Assessment of Adherence to Therapeutic Regimen and Lifestyle Modification among Patients with Cardiovascular Disease

A Anurag, M Shilpa, A Arshitha

Abstract


Introduction: Cardiovascular diseases (CVDs) involve the heart and blood vessels. Conditions such as hypertension, ischemic heart disease, and stroke are commonly seen in India and these have varying impact on all classes of society and affect their daily activities. This study is taken up to assess the adherence to therapeutic regimen and lifestyle modifications among CVD patients and to raise awareness for control of CVD. Materials and Methods: A cross-sectional descriptive study of 203 patients aged 18 years and above, using a pre-designed structured questionnaire which included written informed consent, demographic details, information about their medical condition, and lifestyle modifications. The 8-item Morisky Medication Adherence Scale (MMAS-8) was used to assess the adherence to therapeutic regimen. Results: The survey included 203 patients of which 164 (81%) were males and 39 (19%) females. One hundred and fifty-six (76.8%) had medical insurance while only 47 (23.2%) were not medically insured. One hundred and sixty-one patients (79.3%) followed dietary guidelines and 136 (66.9%) followed recommended daily physical activities. One hundred and fifty-four patients (75.9%) had a high adherence to medical regimen. Conclusion: Majority of patients followed diet and lifestyle modifications and adhered to their therapeutic regimen. Behavioural Change Communication should be encouraged to generate mass awareness about adherence to therapeutic regimen and lifestyle modifications.

Key words: Adherence, Cardiovascular disease, Diet, Lifestyle


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