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Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention
Author(s) -
Kähkönen Outi,
Kankkunen Päivi,
Saaranen Terhi,
Miettinen Heikki,
Kyngäs Helvi,
Lamidi MarjaLeena
Publication year - 2015
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12708
Subject(s) - medicine , percutaneous coronary intervention , psychological intervention , intervention (counseling) , structural equation modeling , disease , coronary heart disease , physical therapy , cross sectional study , nursing care , nursing interventions classification , nursing , myocardial infarction , pathology , statistics , mathematics
Aim To test the Theory of Adherence of People with Chronic Disease with regard to adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention. Background Increased knowledge of the concept of adherence is needed for the development of nursing interventions and nursing guidelines for patients with coronary heart disease. Design A cross‐sectional, multi‐centre study. Methods This study was conducted from February–December 2013 with 416 patients with coronary heart disease 4 months after undergoing a percutaneous coronary intervention. A self‐reported questionnaire was used to assess their adherence to treatment. Data were analysed using structural equation modelling. Results The theory explained 45% of the adherence to a healthy lifestyle and 7% of the adherence to medication. Structural equation modelling confirmed that motivation and results of care had the highest association with adherence to a healthy lifestyle. Responsibility was associated with adherence to medication. Support from next of kin, support from nurses and physicians, and motivation, co‐operation, fear of complications and a sense of normality were associated with adherence. Conclusion Patients who are motivated to perform self‐care and consider the results of care to be important were more likely to adhere to a healthy lifestyle. Responsible patients were more likely to adhere to their medication. It is important to account for these elements as a part of secondary prevention strategies among patients with coronary heart disease after a percutaneous coronary intervention.