{"title":"患者对心力衰竭药物的信念：一项横断面调查。","authors":"Tanya Dhanoa, Rosaleen Boswell, Arden R Barry","doi":"10.4212/cjhp.3692","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Beliefs about Medicines Questionnaire (BMQ) is a validated tool that has been correlated with medication adherence.</p><p><strong>Objectives: </strong>To determine patients' beliefs about their heart failure (HF) medications and their self-reported adherence.</p><p><strong>Methods: </strong>In this prospective cross-sectional survey of community-dwelling adult patients with any type of HF, beliefs were assessed using the BMQ. Self-reported adherence was assessed using the 5-item Medication Adherence Report Scale (MARS-5). Data were collected between January and May 2024. The primary outcome was the BMQ necessity-concerns differential (NCD).</p><p><strong>Results: </strong>Thirty-five patients completed the survey. The mean age was 63.9 years, and 22 (63%) of the patients were women. Thirteen patients (37%) self-reported having HF with reduced ejection fraction. The mean NCD was 7.8 (range -20 to +20). The mean BMQ subscale scores were as follows: general-harm, 8.8 out of 25; general-overuse, 8.1 out of 15; specific-necessity, 20.7 out of 25; and specific-concerns, 12.9 out of 25. The mean MARS-5 score was 22.3 out of 25.</p><p><strong>Conclusions: </strong>The positive value for mean NCD indicated that patients' beliefs about the necessity of their HF medications exceeded their concerns. Self-reported adherence was high.</p>","PeriodicalId":94225,"journal":{"name":"The Canadian journal of hospital pharmacy","volume":"78 3","pages":"e3692"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316687/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patients' Beliefs about Their Heart Failure Medications: A Cross-Sectional Survey.\",\"authors\":\"Tanya Dhanoa, Rosaleen Boswell, Arden R Barry\",\"doi\":\"10.4212/cjhp.3692\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The Beliefs about Medicines Questionnaire (BMQ) is a validated tool that has been correlated with medication adherence.</p><p><strong>Objectives: </strong>To determine patients' beliefs about their heart failure (HF) medications and their self-reported adherence.</p><p><strong>Methods: </strong>In this prospective cross-sectional survey of community-dwelling adult patients with any type of HF, beliefs were assessed using the BMQ. Self-reported adherence was assessed using the 5-item Medication Adherence Report Scale (MARS-5). Data were collected between January and May 2024. The primary outcome was the BMQ necessity-concerns differential (NCD).</p><p><strong>Results: </strong>Thirty-five patients completed the survey. The mean age was 63.9 years, and 22 (63%) of the patients were women. Thirteen patients (37%) self-reported having HF with reduced ejection fraction. The mean NCD was 7.8 (range -20 to +20). The mean BMQ subscale scores were as follows: general-harm, 8.8 out of 25; general-overuse, 8.1 out of 15; specific-necessity, 20.7 out of 25; and specific-concerns, 12.9 out of 25. The mean MARS-5 score was 22.3 out of 25.</p><p><strong>Conclusions: </strong>The positive value for mean NCD indicated that patients' beliefs about the necessity of their HF medications exceeded their concerns. Self-reported adherence was high.</p>\",\"PeriodicalId\":94225,\"journal\":{\"name\":\"The Canadian journal of hospital pharmacy\",\"volume\":\"78 3\",\"pages\":\"e3692\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316687/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Canadian journal of hospital pharmacy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4212/cjhp.3692\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Canadian journal of hospital pharmacy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4212/cjhp.3692","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Patients' Beliefs about Their Heart Failure Medications: A Cross-Sectional Survey.
Background: The Beliefs about Medicines Questionnaire (BMQ) is a validated tool that has been correlated with medication adherence.
Objectives: To determine patients' beliefs about their heart failure (HF) medications and their self-reported adherence.
Methods: In this prospective cross-sectional survey of community-dwelling adult patients with any type of HF, beliefs were assessed using the BMQ. Self-reported adherence was assessed using the 5-item Medication Adherence Report Scale (MARS-5). Data were collected between January and May 2024. The primary outcome was the BMQ necessity-concerns differential (NCD).
Results: Thirty-five patients completed the survey. The mean age was 63.9 years, and 22 (63%) of the patients were women. Thirteen patients (37%) self-reported having HF with reduced ejection fraction. The mean NCD was 7.8 (range -20 to +20). The mean BMQ subscale scores were as follows: general-harm, 8.8 out of 25; general-overuse, 8.1 out of 15; specific-necessity, 20.7 out of 25; and specific-concerns, 12.9 out of 25. The mean MARS-5 score was 22.3 out of 25.
Conclusions: The positive value for mean NCD indicated that patients' beliefs about the necessity of their HF medications exceeded their concerns. Self-reported adherence was high.
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