Research Article
Volume 2 Issue 8 - 2020
Factors Affecting Treatment Adherence of Patients in a Cardiac Care Unit
Luz Omaira Gómez Tovar1*, Lina Andrea Sánchez-Urrea2, María Alejandra Rodríguez-Alvira3, Wilmar Mosquera-Rico3 and Lina María Vargas-Escobar4
1Faculty of Health, Nursing Program, Universidad Surcolombiana, Neiva, Colombia
2Clínica UROS, Neiva, Colombia
3Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia
4Faculty of Nursing, Universidad El Bosque, Bogotá, Colombia
*Corresponding Author: Luz Omaira Gómez-Tovar, Faculty of Health, Nursing Program, Universidad Surcolombiana, Neiva, Colombia.
Received: July 14, 2020; Published: July 28, 2020




Abstract

Objective: To identify the factors that affect adherence to pharmacological and non-pharmacological treatment of patients in a cardiovascular unit.

Methods: Observational, cross-sectional study. A total of 43 patients attended in a cardiovascular unit in the city of Neiva (Colombia) and selected through non-probability, and convenience sampling participated. Data were collected from medical records and an instrument administered to assess the factors that influence adherence to pharmacological and non-pharmacological treatment in people at risk of cardiovascular disease. Data analysis was performed using SPSS software version 22.0.

Results: The participants were mainly men (62.8%), from low socioeconomic status (86%), and with no schooling or with incomplete secondary education (70%). Significant differences were found between adherence and the socioeconomic factor, the health-provider-and-health-team-related factor, the therapy-related factor, and the patient-related factor. Likewise, significant associations were found between the type of affiliation to the health system, the total treatment adherence degree, and the health-provider-and-health-team-related factor; the disease symptoms and limitations, and the patient's condition; and between the patient’s antecedents and the total treatment adherence degree. Association was found between adherence advantage and a history of cardiac catheterization [OR = 0.07 (95% CI = 0.009 - 0.682), p = 0.007], or open myocardial revascularization [OR = 0.5 (95% CI = 0.364 - 0.687), p = 0.044].

Conclusion: Approximately half of the population was at risk or showed poor adherence, so it is necessary to carry out a follow-up that supports compliance with treatment, avoiding complications that represent a higher risk for patients.

Keywords: Treatment Adherence and Compliance; Cardiovascular Diseases; Therapeutics; Nursing Care

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Citation: Gómez Tovar, Luz Omaira., et al. “Factors Affecting Treatment Adherence of Patients in a Cardiac Care Unit”. EC Nursing and Healthcare 2.8(2020): 77-86.

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