Exploring the beliefs of heart failure patients towards their heart failure medicines and self care activities.
Int J Clin Pharm
; 34(4): 618-25, 2012 Aug.
Article
en En
| MEDLINE
| ID: mdl-22717778
ABSTRACT
AIM:
To identify Heart Failure patients' beliefs towards their medications and how these beliefs relate to adherence.METHOD:
Patients attending a multi-disciplinary, community based heart failure clinic on the Gold Coast, Australia were interviewed using a questionnaire composed of fours parts repertory grid technique; Beliefs About Medicines Questionnaire (BMQ); Medicines Adherence Reporting Scale (MARS); demographic details. Patients were divided into those categorised as adherent (MARS score ≥ 23) and those categorised as non-adherent (MARS score < 23). Necessity beliefs scores from BMQ and the frequency of statements generated from the repertory grid portion of the questionnaire were compared between these two groups.RESULTS:
Forty-three patients were interviewed with a mean age (±SD) of 64 (±17) years and thirty-six (83.7 %) were male. Thirty-seven (86.0 %) patients were categorised as adherent; the remaining six (14.0 %) as non-adherent. The 43 patients generated a total of 262 statements about their medicines. The three most common themes identified were Related to fluid (36.6 %), Helps the heart (31.7 %) and Related to weight (13.7 %). There was a significantly higher median necessity score in the adherent group compared to the non adherent group (22.0 vs. 19.5, p = 0.0272). Patients with a strong necessity score also had significantly higher self reported adherence compared to patients with a strong concerns score (21.5 vs. 18.0, p = 0.006).CONCLUSION:
This study suggests that patients with heart failure possessing a strong belief in the necessity of their treatment regimen are more likely to demonstrate better adherence.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Autocuidado
/
Conocimientos, Actitudes y Práctica en Salud
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Cumplimiento de la Medicación
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Insuficiencia Cardíaca
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int J Clin Pharm
Año:
2012
Tipo del documento:
Article
País de afiliación:
Australia