Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
    Users Online: 387
Home Print this page Email this page Small font size Default font size Increase font size
Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 178-184

Prevalence and predictors of medication adherence among adult cardiovascular diseases patients in al-Madinah

1 Department of Academic Affairs and Training, Ministry of Health, Madinah Cardiac Center, Madinah, Saudi Arabia
2 Nursing College, Taibah University, Madinah, Saudi Arabia
3 Department of Nursing, Medical Applied College, Bishah University, Bishah, Saudi Arabia

Correspondence Address:
Mohammad Ayed Aloufi
Department of Nursing, Medical Applied College, Bishah University, Bishah
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjhs.sjhs_206_20

Rights and Permissions

Background: Nonadherence to the medication schedule is common in patients with cardiovascular diseases (CVDs) and may have serious consequences including increased costs, hospital admissions, and death. Aim: In this study, we investigated the prevalence and associated factors of nonadherence in cardiovascular patients in Al-Madinah/Saudi Arabia. Settings and Design: This was a descriptive cross-sectional study carried out at tertiary cardiac center in Al-Madinah. Subjects and Methods: Study variables including sociodemographic characteristics and disease factors were collected from a random sample of patients attending the CVDs the clinic using a structured questionnaire. Adherence was assessed using the Culig's medication adherence scale. Statistical Analysis: Chi-square test and logistic regression analysis were used to evaluate factors associated with nonadherence. Results: A total of 200 adult cardiovascular patients completed the study; 100 (50.0%) were males and 186 (93.0%) resided in the city. The result showed that 26.0% (52/200) of the patients were nonadherent to medications, missing between 1 and 4 days of medication per week. Overall, 177 (88.5%) of the patients indicated that a healthcare worker explained the medications to them before dispensing. The most common reasons for nonadherence were: not being at home at the drug-taking time (84.6%), forgetfulness (82.7%), and fear of side effects (46.2%). Independent predictors of nonadherence were being retired (odds ratio [OR] 3.4; 95% confidence interval [C. I.] 1.3–9.4) and being uneducated or having general education (OR 4.7; 95% C. I. 2.0–11.2). Conclusion: Nonadherence rate was high and was found to be dependent upon patient-level factors. The study recommends improved patient education interventions to boost medication adherence in cardiovascular patients. Further studies are recommended.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded98    
    Comments [Add]    

Recommend this journal