers included financial difficulties (35.1%) and drug accessibility issues (45.9%).
- Despite challenges, most patients reported a high quality of life.
Conclusions:
- Cardiac patients demonstrate strong adherence to medications and follow-up appointments.
- Financial and accessibility barriers remain significant challenges in cardiovascular treatment.
- A high quality of life is maintained by patients despite facing treatment impediments.
Abstract:
Cardiovascular disease is the leading cause of mortality and disability worldwide, with important economic and quality-of-life implications. Effective treatment relies on drug adherence, which is impacted by a variety of factors; noncompliance increases morbidity, mortality, and healthcare costs. This study examines the quality of life, treatment adherence factors, and challenges that cardiac patients encounter during their treatment regimen. A cross-sectional study among 111 cardiac patients through purposive sampling was done at the All India Institute of Medical Sciences, Deoghar, between January 2023 and April 2024. Data on demographics, clinical characteristics, quality of life, and treatment adherence were gathered and analyzed using descriptive and inferential statistics while adhering to ethical guidelines and participant privacy. The research of 111 cardiac patients (76.6% male, mean age 56.45 years) revealed that the majority had undergone coronary artery bypass grafting surgery (83.8%), with many preferring private hospitals (58.6%). High medication adherence (82.0%) and regular follow-up (71.2%) were noted, although lifestyle improvements such as smoking cessation were less prevalent. Significant concerns about barriers were reported, including financial difficulties (35.1%) and accessibility of prescribed drugs (45.9%). Quality of life was generally reported as high, with most patients reporting no significant problem. This study reveals excellent adherence to medications and regular follow-up among participants. However, significant impediments such as financial constraints and accessibility issues for prescribed drugs continue to have an influence on treatment. Despite these limitations, patients often report a high quality of life, underscoring the complex interplay of medical, economic, and lifestyle aspects in cardiovascular health management.
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