Key result
Participants attending cardiac rehabilitation had significantly higher rates of medium/low medication adherence compared to those admitted to a cardiac ward (41.9% vs. 36.0%, p=0.001).
Why the study?
Adherence to cardiac medications significantly contributes to avoiding morbidity and premature mortality, but evaluating adherence and contributing factors across different care settings was needed.
Cross-Sectional (n=120)
No
Absolute Event Rate: 41.9% vs 36%
p-value: p=0.001
Medication adherence is lower in outpatient cardiac rehabilitation compared to cardiac wards, with self-efficacy, refill ability, and medication beliefs being key predictive factors.
Rehab attendees may need targeted adherence support; leaves open causality and selection bias in this cross-sectional association.
Adherence to cardiac medications makes a significant contribution to avoidance of morbidity and premature mortality in patients with cardiovascular disease. This quantitative study used cross-sectional survey design to evaluate medication adherence and contributing factors among patients with cardiovascular disease, comparing patients who were admitted to a cardiac ward (n = 89) and those attending outpatient cardiac rehabilitation (n = 31) in Australia. Data collection was completed between October 2016 and December 2017. Descriptive and regression analyses were conducted to identify medication adherence and determine factors independently predictive of medication adherence. Participants from cardiac rehabilitation had significantly lower adherence to cardiac medications than those recruited from the cardiac ward (58.1 vs 64.0%, respectively). Self-efficacy was significantly associated with participants' medication adherence in both groups. The ability to refill medications and beliefs about cardiac medications were independently significantly predictive of cardiac medication adherence. These findings indicate areas where clinical nurses could expand their role to improve cardiac patients' medication self-management.
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Al‐Ganmi et al. (2020) conducted a cross-sectional in Cardiovascular disease (n=120). Cardiac rehabilitation attendance vs. Cardiac ward admission was evaluated on Medium/low medication adherence (p=0.001). Participants attending cardiac rehabilitation had significantly higher rates of medium/low medication adherence compared to those admitted to a cardiac ward (41.9% vs. 36.0%, p=0.001).
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