Key result
A structural equation model explained 30% of perceived adherence to treatment among patients post-PCI, identifying motivation and social support as direct correlates.
Why the study?
The study was conducted to test a hypothetical model of adherence to treatment among patients with coronary disease after percutaneous coronary intervention.
Cross-Sectional (n=416)
Yes
Motivation and social support from physicians and family are directly associated with perceived treatment adherence in patients after percutaneous coronary intervention.
Motivation and physician/next-of-kin support were associated with post-PCI adherence; leaves open causal pathways for prospective trials before practice change.
Aim: To test the hypothetical model of adherence to treatment among patients with coronary disease after percutaneous coronary intervention. Design: A descriptive, explanatory, cross-sectional survey. Methods: The study was conducted in 2013 with 416 patients in five hospitals in Finland. The adherence of patients with chronic disease instrument, the adherence visual analogue scale, the social support for people with coronary heart disease instrument, the EuroQoL five-dimensional scale and EuroQoL visual analogue scale were used. The data were analysed using descriptive statistic. The hypothetical model was tested using structural equation modelling. Results: The hypothetical model explained 30% of perceived adherence to treatment. Structural equation modelling confirmed that motivation, support from physicians and next of kin had direct associations with adherence. Indirectly, informational support, results of care, perceived health, anxiety and depression were associated with adherence. The background variables associated with adherence were gender, relationship, physical activity, consumption of vegetables and consumption of alcohol.
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Kähkönen et al. (2019) conducted a cross-sectional in coronary heart disease after percutaneous coronary intervention (n=416). Factors associated with adherence to treatment was evaluated on Perceived adherence to treatment. A structural equation model explained 30% of perceived adherence to treatment among patients post-PCI, identifying motivation and social support as direct correlates.
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