Prevalence of pharmacological adherence in patients with coronary artery disease and associated factors

Authors

  • Jaqueline Correia Padilha Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil; Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil. http://orcid.org/0000-0002-8761-6013
  • Vinicius Batista Santos Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem Clínica e Cirúrgica, São Paulo, SP, Brazil. http://orcid.org/0000-0001-5130-5523
  • Camila Takao Lopes Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem Clínica e Cirúrgica, São Paulo, SP, Brazil. http://orcid.org/0000-0002-6243-6497
  • Juliana de Lima Lopes Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem Clínica e Cirúrgica, São Paulo, SP, Brazil; Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil. http://orcid.org/0000-0001-6915-6781

DOI:

https://doi.org/10.1590/1518-8345.4554.3464

Keywords:

Coronary Artery Disease, Medication Adherence, Nursing, Health Education, Treatment Adherence and Compliance, Patient Compliance

Abstract

Objective: to assess the prevalence of pharmacological adherence in patients with coronary artery disease and to identify factors associated with adherence. Method: a crosssectional, correlational study, including 198 patients with a previous diagnosis of coronary artery disease. Pharmacological adherence was assessed by the four-item Morisky Green test, and the factors that potentially interfere with adherence were considered independent variables. The association between the variables was determined by the Cox model, with a 5% significance level. Results: 43% of the patients adhered to the treatment. Fatigue and palpitation, never having consumed alcohol and being served by medical insurance were associated with adherence. Lack of adherence was associated with considering the treatment complex, consumption of alcohol and being served by the public health care system. In the multiple analysis, the patients with fatigue and palpitations had a prevalence of adherence around three times higher and alcohol consumption was associated with a 2.88 times greater chance of non-adherence. Conclusion: more than half of the patients were classified as non-adherent. Interventions can be directed to some factors associated with lack of adherence.

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Published

2021-09-03

Issue

Vol. 29 (2021)

Section

Original Articles

License

Copyright (c) 2021 Revista Latino-Americana de Enfermagem

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How to Cite

Prevalence of pharmacological adherence in patients with coronary artery disease and associated factors. (2021). Revista Latino-Americana De Enfermagem, 29, e3464. https://doi.org/10.1590/1518-8345.4554.3464