RNSurveyInvestigacion y educacion en enfermeria2020

Adherence to Secondary Prevention and Influential Factors in Individuals with Coronary Angioplasty.

Vanesa Henao López, Zaider Triviño Vargas

PMID 33306895

WHAT IT FOUND

Adherence after angioplasty was high soon after discharge.

Treatment-related factors were linked most strongly. Patients needing caregiver help or changing cardiology sites had lower monitoring and confidence.

Key findings

01Reported adherence was high: overall 96.1, medical behavioral monitoring 97.7, medication and food intake 91.4, self-efficacy 89.1.

02Treatment-related factors had the strongest positive relation with overall adherence (0.619), followed by patient-related factors (0.274) and socioeconomic factors (0.179); health-system/provider factors (0.078) were not significant.

03Patients totally dependent on another person had lower medical behavioral monitoring (90.1 versus 97.0 for not dependent) and lower self-efficacy (80.1 versus 90.7); patients with cardiology control in another institution had lower self-efficacy (84.0 versus 90.7).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study measured patients once, about three to four months after discharge, so it cannot show what happens later or whether adherence changed over time. Adherence was based on patients' reported answers collected by telephone, not on medication records or direct observation. The sample came from one clinic in Medellín and was mostly male and low income, so it may not apply to other patients. The study cannot show that treatment-related factors caused higher adherence; it only found correlations. The authors note the high adherence score did not match other studies, possibly because of timing and sociodemographic differences. Six patients in the original database had died, and the sample was completed by continuing calls, which may affect representativeness.

Declared interests

The article reports no aid or funding.

The easy way to misread this

Do not conclude that nurse-led education or attention to these factors improved adherence. The study observed patients once and only reported associations; it did not test an intervention.

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