Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-29602
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Medication adherence in adults after hospitalization for heart failure : a cross-sectional study
Authors: Huber, Manuela
Busch, Ada Katrin
Stalder-Ochsner, Irene
Flammer, Andreas J.
Schmid-Mohler, Gabriela
et. al: No
DOI: 10.1016/j.ijcrp.2023.200234
10.21256/zhaw-29602
Published in: International Journal of Cardiology Cardiovascular Risk and Prevention
Volume(Issue): 20
Issue: 200234
Issue Date: 2024
Publisher / Ed. Institution: Elsevier
ISSN: 2772-4875
Language: English
Subjects: Medication adherence; Heart failure; MARS-5
Subject (DDC): 610.73: Nursing
Abstract: Background: Medication non-adherence in heart failure (HF) leads to increased mortality, morbidity and healthcare costs. However, no study has investigated HF patients’ post-hospitalization medication non-adherence in Switzerland. Objectives: Our primary aim was to assess the prevalence of post-discharge medication non-adherence in patients with HF. A secondary objective was to identify differences between fully and partially adherent patients regarding selected unplanned therapy-related inpatient/outpatient cardiology visits. Methods: A non-experimental cross-sectional study was applied. The prevalence of medication adherence was assessed with a German-translated version of the Medication Adherence Report Scale (MARS-5) and analyzed descriptively. Differences between adherent and partially adherent patients’ numbers of medications, dosing per day and 180-day unplanned inpatient stays or cardiology outpatient visits were explored. Results: Of 153 recruited patients, 72 participated in the survey. Of these, 26.4 % were not fully adherent. Their most common reason was forgetfulness (23.7 %). There were no significant group differences regarding therapy-related variables or 180-day unplanned cardiology stays/visits. Conclusions: Considering that over one-quarter of surveyed HF patients were not fully medication adherent, Swiss cardiology nurses need to be sensitized to this issue and trained in adherence-enhancing interventions. Reaching acceptable adherence levels in patients with HF will require further research and action.
URI: https://digitalcollection.zhaw.ch/handle/11475/29602
Fulltext version: Published version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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Huber, M., Busch, A. K., Stalder-Ochsner, I., Flammer, A. J., & Schmid-Mohler, G. (2024). Medication adherence in adults after hospitalization for heart failure : a cross-sectional study. International Journal of Cardiology Cardiovascular Risk and Prevention, 20(200234). https://doi.org/10.1016/j.ijcrp.2023.200234
Huber, M. et al. (2024) ‘Medication adherence in adults after hospitalization for heart failure : a cross-sectional study’, International Journal of Cardiology Cardiovascular Risk and Prevention, 20(200234). Available at: https://doi.org/10.1016/j.ijcrp.2023.200234.
M. Huber, A. K. Busch, I. Stalder-Ochsner, A. J. Flammer, and G. Schmid-Mohler, “Medication adherence in adults after hospitalization for heart failure : a cross-sectional study,” International Journal of Cardiology Cardiovascular Risk and Prevention, vol. 20, no. 200234, 2024, doi: 10.1016/j.ijcrp.2023.200234.
HUBER, Manuela, Ada Katrin BUSCH, Irene STALDER-OCHSNER, Andreas J. FLAMMER und Gabriela SCHMID-MOHLER, 2024. Medication adherence in adults after hospitalization for heart failure : a cross-sectional study. International Journal of Cardiology Cardiovascular Risk and Prevention. 2024. Bd. 20, Nr. 200234. DOI 10.1016/j.ijcrp.2023.200234
Huber, Manuela, Ada Katrin Busch, Irene Stalder-Ochsner, Andreas J. Flammer, and Gabriela Schmid-Mohler. 2024. “Medication Adherence in Adults after Hospitalization for Heart Failure : A Cross-Sectional Study.” International Journal of Cardiology Cardiovascular Risk and Prevention 20 (200234). https://doi.org/10.1016/j.ijcrp.2023.200234.
Huber, Manuela, et al. “Medication Adherence in Adults after Hospitalization for Heart Failure : A Cross-Sectional Study.” International Journal of Cardiology Cardiovascular Risk and Prevention, vol. 20, no. 200234, 2024, https://doi.org/10.1016/j.ijcrp.2023.200234.


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