Medication adherence among persons with post-acute myocardial infarction

This study was to test a model explaining the influence of financial status, education, social support, symptom severity, barriers, knowledge, depression, and self-efficacy on medication adherence among persons with post-acute myocardial infarction. The use of multi-stage cluster sampling method i...

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Main Authors: Rapin Polsook, Yupin Aungsuroch, Sureeporn Thanasilp
Format: Article
Language:English
Published: Prince of Songkla University 2016-12-01
Series:Songklanakarin Journal of Science and Technology (SJST)
Subjects:
Online Access:http://rdo.psu.ac.th/sjstweb/journal/38-6/38-6-3.pdf
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author Rapin Polsook
Yupin Aungsuroch
Sureeporn Thanasilp
author_facet Rapin Polsook
Yupin Aungsuroch
Sureeporn Thanasilp
author_sort Rapin Polsook
collection DOAJ
description This study was to test a model explaining the influence of financial status, education, social support, symptom severity, barriers, knowledge, depression, and self-efficacy on medication adherence among persons with post-acute myocardial infarction. The use of multi-stage cluster sampling method involved 348 patients from 9 regional hospitals in Thailand. The results revealed the hypothesized model fit to the empirical data and explained 20% of the variance of medication adherence (χ2 = 5.87, df = 5, p < .43, Chi-square/df = 0.97, GIF = 0.99, RMSEA = 0.065, AGFI = 0.97). Depression was the most influential factor affecting medication adherence, and had a negative direct effect (-.40, p < .05), followed by self-efficacy and barriers (.17 and .10, p < .05, respectively). These findings suggest that nurses should understand that depression, barrier, and selfefficacy are important factors to be considerate to improve medication adherence and improve the quality of life of Thai postmyocardial infarction patients.
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spelling doaj.art-136e16f45ca948d49f9d984b2149db632022-12-22T03:53:47ZengPrince of Songkla UniversitySongklanakarin Journal of Science and Technology (SJST)0125-33952016-12-0138661162010.14456/sjst-psu.2016.78Medication adherence among persons with post-acute myocardial infarctionRapin Polsook0Yupin Aungsuroch1Sureeporn Thanasilp2Faculty of Nursing, Chulalongkorn University, Pathum Wan, Bangkok, 10330 Thailand.Faculty of Nursing, Chulalongkorn University, Pathum Wan, Bangkok, 10330 Thailand.Faculty of Nursing, Chulalongkorn University, Pathum Wan, Bangkok, 10330 Thailand.This study was to test a model explaining the influence of financial status, education, social support, symptom severity, barriers, knowledge, depression, and self-efficacy on medication adherence among persons with post-acute myocardial infarction. The use of multi-stage cluster sampling method involved 348 patients from 9 regional hospitals in Thailand. The results revealed the hypothesized model fit to the empirical data and explained 20% of the variance of medication adherence (χ2 = 5.87, df = 5, p < .43, Chi-square/df = 0.97, GIF = 0.99, RMSEA = 0.065, AGFI = 0.97). Depression was the most influential factor affecting medication adherence, and had a negative direct effect (-.40, p < .05), followed by self-efficacy and barriers (.17 and .10, p < .05, respectively). These findings suggest that nurses should understand that depression, barrier, and selfefficacy are important factors to be considerate to improve medication adherence and improve the quality of life of Thai postmyocardial infarction patients.http://rdo.psu.ac.th/sjstweb/journal/38-6/38-6-3.pdfmedication adherencepost- acute myocardial infarction
spellingShingle Rapin Polsook
Yupin Aungsuroch
Sureeporn Thanasilp
Medication adherence among persons with post-acute myocardial infarction
Songklanakarin Journal of Science and Technology (SJST)
medication adherence
post- acute myocardial infarction
title Medication adherence among persons with post-acute myocardial infarction
title_full Medication adherence among persons with post-acute myocardial infarction
title_fullStr Medication adherence among persons with post-acute myocardial infarction
title_full_unstemmed Medication adherence among persons with post-acute myocardial infarction
title_short Medication adherence among persons with post-acute myocardial infarction
title_sort medication adherence among persons with post acute myocardial infarction
topic medication adherence
post- acute myocardial infarction
url http://rdo.psu.ac.th/sjstweb/journal/38-6/38-6-3.pdf
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