Artikel
The effect of correcting illness perceptions on adherence to therapeutic regimen in patients with acute coronary syndrome
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Veröffentlicht: | 30. April 2018 |
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Gliederung
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Background and Purpose: Inaccurate illness perceptions are associated with coronary artery disease’s poor outcomes and an intervention targeted at changing illness perceptions may improve adherence. This study was designed to examine whether an intervention targeted at correcting patients’ illness perceptions about their acute coronary syndrome (ACS) would result in a better adherence to therapeutic regimen.
Methods: The present study was a prospective randomized control trial conducted in selected hospitals of Tehran University of Medical Sciences. 75 participants were random assigned to either receive an in-hospital intervention designed to correct their perceptions about their illness and telephone follow-up (n=38) or usual care from nurses (n=37) over a 12 week period. Illness perceptions and adherence to therapeutic regimen questionnaires were used to collect data from hospital patients before the intervention as well as at 3 and 12 weeks as outpatients after discharge.
Results: The intervention caused significant positive changes in patients’ adherence to diet, exercise and medication regimen outcomes. The study showed differences in adherence to therapeutic regimen (p<0.0001) between the two groups 3 weeks after discharge. At 12-weeks, patients in the intervention group reported significantly higher scores of adherence to therapeutic regimen than controlled participants of the study (p<0.0001).
Conclusions: An in-hospital intervention along with telephone follow-up; targeted to correct patients’ illness perceptions, increased adherence to therapeutic regimen outcomes after ACS.