Factors related to the treatment burden of patients with coronary heart disease: A cross-sectional study.

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2024-12-11 DOI:10.1016/j.hrtlng.2024.11.019

Wenran Qu, Xiaoli Wang, Simeng Zhang, Huimin Wei, Peiyun Zhou, Bingyan Zhang, Zongke Long, Xiaorong Luan

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引用次数: 0

Abstract

Background: Treatment burden is a significant barrier to patient adherence that may lead to deterioration of health.

Objectives: The purpose of this study was to understand the treatment burden of Chinese patients with coronary heart disease (CHD) and its associations with demographic, capacity, and workload-related factors.

Methods: We conducted an observational cross-sectional study. We recruited 396 patients with CHD in a tertiary hospital in Shandong Province, China. Self-report questionnaires were used to measure patients' sociodemographic information, clinical information, treatment burden, health literacy, illness perception, and chronic illness resources. Descriptive statistics and t-tests, one-way analysis of variance, Pearson's correlation analysis, and multiple linear regression analysis were used for data analysis.

Results: A total of 396 participants were included, of whom 273 were male (68.9 %) and 123 were female (31.1 %). The mean age of the participants was 63.10 ± 9.75. The predictors for treatment burden included smoking, taking ≥ 6 kinds of medications/day, health literacy, illness perception, and chronic illness resources, which explained 50.9 % of the variance (p < 0.05).

Conclusion: Our findings indicate an association between treatment burden and factors such as smoking, taking ≥ 6 kinds of medications/day, health literacy, illness perception, and chronic illness resource survey. Healthcare staff should develop targeted interventions based on relevant factors and optimize treatment strategies to improve patient adherence.

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背景：治疗负担是患者坚持治疗的一大障碍，可能导致健康状况恶化：本研究旨在了解中国冠心病患者的治疗负担及其与人口、能力和工作量相关因素的关系：我们进行了一项横断面观察研究。我们在中国山东省的一家三级甲等医院招募了 396 名冠心病患者。采用自我报告问卷调查患者的社会人口学信息、临床信息、治疗负担、健康素养、疾病认知和慢性病资源。数据分析采用描述性统计和 t 检验、单因素方差分析、皮尔逊相关分析和多元线性回归分析：共纳入 396 名参与者，其中男性 273 人（68.9%），女性 123 人（31.1%）。参与者的平均年龄为（63.10 ± 9.75）岁。治疗负担的预测因素包括吸烟、每天服用≥6种药物、健康素养、疾病认知和慢性病资源，这些因素解释了50.9%的方差（P < 0.05）：我们的研究结果表明，治疗负担与吸烟、每天服用≥6 种药物、健康素养、疾病认知和慢性病资源调查等因素有关。医护人员应根据相关因素制定有针对性的干预措施，优化治疗策略，提高患者的依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.