ASSESSMENT OF THE CARDIOVASCULAR MEDICATION ADHERENCE AND ITS RELATED FACTORS IN PATIENTS WITH CORONARY ARTERY ANGIOPLASTY AT PMC HOSPITAL NAWABSHAH.

Abstract

Intoduction: Adherence or compliance describes the degree to which a patient correctly follows medical advice. Adherence includes the ability of the patient to take medications as prescribed by their physician with regards to the correct drug, dose, route, timing, and frequency, it has been noted that compliance may only refer to passively following orders. Atherosclerosis is a disease in which the inside of an artery narrows due to the build-up of plaque.When severe, it can result in coronary artery disease, stroke, peripheral artery disease, or kidney problems, depending on which arteries are affected and then proper therapy is required. Objective: Assessment of the cardiovascular medication adherence and its related factors in patients with coronary artery angioplasty. Methodology: A hospital based descriptive cross-sectional study using purposive sampling technique was conductedon 269 patients during the period from January 2020 to June 2020 to determine the level of adherence with therapy among the angioplasty patients. Medication adherence was analyzed by using Morisky Medication adherence questionnaire scale (MMAS-4) and its related factors by HADS scale. Collected data was analyzed using SPSS-23 software and Microsoft Excel. Results: It was found thatmost of the patients were male (59.1%). The anxiety and depression were accounted for in 44.2% and 55.8% of the patients. The outcomes demonstrated that 75 patients (28%) didn't stick to their drug. From the univariatelogisitic regression analysis, the drug adherence was associated with patient's education of spouse (P=0.043), the family background of coronary artery disease history (P=0.038) and the hypertension history (P=0.096). All factors with significant level of 0.1 in the univariate analysis were analyzed in the multivariable models. Conclusion: It was concluded that the chances of prescription non-adherence could be higher in the illiterate patients or poorly educated spouses than the patients with spouses holding advanced education.