Medication-taking for coronary artery disease - patients' perspectives

Eur J Cardiovasc Nurs. 2008 Jun;7(2):133-9. doi: 10.1016/j.ejcnurse.2007.08.003. Epub 2007 Sep 27.


Background: Medication adherence as a healthcare issue has preoccupied researchers and clinicians for several decades. Sustained investigation is justified given the extent and consequences of non-adherence. While quantitative methodologies conducted predominately from a healthcare professionals' perspective have generated numerous relevant factors involved in adhering to medical regimens, patients' perspectives are required for a more comprehensive appreciation of patient priorities in medication-taking.

Aim: The aim of this study was to gain a dynamic understanding of the perspectives of patients with coronary artery disease (CAD) on the factors relating to medication-taking.

Methods: A qualitative, descriptive research design was adopted. Ten semi-structured interviews were conducted over a three month period and analysed using content analysis techniques.

Findings: Three key dimensions to medication-taking were identified: "Keeping track"-ways of taking tablets; Reasoning about medications and Social/Professional influences on medication-taking.

Conclusion: Research results add to the existing body of knowledge on patients' perspectives on medication-taking. They provide clinicians with an insight into the different dimensions and complex interactions involved.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Comprehension
  • Coronary Artery Disease* / drug therapy
  • Coronary Artery Disease* / psychology
  • Cost of Illness
  • Documentation
  • Drug Monitoring
  • Family / psychology
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Status
  • Humans
  • Ireland
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Needs Assessment
  • Nursing Methodology Research
  • Patient Compliance / psychology*
  • Patient Education as Topic
  • Qualitative Research
  • Quality of Life / psychology
  • Self Administration / adverse effects
  • Self Administration / psychology*
  • Surveys and Questionnaires