LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS
Aim. To study the reasons of low adherence to treatment in patients after myocardial infarction as well as methods of its correction considering the mental and emotional state of patients. Material and methods. Patients (n=115) after myocardial infarction registered in "Acute Myocardial Infarct...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Столичная издательская компания
2016-06-01
|
| Series: | Рациональная фармакотерапия в кардиологии |
| Subjects: | |
| Online Access: | https://www.rpcardio.online/jour/article/view/1271 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849227699445301248 |
|---|---|
| author | E. A. Kuzheleva K. N. Borel' A. A. Garganeeva |
| author_facet | E. A. Kuzheleva K. N. Borel' A. A. Garganeeva |
| author_sort | E. A. Kuzheleva |
| collection | DOAJ |
| description | Aim. To study the reasons of low adherence to treatment in patients after myocardial infarction as well as methods of its correction considering the mental and emotional state of patients. Material and methods. Patients (n=115) after myocardial infarction registered in "Acute Myocardial Infarction Register» were enrolled into the study. The Moriscos-Green scale was used to determine the degree of adherence to treatment, and psycho-emotional state of patients was assessed by the Hospital Anxiety and Depression Scale (HADS). The special questionnaire was used to study the causes of poor adherence. Results. Only 45% of patients after myocardial infarction have a high commitment to the doctor's recommendations. The main reason for low adherence was forgetfulness (42%). Among other reasons were: fear of side effects (16%); lack of therapeutic effect according to patients' opinion (12%); doubts about the doctor's prescriptions (14%); a large number of prescribed drugs (12%); high cost of drugs (4%). The structure of the causes of poor adherence to treatment varied greatly depending on the psycho-emotional status. Adherence to treatment can be improved by specific physician’s actions (48.5% of patients). At the same time 14% of patients did not want to take drugs for a long time under any circumstances. Conclusion. Adherence to treatment of patients after myocardial infarction deserves attention from doctors. The personalized approach considering patient’s opinion, as well as their specific features, is essential for the development of ways to improve adherence. |
| format | Article |
| id | doaj-art-0fd043dc77fc4f90bee4964b8b78df37 |
| institution | Kabale University |
| issn | 1819-6446 2225-3653 |
| language | English |
| publishDate | 2016-06-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj-art-0fd043dc77fc4f90bee4964b8b78df372025-08-23T10:00:27ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-06-0112329129510.20996/1819-6446-2016-12-3-291-2951219LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTSE. A. Kuzheleva0K. N. Borel'1A. A. Garganeeva2Research Institute of Cardiology. Kievskaya ul. 111-A, Tomsk, 634012 RussiaResearch Institute of Cardiology. Kievskaya ul. 111-A, Tomsk, 634012 RussiaResearch Institute of Cardiology. Kievskaya ul. 111-A, Tomsk, 634012 RussiaAim. To study the reasons of low adherence to treatment in patients after myocardial infarction as well as methods of its correction considering the mental and emotional state of patients. Material and methods. Patients (n=115) after myocardial infarction registered in "Acute Myocardial Infarction Register» were enrolled into the study. The Moriscos-Green scale was used to determine the degree of adherence to treatment, and psycho-emotional state of patients was assessed by the Hospital Anxiety and Depression Scale (HADS). The special questionnaire was used to study the causes of poor adherence. Results. Only 45% of patients after myocardial infarction have a high commitment to the doctor's recommendations. The main reason for low adherence was forgetfulness (42%). Among other reasons were: fear of side effects (16%); lack of therapeutic effect according to patients' opinion (12%); doubts about the doctor's prescriptions (14%); a large number of prescribed drugs (12%); high cost of drugs (4%). The structure of the causes of poor adherence to treatment varied greatly depending on the psycho-emotional status. Adherence to treatment can be improved by specific physician’s actions (48.5% of patients). At the same time 14% of patients did not want to take drugs for a long time under any circumstances. Conclusion. Adherence to treatment of patients after myocardial infarction deserves attention from doctors. The personalized approach considering patient’s opinion, as well as their specific features, is essential for the development of ways to improve adherence.https://www.rpcardio.online/jour/article/view/1271acute myocardial infarctionadherenceanxietydepression |
| spellingShingle | E. A. Kuzheleva K. N. Borel' A. A. Garganeeva LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS Рациональная фармакотерапия в кардиологии acute myocardial infarction adherence anxiety depression |
| title | LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS |
| title_full | LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS |
| title_fullStr | LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS |
| title_full_unstemmed | LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS |
| title_short | LOW ADHERENCE TO TREATMENT AFTER MYOCARDIAL INFARCTION: CAUSES AND WAYS OF ADJUSTMENT CONSIDERING PSYCHO-EMOTIONAL STATE OF PATIENTS |
| title_sort | low adherence to treatment after myocardial infarction causes and ways of adjustment considering psycho emotional state of patients |
| topic | acute myocardial infarction adherence anxiety depression |
| url | https://www.rpcardio.online/jour/article/view/1271 |
| work_keys_str_mv | AT eakuzheleva lowadherencetotreatmentaftermyocardialinfarctioncausesandwaysofadjustmentconsideringpsychoemotionalstateofpatients AT knborel lowadherencetotreatmentaftermyocardialinfarctioncausesandwaysofadjustmentconsideringpsychoemotionalstateofpatients AT aagarganeeva lowadherencetotreatmentaftermyocardialinfarctioncausesandwaysofadjustmentconsideringpsychoemotionalstateofpatients |