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Extension of the theory of adherence to treatment in patients with coronary heart disease
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Extension of the theory of adherence to treatment in patients with coronary heart disease
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Journal Article
Extension of the theory of adherence to treatment in patients with coronary heart disease
2024
Overview
Background Increased knowledge of the concept of adherence is needed for development patient‐centered care, nursing interventions, and guidelines for patients with coronary heart disease (CHD). The aim of this study was to test and extend the Theory of Adherence to Treatment regarding informational support in patients with CHD. Methods The study utilized an explanatory and descriptive survey. The study was conducted in 2013 and involved 416 patients in five hospitals in Finland. The Adherence of Patients with Chronic Disease instrument and the Social Support for People with CHD instrument were used. The model was tested using structural equation modeling (SEM). Results SEM confirmed direct associations between motivation (β = 0.49, p < 0.001) and results of care (β = 0.29, p < 0.01), and indirect associations between sense of normality, fear of complications, support from nurses and next of kin, and informational support to adherence to a healthy lifestyle and medication. Informational support included information and advice on CHD risk factors, physical exercise, chest pain, medication, continuum of care, and rehabilitation. Indirect standardized path coefficients varied between 0.14 and 0.45. The model explained 45% of adherence to a healthy lifestyle and medication. Conclusion The results of this study showed that informational support is a justified extension to the original Theory of Adherence to Treatment in Patients with CHD. Informational support seems to offer a new perspective that can be used to develop patient‐centered nursing interventions and thus support adherence to treatment by patients with a lifelong disease such as CHD. Testing the associations between adherence to a healthy lifestyle and medication, and the various dimensions of ACDI, informational support, and direct connections. Standardized Regression Weights were used,*p < 0.05, **p < 0.01, ***p < 0.001. Key points The Theory of Adherence to Treatment in Patients with Chronic Disease has already been found to be suitable for evaluating adherence to treatment in different patient groups, but must nonetheless be critically examined, because patients' role in care has changed significantly over time. Informational support is a justified extension to the original Theory of Adherence to Treatment in Patients with Chronic Disease Informational support as part of patient‐centered nursing interventions supports adherence to treatment among post‐PCI patients.
Publisher
John Wiley and Sons Inc,Wiley
Subject
