Role of depressive symptoms and self-efficacy of medication adherence in Korean patients after successful percutaneous coronary intervention
- Authors
- Son, Youn-Jung; Kim, Sun-Hee; Park, Jin-Hee
- Issue Date
- Dec-2014
- Publisher
- Blackwell Publishing Inc.
- Keywords
- coronary artery disease; depression; medication adherence; self-efficacy
- Citation
- International Journal of Nursing Practice, v.20, no.6, pp 564 - 572
- Pages
- 9
- Journal Title
- International Journal of Nursing Practice
- Volume
- 20
- Number
- 6
- Start Page
- 564
- End Page
- 572
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/11684
- DOI
- 10.1111/ijn.12203
- ISSN
- 1322-7114
1440-172X
- Abstract
- This cross-sectional study sought to identify the prevalence of medication adherence and to explore the role of depression and self-efficacy on medication adherence among patients with coronary artery diseases. Participants were recruited among outpatients who successfully underwent primary percutaneous coronary intervention (PCI) with drug-eluting stent at academic medical centres in Cheonan, South Korea. Medication adherence was evaluated by the eight-item Morisky Medication Adherence Scale using a validated Korean version. Prevalence of non-adherent to medication was 60.3%. With non-depressed and high self-efficacy as reference and after adjusting for age and gender, the models showed that those with depression and low self-efficacy are more likely to be non-adherent to medication. Therefore, future studies should focus on the development of interventions designed to reduce depression and increase self-efficacy for improving patient adherence to cardiovascular medications following PCI.
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