Causes of nonadherence to treatment in people with myocardial infarction: Content analysis
نویسندگان
1 Department of Community Health and Gerontological Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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3 Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
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doi
چکیده
BACKGROUND: Nonadherence with the medication regimen in patients with heart disease canlead to treatment failure. The purpose of this study was to identify the causes of nonadherence inpeople with myocardial infarction.MATERIALS AND METHODS: This study is a qualitative conventional content analysis. Data werecollected through semistructured interviews. Thirteen individual interviews and a focus group wereconducted with nurses, patients, and doctors. Data were analyzed using conventional content analysis.RESULTS: Four main themes were identified, which are organizational‑managerial causes andfactors (drug‑related problems, educational system‑related problems, weak performance of hospitals,and problems related to insurance companies); sociocultural causes and factors (factors relatedto cultural problems and factors related to social problems); causes and factors related to careproviders (skill problems of care providers and functional problems of care providers); and causesand factors associated with caregivers (factors related to social characteristics of the patient, factorsrelated to patient characteristics, and factors related to the patient’s belief).CONCLUSIONS: Many individual and organizational factors affect nonadherence, which can bereduced by fundamental changes.
