Education is critical for medication adherence in patients with coronary heart disease.

Abstract:

BACKGROUND:Although non-adherence to medications is associated with increased cardiovascular risks, very little information is focused on the relationship between knowledge and medication adherence among patients with coronary heart disease (CHD). AIM:The purposes were to assess the relationship between medication adherence and medication- or disease-related knowledge in patients with CHD, and to investigate whether educating patients would alter their medication adherence behaviour. METHODS:This study was carried out at the outpatient clinic of a public university teaching hospital in China.The primary outcome was the ability of patients to follow medication instructions, which was assessed by the Morisky Medication Adherence Scale (MMSA-8). The Medication- or Disease-Related Knowledge Test (MDRKT) was used to assess patients'medication-related knowledge. We also explored patients'preferences for receiving education about medications and whether it is necessary for pharmacists to provide education. RESULTS:Among the 159 patients who completed the survey, approximately 38.4% were considered non-adherent (MMAS-8 score <6). Medication- or disease-related knowledge and concerns about adverse drug events were significantly associated with non-adherence. The MDRKT revealed that most participants had very little knowledge about their drug treatment. Specifically, 22 participants said that pharmacists were their primary source of information. Subsequently, 95.0% of participants expressed an interest in activities related to medication education. CONCLUSIONS:Knowledgeable patients with CHD are more likely to adhere to medication instructions. Many patients have difficulty acquiring medication information; thus, patients need increased access to education about their medication. Pharmacist services may be required to provide such information.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Zhao S,Zhao H,Wang L,Du S,Qin Y

doi

10.1080/ac.70.2.3073511

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

197-204

issue

2

eissn

0001-5385

issn

1784-973X

journal_volume

70

pub_type

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