Medication Adherence, Self-efficacy, and Attitude toward the Management of Coronary Artery Disease among Elderly with Coronary Artery Disease
Introduction: Coronary artery disease (CAD) is the fourth most common chronic illness in the elderly. Despite advancements in the management of CAD, medication therapy remains the supreme mode of treatment. Methods: The study aimed to assess medication adherence, self-efficacy, and attitude toward t...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of the Indian Academy of Geriatrics |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jiag.jiag_4_25 |
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| Summary: | Introduction:
Coronary artery disease (CAD) is the fourth most common chronic illness in the elderly. Despite advancements in the management of CAD, medication therapy remains the supreme mode of treatment.
Methods:
The study aimed to assess medication adherence, self-efficacy, and attitude toward the management of CAD in 380 older adults. Adherence Scale in Chronic Disease Scale, Sullivan’s Cardiac Self-efficacy Scale, and a self-constructed attitude scale were used to assess medication adherence, cardiac self-efficacy, and attitude toward the management of CAD.
Results:
The majority (49.21%) reported medium medication adherence. The self-efficacy mean score was 49.56 ± 9.07. More than half, 53.16% had an unfavorable attitude toward the management of CAD. A positive correlation was established between medication adherence and cardiac self-efficacy, medication adherence and attitude, and cardiac self-efficacy and attitude with ρ = 0.3801, P ≤ 0.0001; ρ = 0.4562, P ≤ 0.0001; and r = 0.3411, P ≤ 0.0001, respectively.
Discussion:
The current study findings were aligned to the findings of a clinical research study among 221 patients which revealed that 49.8% had a medium level of adherence, whereas 26.7% had high adherence and 23.5% had low level of adherence on using the Adherence in Chronic Disease Scale. This study indicates the need for nurses and other healthcare providers to assess medication adherence, self-efficacy, and attitude of the patients periodically, as it will help them to identify the patients at risk and plan interventions appropriately.
Conclusion:
Older adults with CAD are at a risk of developing life-threatening complications due to various influencing factors. Therefore, healthcare workers should collaborate to pave the ground for ensuring higher medication adherence and improving the general health of older adults. |
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| ISSN: | 0974-3405 0974-2484 |