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Adherence to therapeutic regimen among patients with cardiovascular diseases in selected community area Dehradun, Uttarakhand

Laiphrakpam Kalpana Devi, Kamli Prakash, Vandana Chauhan.




Abstract

Background: Adherence to therapeutic regimen is an important element of self-care behaviors in cardiac patient. Adherence simply means to which patients taking medication, following diet and changing lifestyle as recommended by the health-care professional.

Objectives: (1) To assess adherence to therapeutic regimen among patients with cardiovascular diseases (CVDs), (2) to identify factors contributing adherence to therapeutic regimen among patients with CVDs, (3) to identify factors contributing non-adherence to therapeutic regimen among patients with CVDs, and (4) to identify association between adherence to therapeutic regimen and selected sociodemographic variables of patients with CVDs.

Materials and Methods: Quantitative approach was used in the present study. A total of 105 samples were selected using purposive sampling technique from community area (Rajiv Nagar, Doiwala) Dehradun, and data were collected by interview method and using structured questionnaire on sociodemographic variables, clinical profile of patients, and adherence to therapeutic regimen. The data were analyzed using descriptive and inferential statistics.

Results: Finding of the present study showed that majority (90.5%) of the participants were diagnosed with hypertension, approximately half (48.57%) of them were performing exercise, majority (79.05%) restricted the salt in diet, half (50.5%) of the participants were adhering to medication, majority (82.86%) went for regular follow-up, and 69.52% of them practiced stress management technique. It was found that there was a significant association between gender and exercise performed, salt restriction and gender, medication and educational qualification, and also between stress management technique and age at statistically significant level of P < 0.005.

Conclusion: Most of the participants were suffering from hypertension, majority of them went for regular follow-up, practiced stress management technique, approximately half of them performed exercise, restrict salt in diet, and half of the participants adhered to medication. Association was found between therapeutic regimen and selected sociodemographic variables.

Key words: Adherence; Therapeutic Regimen; Patients with Cardiovascular Disease






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