Document Detail


The meanings associated with medicines in heart failure patients.
MedLine Citation:
PMID:  22653088     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to explore the theoretical linkages between symptom experiences and meaning associated with medication adherence. The specific objectives were to evaluate the key constructs of Meaning-Response theory for understanding medication adherence in patients with chronic heart failure; to assess the influence of symptom persistence on the meaning associated with prescribed medicines; and to explore the extent to which meaningful associations improve medication adherence. Among patients with heart failure, poor medication adherence occurs in over half of the population, resulting in high rates of symptom exacerbation, avoidable hospitalization, and death. Nurses play a key role in facilitating self-management skills, but patients' perceptions of the relationship between symptoms and medicines is not clear. METHODS: Using a prospective mixed methods design, the study assessed patients' (n=10) perception of chronic heart failure symptoms and medication adherence. Patients completed guided interviews related to six concepts of meaning ascribed to medication use and four standardized measures of medication-related beliefs, behaviours, symptoms, and satisfaction. RESULTS: This study suggests that patients' perception of meaning associated with medication taking was categorized as positive, negative, or absent. Symptom persistence influenced a majority of patient beliefs in the efficacy medicines, and patients with more positive meaningful associations with their medicines were more likely to remain adherent during the course of this study. CONCLUSIONS: Development of meaningful associations with medicines may improve long-term adherence with prescribed medication in heart failure.
Authors:
Bradi B Granger; Kathryn McBroom; Hayden B Bosworth; Adrian Hernandez; Inger Ekman
Related Documents :
11825178 - Evaluating the umls as a source of lexical knowledge for medical language processing.
10648848 - Understanding of medico-technical reports.
22723048 - Determinants of adherence to heart failure medication: a systematic literature review.
12137328 - Comforting the (exile) afflicted in croatia--around and beyond the analytical approache...
3147588 - Adverse reaction of acetaminophen as an alternative analgesic in a.a.s. triad.
16854828 - 6,220 institutionalised people with intellectual disability referred for visual assessm...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-30
Journal Detail:
Title:  European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology     Volume:  -     ISSN:  1873-1953     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-6-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128793     Medline TA:  Eur J Cardiovasc Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Duke University Health Systems and Duke University School of Nursing, Durham, NC, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effect of Portal Haemodynamics on Liver Graft and Intestinal Mucosa after Small-for-Size Liver Trans...
Next Document:  Knowledge, attitudes, and beliefs about acute coronary syndrome in patients diagnosed with ACS: an I...