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The meanings associated with medicines in heart failure patients.

Publication ,  Journal Article
Granger, BB; McBroom, K; Bosworth, HB; Hernandez, A; Ekman, I
Published in: European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
May 2012

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.

Duke Scholars

Published In

European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

DOI

ISSN

1873-1953

Publication Date

May 2012

Related Subject Headings

  • Surveys and Questionnaires
  • Self Care
  • Prospective Studies
  • Pilot Projects
  • Patient Satisfaction
  • Nursing
  • Motivation
  • Middle Aged
  • Medication Adherence
  • Male
 

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Granger, B. B., McBroom, K., Bosworth, H. B., Hernandez, A., & Ekman, I. (2012). The meanings associated with medicines in heart failure patients. European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. https://doi.org/10.1177/1474515112447734
Granger, B. B., K. McBroom, H. B. Bosworth, A. Hernandez, and I. Ekman. “The meanings associated with medicines in heart failure patients.European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, May 2012. https://doi.org/10.1177/1474515112447734.
Granger BB, McBroom K, Bosworth HB, Hernandez A, Ekman I. The meanings associated with medicines in heart failure patients. European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. 2012 May;
Granger, B. B., et al. “The meanings associated with medicines in heart failure patients.European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, May 2012. Manual, doi:10.1177/1474515112447734.
Granger BB, McBroom K, Bosworth HB, Hernandez A, Ekman I. The meanings associated with medicines in heart failure patients. European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. 2012 May;
Journal cover image

Published In

European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

DOI

ISSN

1873-1953

Publication Date

May 2012

Related Subject Headings

  • Surveys and Questionnaires
  • Self Care
  • Prospective Studies
  • Pilot Projects
  • Patient Satisfaction
  • Nursing
  • Motivation
  • Middle Aged
  • Medication Adherence
  • Male