Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

Author:

Carbonell-Soliva ÁlvaroORCID,Nouni-García RaufORCID,López-Pineda AdrianaORCID,Cordero-Fort AlbertoORCID,Pérez-Jover VirtudesORCID,Quesada Jose A.ORCID,Orozco-Beltrán DomingoORCID,Nolasco AndreuORCID,Castellano-Vázquez Jose MariaORCID,Mira-Solves Jose JoaquínORCID,Gil-Guillen Vicente F.ORCID,Carratala-Munuera ConcepciónORCID

Abstract

Abstract Background Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difficulties associated with therapeutic adherence. Methods An interpretive phenomenological study was carried out using focus groups and one semi-structured interview. The MAXQDA qualitative data analysis program was used for inductive interpretation of the group discourses and interview. Data were coded, and these were grouped by categories and then consolidated under the main themes identified. Results Two in-person focus groups and one remote semi-structured interview were performed. Twelve participants (6 men and 6 women) from the Hospital de San Juan de Alicante participated, two of them being family companions . The main themes identified were aspects related to the individual, heart disease, drug treatment, and the perception of the health care system. Conclusions Adhering to recommendations on healthy behaviors and taking prescribed medications for cardiovascular disease was important for most participants. However, they sometimes found polypharmacy difficult to manage, especially when they did not perceive the symptoms of their disease. Participants related the concept of fear to therapeutic adherence, believing that the latter increased with the former. The relationship with health professionals was described as optimal, but, nevertheless, the coordination of the health care system was seen as limited.

Publisher

Springer Science and Business Media LLC

Reference53 articles.

1. Gaziano JM. Global Burden of Cardiovascular Disease. In: Braunnwald E, Zipes DP, Libby P, editors. Heart Disease: A Textbook of cardiovascular medicine. 6th ed. Philadelphia: W.B. Saunders Company; 2001. p. 1–17.

2. Reiner Ž, Catapano AL, De Backer G, et al. ESC/EAS Džepne smjernice. ESC/EAS smjernice za liječenje dislipidemija, prilagođeno prema ESC smjernicama za liječenje dislipidemija. Eur Heart J. 2011;32:1769–818.

3. Briffa TG, Hobbs MS, Tonkin A, et al. Population trends of recurrent coronary heart disease event rates remain high. Circ Cardiovasc Qual Outcomes. 2011;1:107–13.

4. Chowdhury R, Khan H, Heydon E, et al. Adherence to cardiovascular therapy: a meta-analysis of prevalence and clinical consequences. Eur Heart J. 2013;34:2940–8.

5. World Health Organization, Geneva. Adherence to long-term treatments. Evidence for action. WHO; 2004. https://apps.who.int/iris/bitstream/handle/10665/42682/9241545992.pdf?sequence=1&isAllowed=y.

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