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- Title
Psychosocial factors correlate with adherence to medications among cardiovascular outpatient clinics in Jordan.
- Authors
Malak, Malakeh Z; Al-thbetat, Ahlam J; AL-Amer, Rasmieh M
- Abstract
Background Adherence to medications is a significant element of self-care behaviors for patients with cardiovascular diseases (CVDs). Non-adherence to cardiovascular medications is the major risk for poor outcomes following any cardiac event. However, there is a lack of studies that addressed medication adherence among patients with CVDs attending outpatient clinics in Arabic countries, including Jordan. Thus, this study purposed to assess the psychosocial factors (e.g. depression, anxiety, stress, social support and self-esteem) and their correlation with adherence to medications among patients with CVDs attending outpatient clinics in Jordan. Methods A total of 395 Jordanian patients attending CVDs outpatient clinics at government, military and private healthcare facilities were recruited. Results Our study findings showed that 31.4% of the patients reported complete adherence to their medications. The proportion of psychological reactions reported by the participants was 72.1% for depressive symptoms, 62.6% for anxiety and 50.1% for stress; 79.7% had moderate and normal social support, and 44% had low self-esteem. Depression, anxiety and stress had a significant negative correlation with adherence to medications; however, self-esteem had a significant positive relationship with adherence to medications. In addition, depression, anxiety and stress were the main predictors of adherence to medications. Conclusion Our findings might aid in paving the road for designing and developing strategies and interventions to increase adherence to medications and minimize these psychosocial problems among CVD patients in outpatient clinics.
- Subjects
JORDAN; PREVENTION of psychological stress; CARDIOVASCULAR disease diagnosis; RESEARCH; SOCIAL support; HEALTH facilities; SAMPLE size (Statistics); PSYCHOLOGY of cardiac patients; SELF-perception; EFFECT sizes (Statistics); CROSS-sectional method; RESEARCH methodology; SELF-evaluation; MULTIVARIATE analysis; MEDICAL care; CARDIOVASCULAR diseases; REGRESSION analysis; CARDIOVASCULAR system; TREATMENT effectiveness; PEARSON correlation (Statistics); DRUGS; MENTAL depression; DESCRIPTIVE statistics; QUESTIONNAIRES; PATIENT compliance; ANXIETY; DATA analysis software; STATISTICAL correlation; STATISTICAL sampling; OUTPATIENT services in hospitals; HEALTH self-care
- Publication
Journal of Public Health, 2023, Vol 45, Issue 1, p206
- ISSN
1741-3842
- Publication type
Article
- DOI
10.1093/pubmed/fdab356