J Caring Sci. 2018;7(4):213-218.
doi: 10.15171/jcs.2018.032
PMID: 30607362
PMCID: PMC6311628
  Abstract View: 79
  PDF Download: 83

Original Research

Medication Adherence and its Related Factors in Patients Undergoing Coronary Artery Angioplasty

Arsalan Salari 1 ORCiD, Leila Rouhi Balasi 2 * ORCiD, Asieh Ashouri 3 ORCiD, Fatemeh Moaddab 1 ORCiD, Fatemeh Zaersabet 1 ORCiD, Azam Nourisaeed 4 ORCiD

1 Department of Cardiology, Cardiovascular Diseases Research Center, Heshmat Hospital, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2 Department of Nursing, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Department of Health Education and Promotion, Health and Environment Research Center, Faculty of Health, Guilan University of Medical Sciences, Rasht, Iran
4 Department of Psychology, Islamic Azad University of Guilan, Rasht, Iran


Introduction: Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atherosclerosis, thus the modification of physiological risk factors seems essential to prevent coronary artery disease (CAD). Then PCI patients have to receive multiple drug therapies in an attempt to prevent the recurrence of cardiac events. In spite of the evidence based on medication adherence to prevent post-PCI CAD development, medication adherence is the main concern for health care system. Accordingly, this study aims to determine the medication adherence and its related factors among these patients. Methods: In this cross-sectional study, the statistical community was the patients undergoing PCI at medical educational hospital of Dr. Heshmat in Rasht, Iran. 269 patients were selected by convenient sampling method. The data were collected by a questionnaire consisting of 4 parts, namely the socio-individual factors, Morisky medication adherence scale, hospital anxiety and depression scale and cardiac patient’s self-efficacy scale. Data analysis was done by descriptive statistics and the significance variables in univariate analysis were examined in a multi logistic regression model through considering co-linearity. Results: The results showed that 75 patients (28%) didn’t adhere to the medication. In addition, the majority of them were reported to have clinical anxiety (44.2%) and mild depression (55.8%). Also, based on the results derived from multiple logistic regressions, only the spouse's educational level and family history of coronary artery disease were significant predictors of medication adherence. Conclusion: The current study findings display lack of complete post-PCI medication adherence, which underscores the importance of the existence of cardiac rehabilitation systems in the society. Therefore, it is recommended that cardiac rehabilitation centers be built in the society.
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Submitted: 31 Jul 2017
Revised: 20 Apr 2018
Accepted: 25 Jul 2018
First published online: 25 Jul 2018
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