Compliance and satisfaction with treatment as a success of therapy effectiveness in the group of patients with ischemic heart disease: a cross-sectional study

• Authors: Agnieszka Piwowar , Eddie Czwojdziński , Zofia Marchewka , Aleksandra Adamczuk , Natalia Świątoniowska-Lonc , Beata Jankowska-Polańska

Abstracts

EN

Objectives Non-adherence and non-compliance to pharmaceutical treatment is one of the most common causes of not effective management of patients suffering from ischemic heart disease (IHD). It is crucial to understand the reasons behind it but studies on this subject performed in the Polish population are still lacking. Material and Methods The 329 patients (160 male and 169 female) diagnosed with IHD who reported for follow-up appointments are examined. The following standardized questionnaires were used: Treatment Satisfaction with Medicines Questionnaire (SATMED-Q) and Adherence to Refills and Medication Scale (ARMS), which evaluates the patient’s compliance and adherence level, respectively. Results Patients with IHD showed moderate compliance with pharmacological recommendations and average satisfaction with treatment. Anemia, drugs side effects, and SATMED-Q total score were significant predictors of the overall ARMS score in the univariate analysis, whereas the male gender and satisfaction with treatment improves this results. In multivariate analysis, significant predictors of lower adherence included family history of IHD, anemia and drugs side effects, while higher education and SATMED-Q overall score increased adherence. Conclusions Treatment satisfaction is a significant predictor of increased overall treatment adherence as well as adherence in terms of drug intake and drug and prescription refills. Raising patient awareness should be an important goal of future educational activities.

Keywords

EN

compliance; effectiveness; adherence; ischemic heart disease; standardized questionnaires; Polish patients

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2023
• Volume: 36
• Issue: 4
• Pages: 465-476

Dates

published

2023

Contributors

author

Agnieszka Piwowar

• Wroclaw Medical University, Wrocław, Poland (Department of Toxicology, Faculty of Pharmacy)

author

Eddie Czwojdziński

• Wroclaw Medical University, Wrocław, Poland (Department of Toxicology, Faculty of Pharmacy)

author

Zofia Marchewka

• Wroclaw Medical University, Wrocław, Poland (Department of Toxicology, Faculty of Pharmacy)

author

Aleksandra Adamczuk

• Wroclaw Medical University, Wrocław, Poland (Students of Faculty of Pharmacy, Department of Toxicology)

author

Natalia Świątoniowska-Lonc

• 4th Military Teaching Hospital, Wrocław, Poland (Innovation and Research Center)

author

Beata Jankowska-Polańska

• 4th Military Teaching Hospital, Wrocław, Poland (Innovation and Research Center)

Identifiers

DOI

10.13075/ijomeh.1896.02107

Biblioteka Nauki

21375402