Medication adherence in adults after hospitalization for heart failure: A cross-sectional study
Background: Medication non-adherence in heart failure (HF) leads to increased mortality, morbidity and healthcare costs. However, no study has investigated HF patients’ post-hospitalization medication non-adherence in Switzerland. Objectives: Our primary aim was to assess the prevalence of post-disc...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487523000673 |
| _version_ | 1797272407970414592 |
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| author | Manuela Huber Ada Katrin Busch Irene Stalder-Ochsner Andreas J. Flammer Gabriela Schmid-Mohler |
| author_facet | Manuela Huber Ada Katrin Busch Irene Stalder-Ochsner Andreas J. Flammer Gabriela Schmid-Mohler |
| author_sort | Manuela Huber |
| collection | DOAJ |
| description | Background: Medication non-adherence in heart failure (HF) leads to increased mortality, morbidity and healthcare costs. However, no study has investigated HF patients’ post-hospitalization medication non-adherence in Switzerland. Objectives: Our primary aim was to assess the prevalence of post-discharge medication non-adherence in patients with HF. A secondary objective was to identify differences between fully and partially adherent patients regarding selected unplanned therapy-related inpatient/outpatient cardiology visits. Methods: A non-experimental cross-sectional study was applied. The prevalence of medication adherence was assessed with a German-translated version of the Medication Adherence Report Scale (MARS-5) and analyzed descriptively. Differences between adherent and partially adherent patients’ numbers of medications, dosing per day and 180-day unplanned inpatient stays or cardiology outpatient visits were explored. Results: Of 153 recruited patients, 72 participated in the survey. Of these, 26.4 % were not fully adherent. Their most common reason was forgetfulness (23.7 %). There were no significant group differences regarding therapy-related variables or 180-day unplanned cardiology stays/visits. Conclusions: Considering that over one-quarter of surveyed HF patients were not fully medication adherent, Swiss cardiology nurses need to be sensitized to this issue and trained in adherence-enhancing interventions. Reaching acceptable adherence levels in patients with HF will require further research and action. |
| first_indexed | 2024-03-07T14:27:53Z |
| format | Article |
| id | doaj.art-414ceda07b3c47e1a1706f37d646c4a0 |
| institution | Directory Open Access Journal |
| issn | 2772-4875 |
| language | English |
| last_indexed | 2024-03-07T14:27:53Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj.art-414ceda07b3c47e1a1706f37d646c4a02024-03-06T05:29:06ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752024-03-0120200234Medication adherence in adults after hospitalization for heart failure: A cross-sectional studyManuela Huber0Ada Katrin Busch1Irene Stalder-Ochsner2Andreas J. Flammer3Gabriela Schmid-Mohler4Educational Center for Health and Social, Weinfelden, Switzerland; Clinic for General, Visceral, Transplant, Vascular and Thoracic Surgery, Cantonal Hospital St. Gallen, SwitzerlandInstitute of Nursing, ZHAW School of Health Science, Winterthur, SwitzerlandDepartment of Cardiology, University Heart Center, University Hospital Zurich, SwitzerlandDepartment of Cardiology, University Heart Center, University Hospital Zurich, SwitzerlandCenter of Clinical Nursing Science, University Hospital Zurich, Switzerland; Department of Pulmonology, University Hospital Zurich, Switzerland; Corresponding author. University Hospital Zurich, Center of Clinical Nursing Science, Raemistrasse 100, CH-8091, Zurich, Switzerland.Background: Medication non-adherence in heart failure (HF) leads to increased mortality, morbidity and healthcare costs. However, no study has investigated HF patients’ post-hospitalization medication non-adherence in Switzerland. Objectives: Our primary aim was to assess the prevalence of post-discharge medication non-adherence in patients with HF. A secondary objective was to identify differences between fully and partially adherent patients regarding selected unplanned therapy-related inpatient/outpatient cardiology visits. Methods: A non-experimental cross-sectional study was applied. The prevalence of medication adherence was assessed with a German-translated version of the Medication Adherence Report Scale (MARS-5) and analyzed descriptively. Differences between adherent and partially adherent patients’ numbers of medications, dosing per day and 180-day unplanned inpatient stays or cardiology outpatient visits were explored. Results: Of 153 recruited patients, 72 participated in the survey. Of these, 26.4 % were not fully adherent. Their most common reason was forgetfulness (23.7 %). There were no significant group differences regarding therapy-related variables or 180-day unplanned cardiology stays/visits. Conclusions: Considering that over one-quarter of surveyed HF patients were not fully medication adherent, Swiss cardiology nurses need to be sensitized to this issue and trained in adherence-enhancing interventions. Reaching acceptable adherence levels in patients with HF will require further research and action.http://www.sciencedirect.com/science/article/pii/S2772487523000673Medication adherenceHeart failureMARS-5 |
| spellingShingle | Manuela Huber Ada Katrin Busch Irene Stalder-Ochsner Andreas J. Flammer Gabriela Schmid-Mohler Medication adherence in adults after hospitalization for heart failure: A cross-sectional study International Journal of Cardiology. Cardiovascular Risk and Prevention Medication adherence Heart failure MARS-5 |
| title | Medication adherence in adults after hospitalization for heart failure: A cross-sectional study |
| title_full | Medication adherence in adults after hospitalization for heart failure: A cross-sectional study |
| title_fullStr | Medication adherence in adults after hospitalization for heart failure: A cross-sectional study |
| title_full_unstemmed | Medication adherence in adults after hospitalization for heart failure: A cross-sectional study |
| title_short | Medication adherence in adults after hospitalization for heart failure: A cross-sectional study |
| title_sort | medication adherence in adults after hospitalization for heart failure a cross sectional study |
| topic | Medication adherence Heart failure MARS-5 |
| url | http://www.sciencedirect.com/science/article/pii/S2772487523000673 |
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