RESUMO
OBJECTIVE: To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence. METHOD: This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data. RESULTS: One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence. CONCLUSIONS: The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients' daily routines.
Assuntos
Síndrome Coronariana Aguda , Inibidores de Hidroximetilglutaril-CoA Redutases , Síndrome Coronariana Aguda/tratamento farmacológico , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Estudos Longitudinais , Adesão à Medicação , Alta do PacienteRESUMO
Objetivo: Evaluar los niveles de adherencia a la terapia antiplaquetaria y a las estatinas por pacientes con síndrome coronario agudo (SCA) a los 30 días tras el alta hospitalaria e identificar las principales barreras y las principales variables sociodemográficas y clínicas asociadas con la adherencia al tratamiento.Método:Estudio longitudinal cuantitativo. Se incluyó a pacientes ingresados en un hospital con SCA. Inicialmente, la recolección de datos se realizó mediante una entrevista semiestructurada durante la estancia hospitalaria. A los 30 días tras el alta hospitalaria se aplicó el Brief Medication Questionnarie por teléfono, para evaluar la adherencia al tratamiento. Se utilizó estadística descriptiva y se aplicaron pruebas para analizar la asociación entre la adherencia a la medicación y los datos clínicos y sociodemográficos.Resultados: Ciento sesenta y dos pacientes fueron evaluados. El Brief Medication Questionnarie mostró que el 49,3% presentaba probable baja adherencia al tratamiento. El estado civil, el ingreso familiar y el consumo de alcohol tuvieron asociación con la adherencia a la medicación.Conclusiones: Los hallazgos del presente estudio indican altas tasas de probable falta de adherencia a la medicación por los pacientes con SCA a los 30 días tras el alta hospitalaria. Esta información podría ayudar a las enfermeras a elegir intervenciones específicas que puedan mejorar la adherencia en las rutinas diarias del paciente.
Objective: To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence.Method: This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data.Results: One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence.Conclusions: The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients daily routines.
Assuntos
Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases , Síndrome Coronariana Aguda , Tratamento Farmacológico , Alta do Paciente , Cooperação e Adesão ao Tratamento , Enfermagem , Papel do Profissional de Enfermagem , Enfermeiras e Enfermeiros , Doenças Cardiovasculares , Terapêutica/efeitos adversosRESUMO
OBJECTIVE: To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence. METHOD: This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data. RESULTS: One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence. CONCLUSIONS: The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients' daily routines.
