Volume 23, Issue 2 (7-2025)
Nursing and Midwifery Journal 2025, 23(2): 40-48 |
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Ethics code: IR.IAU.URMIA.REC.1403.069
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Ebrahimzadeh S, Mohammadi M A, Hemmati Maslak Pak M, dadkhah B. Treatment Adherence and Associated Factors in Patients with Coronary Artery Disease Discharged from Urmia Hospitals in 2024. Nursing and Midwifery Journal 2025; 23 (2) :40-48
URL: http://unmf.umsu.ac.ir/article-1-5355-en.html
URL: http://unmf.umsu.ac.ir/article-1-5355-en.html
1- School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
3- Maternal and Child Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
3- Maternal and Child Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (482 Views)
Background Coronary artery disease remains a leading cause of global mortality, and its management requires strict adherence to prescribed treatments. Given the importance of this issue, the present study aimed to assess the treatment adherence status of patients with coronary artery disease discharged from Seyed Al-Shohada and Ayatollah Taleghani hospitals in Urmia in 2024.
Methods This descriptive cross-sectional study was conducted on 430 eligible individuals who met the inclusion criteria and were selected using convenience sampling. Data were collected using demographic and treatment adherence questionnaires. Descriptive statistics (means, frequencies) were used for data analysis, while Pearson correlation and linear regression were applied to examine relationships and make predictions between variables. T-tests and ANOVA were used for analytical calculations.
Results The results showed that the level of adherence to treatment among the patients studied was generally satisfactory (142.49 ± 49.92). In addition, Significant predictors, including education level, gender, type of treatment, and severity of disease (number of vessels involved), affect the level of adherence to treatment in patients with coronary artery disease (R² = 0.033, p < 0.05). Notably, patients with lower education levels had better adherence to treatment, while those with higher education and patients with more extensive vascular involvement showed lower adherence. Also, women had higher adherence to treatment compared to men (p<0.05).
Conclusion This study revealed that treatment adherence in patients with coronary artery disease is influenced by multiple factors, including education level, treatment type, disease severity, and gender. Therefore, targeted educational and supportive interventions tailored to the needs of patients, particularly those in high-risk groups, can enhance treatment adherence and ultimately contribute to improved disease management. We recommend that healthcare officials develop comprehensive support and educational policies and implement programs to screen and identify patients at risk of non-adherence to treatment.
Methods This descriptive cross-sectional study was conducted on 430 eligible individuals who met the inclusion criteria and were selected using convenience sampling. Data were collected using demographic and treatment adherence questionnaires. Descriptive statistics (means, frequencies) were used for data analysis, while Pearson correlation and linear regression were applied to examine relationships and make predictions between variables. T-tests and ANOVA were used for analytical calculations.
Results The results showed that the level of adherence to treatment among the patients studied was generally satisfactory (142.49 ± 49.92). In addition, Significant predictors, including education level, gender, type of treatment, and severity of disease (number of vessels involved), affect the level of adherence to treatment in patients with coronary artery disease (R² = 0.033, p < 0.05). Notably, patients with lower education levels had better adherence to treatment, while those with higher education and patients with more extensive vascular involvement showed lower adherence. Also, women had higher adherence to treatment compared to men (p<0.05).
Conclusion This study revealed that treatment adherence in patients with coronary artery disease is influenced by multiple factors, including education level, treatment type, disease severity, and gender. Therefore, targeted educational and supportive interventions tailored to the needs of patients, particularly those in high-risk groups, can enhance treatment adherence and ultimately contribute to improved disease management. We recommend that healthcare officials develop comprehensive support and educational policies and implement programs to screen and identify patients at risk of non-adherence to treatment.
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